Health-Care Utilization and Outcomes in Young Adults With Type 1 and Type 2 Diabetes.

IF 3 Q2 ENDOCRINOLOGY & METABOLISM Journal of the Endocrine Society Pub Date : 2024-06-25 eCollection Date: 2024-05-23 DOI:10.1210/jendso/bvae115
Anna Zenno, Alyssa Huang, Alissa J Roberts, Catherine Pihoker
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Abstract

Young adulthood can be a challenging time for individuals with diabetes mellitus (DM) as they experience increasing independence and life transitions, which can make it difficult to engage in DM self care. Compared to older adults, young adults are more likely to have higher glycated hemoglobin A1c (HbA1c). They also often have lower adherence to standards of care in DM, and higher utilization of emergency department (ED) visits and hospitalizations for diabetic ketoacidosis. This review describes health-care utilization and explores factors that may contribute to high HbA1c among young adults with DM. In addition, it discusses the unique health-care needs of young adults with DM, examines the role of technology in their DM care, and analyzes the effects of social determinants of health on their health-care utilization.

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1 型和 2 型糖尿病青壮年的医疗保健使用情况和结果。
对于糖尿病(DM)患者来说,青壮年时期可能是一个充满挑战的时期,因为他们的独立性和生活转变都在不断增强,这可能会使他们在进行糖尿病自我护理时遇到困难。与老年人相比,年轻人的糖化血红蛋白 A1c(HbA1c)更高。他们对糖尿病护理标准的依从性通常也较低,因糖尿病酮症酸中毒到急诊科(ED)就诊和住院的比例也较高。本综述介绍了医疗保健的使用情况,并探讨了可能导致糖尿病青壮年患者 HbA1c 偏高的因素。此外,它还讨论了糖尿病青壮年患者独特的医疗保健需求,研究了技术在糖尿病护理中的作用,并分析了健康的社会决定因素对其医疗保健利用率的影响。
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来源期刊
Journal of the Endocrine Society
Journal of the Endocrine Society Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
5.50
自引率
0.00%
发文量
2039
审稿时长
9 weeks
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