Lay summary
Type 2 diabetes (T2D) is generally managed in primary care, and extensive literature demonstrates that management is often sub-optimal, particularly with regard to appropriately prescribing medications for both glycemic control and associated cardiovascular disease (CVD) risk. However, the burden of T2D has been shown to disproportionately effect certain ethnic groups, which in turn leads to inequitable health outcomes. In Aotearoa New Zealand much of the emphasis on reducing this equity gap has focused on understanding barriers to access and the provision of care for Māori and Pacific patients. What has not been explored or addressed is the burden of sub-optimal diabetes care in other ethnic groups that are often disproportionately affected by T2D in NZ (including SE Asians, Indian and African populations). This project aims to understand the impact of health system factors on diabetes care in these communities.