Saqqummersitaq

Diabetes mellitus is a large and growing worldwide health issue. Prior to this publication, a direct comparison of the prevalence of persons treated with anti-diabetic medicine in Greenland and Denmark has not been found. Therefore, the aim of this study is to estimate and compare the age- and gender-specific prevalence of patients treated with anti-diabetic medicine comparing Greenland and Denmark. The study was performed as a cross-sectional register study using data from population and medical registers in Greenland and Denmark. A total of 784 Greenlandic and 215,580 Danish patients treated with anti-diabetic medicine were included. The prevalence of patients aged 20–79 years treated with anti-diabetic medicine in Greenland was 2.6% (95% CI 2.4–2.8), much lower (p < 0.001) compared to Denmark with 5.2% (95% CI 5.2–5.2). The difference was less pronounced after excluding those treated with insulin and women below 45 years treated with metformin. In conclusion, this study showed a lower prevalence of patients treated with anti-diabetic medicine in Greenland than Denmark. The main reason may be a much higher prevalence of undiagnosed diabetes in Greenland, particularly among the middle-aged. Differences in awareness of diabetes and access to continued primary healthcare may be contributing factors.

Greenland and the Faroes are autonomous jurisdictions within the Danish Realm, having undertaken a continuous process of extended self-determination in the post-WWII era. In both jurisdictions there are strong movements of secession and counter-secession, whose respective strengths are largely achieved through external relations. This paper will first provide an introduction to the historical background and the formal relationship between the two jurisdictions and their metropolitan state. We will then extend the two cases with a description of how increased internal autonomy has evolved in a dynamic interaction with changes in international affairs. Whether the two jurisdictions may move towards full secession or new forms of unity is difficult to predict, but external relations keep on pushing at the formal structures and limits of the realm, which we will briefly reflect upon in the final section.

The chapter deals with self-conceptions of exceptionalism in the United States and in Northern Europe. The notion that one nation, one region or one group is exceptional, conflicts with globalization theory. Because of migrating people, goods and ideas, the world is understood to become more homogeneous (Appadurai 2008; Comaroff & Comaroff 2012). However, globalization incorporates a globalization of risks, conflict (Beck 2007) and uncertainty (Bauman 2000), too. As contemporary Western societies are increasingly characterized by crisis and insecurity, there appears to emerge a need to highlight the unique features of the "Self". Phrases like »American Exceptionalism« and »Nordic Exceptionalism« have become common in political discourses from the 2000s, and are at once subject to a critical negotiation within popular culture, literature and film. In the following discussion, I will show how the American and the Scandinavian self-conceptions of exceptionalism iare interdependent. The analysis starts in America with an examination of a satirical television show by American stand-up comedian, Wyatt Cenac. Together with Jonathan Franzen’s novel "Freedom", it serves as an example of artistic approaches to a discursive strategy, which uses images of Scandinavia as a category of distinction in order to consolidate the libertarian idea of »American Exceptionalism«. The second part of the chapter concerns Scandinavian visual arts’ current reevaluation of the narratives, which form the basis for notions of »Nordic Exceptionalism«. Here, I will demonstrate how Susanne Bier’s feature films "Efter Brylluppet" (»After the Wedding«) and "Hævnen" (»In a Better World«) contribute to the critical negotiation of a Nordic self-conception, characterized by altruism and ethical and moral superiority.