Aims and objectives To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. Background Community‐level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio‐economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. Design Qualitative, geographical case study approach. Methods A convenience sample of 17 people living with diabetes in a diabetogenic, low‐socio‐economic urban area participated in face‐to‐face, semi‐structured interviews. Interviews were audio‐recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. Findings Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. Conclusions This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. Relevance to clinical practice Findings from this study have highlighted a need to re‐examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.

Objective: This systematic review aims to synthesize evidence to determine the effect of physical activity on the prevention and management of type 2 diabetes among Aboriginal and Torres Strait Islander Australians. Introduction: Physical activity interventions have been shown to have a positive influence in the prevention and management of type 2 diabetes. A body of evidence for the impact among Aboriginal and Torres Strait Islander people is emerging, but a definitive understanding is yet to be realized. Inclusion criteria: The review will include studies with Aboriginal and Torres Strait Islander populations of any age group and from any setting or region in Australia. Studies will be included if they report on physical activity interventions, programs, or activities to prevent or manage type 2 diabetes. Studies may compare physical activity interventions to usual care, alternate treatments, or no intervention, or may be pre-post studies. This review will consider studies that measure change in physical activity or exercise levels and/or change in HbA1c level. Methods: Nine databases will be searched, and studies published in English will be included. No date limits will be set. Methodological quality will be determined using critical appraisal checklists appropriate to the study design and the CREATE Critical Appraisal Tool to appraise research from Aboriginal and Torres Strait Islander perspectives. Data extracted will include population group, study design, methods, intervention components, and physical activity–related outcomes. Quantitative data will be pooled where possible to enable a meta-analysis to be conducted. Heterogeneous studies will be synthesized narratively.

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