During the teenage years, young people with consistently high diabetes distress (DD) or with DD that increased over time showed increases in A1C. Findings suggest that high DD is common and may be a particularly important target for supporting adolescents with type 1 diabetes in obtaining glycemic goals.
Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of Clinical Diabetes. The following article describes a quality improvement project to improve screening rates for diabetic kidney disease at a Veterans Affairs health system in Northeast Ohio.
Health care discrimination is a barrier to patient-provider communication and effective self-management for patients with type 2 diabetes, a condition that disproportionately affects people of color. This article provides an analysis of in-depth interviews with patients with type 2 diabetes about their experiences of health care discrimination. Participants reported that their experiences of health care discrimination were rooted in their social identities. They often reported believing that discrimination led to assumptions and biases that negatively affected their health care experience. They also reported varying responses to perceived discrimination, ranging from hesitation to advocacy. This study highlights the need for health care systems to prioritize identifying and reducing specific health care provider behaviors that patients with diabetes perceive as discrimination.
Diabetes in pregnancy is associated with greater risk of maternal and fetal complications. However, studies exploring the impact of race and ethnicity on pregnancy outcomes using real-world data are limited. This study compared differences in established risk factors and pregnancy outcomes by diabetes status and race/ethnicity. The analysis showed that diabetes diagnosis was associated with worse outcomes overall. The increased risk of serious maternal and fetal outcomes associated with diabetes varied disproportionately by race/ethnicity.
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