Racial disparities persist in diabetes care outcomes

December 2, 2013
Racial disparities persist in diabetes care outcomes

(HealthDay)—Black patients do not receive the same quality of care, and experience poorer intermediate outcomes in the practice setting of a patient-centered medical home (PCMH), according to research published online Nov. 19 in Diabetes Care.

In an effort to assess racial differences in processes of care and intermediate outcomes for diabetes, Joseph A. Simonetti, M.D., of the University of Washington in Seattle, and colleagues retrospectively analyzed data for 1,457 adults receiving care within a PCMH-designated academic practice.

The researchers found that, compared with non-Hispanic white patients, more had a hemoglobin A1C greater than 9 percent, and fewer black patients achieved a hemoglobin A1C less than 7 percent, low-density lipoprotein (LDL) cholesterol less than 100 mg/dL, or less than 140/90 mm Hg (P < 0.05 for all comparisons). According to multivariable analysis, black patients were less likely to receive hemoglobin A1C testing (odds ratio [OR], 0.57) or influenza vaccination (OR, 0.75) and also less likely to achieve LDL cholesterol less than 100 mg/dL (OR, 0.74) or blood pressure less than 140/90 mm Hg (OR, 0.64).

"In summary, despite the implementation of a highly innovative PCMH, we observed in both processes of care and intermediate outcomes for patients with diabetes," the authors write.

Explore further: Health-care model improves diabetes outcomes, health

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Health-care model improves diabetes outcomes, health

July 13, 2011

(Medical Xpress) -- A health-care delivery model called patient-centered medical home (PCMH) increased the percentage of diabetes patients who achieved goals that reduced their sickness and death rates, according to health ...

Room for improvement in knowledge of ABC levels, goals

April 19, 2012

(HealthDay) -- Many individuals with diabetes do not know their last hemoglobin A1C (A1C), blood pressure, and low-density lipoprotein (LDL) cholesterol levels (ABC levels), although the correlation between such knowledge ...

Primary care model ups African Americans' glycemic control

April 5, 2013

(HealthDay)—A primary care strategy targeting rural, low-income, African-American patients with type 2 diabetes is associated with improved glycemic control, according to research published in March/April issue of the ...

Italian study shows gender disparity in diabetes care

August 8, 2013

(HealthDay)—Compared to Italian men, women in Italy receive a poorer quality of diabetes care, and although difficulty attaining an ideal low-density lipoprotein cholesterol (LDL-C) level appears to be mostly related to ...

Cinnamon cuts blood glucose levels in diabetes patients

September 16, 2013

(HealthDay)—Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Daily text messages improve diabetes outcomes

November 22, 2013

(HealthDay)—Patients with poorly controlled diabetes have improvements in hemoglobin A1c and medication adherence and fewer trips to the emergency room after receiving daily text messages, according to a study published ...

Recommended for you

Major fall in diabetes-related amputations since the 1990s

November 22, 2015

A major new study has found a significant reduction in diabetes-related amputations since the mid-1990s, credited to improvements in diabetes care over this period. The research is published in Diabetologia (the journal of ...

Blocking immune cell treats new type of age-related diabetes

November 18, 2015

Diabetes is often the result of obesity and poor diet choices, but for some older adults the disease might simply be a consequence of aging. New research has discovered that diabetes—or insulin resistance—in aged, lean ...

Bacteria may cause type 2 diabetes

June 1, 2015

Bacteria and viruses have an obvious role in causing infectious diseases, but microbes have also been identified as the surprising cause of other illnesses, including cervical cancer (Human papilloma virus) and stomach ulcers ...

Engineered hot fat implants reduce weight gain in mice

August 20, 2015

Scientists at the University of California, Berkeley, have developed a novel way to engineer the growth and expansion of energy-burning "good" fat, and then found that this fat helped reduce weight gain and lower blood glucose ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.