Abstract
Background: The Diabetes Care Program of Nova Scotia (DCPNS) maintains a comprehensive registry of clinically confirmed diabetes (DM) cases; however, only Diabetes Centre attendees are represented (about 70% of DM population in NS). The Nova Scotia Atlee Perinatal Database (NSAPD) and Nova Scotia Seniors' Pharmacare Database (NSSPD) also contain gold standard DM cases, but for a limited population. The National Diabetes Surveillance System (NDSS) derives nationally comparable DM statistics using administrative data; however, these cases are estimated not clinically confirmed. Combining data from various Programme Databases with routinely collected administrative data could greatly enhance DM case ascertainment. In Nova Scotia, all of these data sources are readily linkable, making the province an ideal sentinel surveillance site for DM in Canada.
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