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. 2021 Jul;39(3):278-283.
doi: 10.2337/cd21-0028.

Inequities in Health Outcomes in Children and Adults With Type 1 Diabetes: Data From the T1D Exchange Quality Improvement Collaborative

Shideh Majidi  1 , Osagie Ebekozien  2 , Nudrat Noor  2 , Sarah K Lyons  3 , Ryan McDonough  4 , Kajal Gandhi  5 , Roberto Izquierdo  6 , Carla Demeterco-Berggren  7 , Sarit Polsky  1 , Marina Basina  8 , Marisa Desimone  6 , Inas Thomas  9 , Nicole Rioles  2 , Jose Jimenez-Vega  10 , Faisal S Malik  11 , Brian Miyazaki  12 , Anastasia Albanese-O'Neill  13 , Nana-Hawa Yayah Jones  14 ; T1D Exchange Quality Improvement Collaborative Study Group
Affiliations

Inequities in Health Outcomes in Children and Adults With Type 1 Diabetes: Data From the T1D Exchange Quality Improvement Collaborative

Shideh Majidi et al. Clin Diabetes. 2021 Jul.

Abstract

Health care inequities among racial and ethnic groups remain prevalent. For people with type 1 diabetes who require increased medical access and care, disparities are seen in access to care and health outcomes. This article reports on a study by the T1D Exchange Quality Improvement Collaborative evaluating differences in A1C, diabetic ketoacidosis (DKA), severe hypoglycemia, and technology use among racial and ethnic groups. In a diverse cohort of nearly 20,000 children and adults with type 1 diabetes, A1C was found to differ significantly among racial and ethnic groups. Non-Hispanic Blacks had higher rates of DKA and severe hypoglycemia and the lowest rate of technology use. These results underscore the crucial need to study and overcome the barriers that lead to inequities in the care and outcomes of people with type 1 diabetes.

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Conflict of interest statement

O.E. is a compensated Health Equity Advisory Board member for Medtronic Diabetes and serves as the principal investigator for investigator-led projects sponsored by Abbott, Dexcom, Eli Lilly, Insulet, and Medtronic. No other potential conflicts of interest relevant to this article were reported.

Figures

FIGURE 1
FIGURE 1
Difference in A1C levels across racial/ethnic groups. *t test.
See this image and copyright information in PMC

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