Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Saturday, December 14th, 2013
Cortez Journal: November 22, 2013
TOWAOC — From Cortez to Shiprock, N.M., Durango to Monticello, Utah, native Americans sit in hospitals and health centers receiving kidney dialysis at a higher rate than non-Indians.
That is the uncomfortable truth of ignoring the diabetes epidemic the Ute Mountain Tribe is battling every day, reports Rita King, manager of the tribe’s Diabetes Prevention Program. The Utes and Navajos hosted a two-day education conference on diabetes in Towaoc this week.
“It has been frustrating getting those at risk and those with the disease to change their ways,” King says. “The disease is reversible, our people are aware of the problem, so we have done a good job there. But it is the action of individuals to take responsibility for their health, that is much tougher.” Read More
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Saturday, December 14th, 2013
Whitehouse: November 20, 2013
As a physician for more than 30 years, I have seen the tremendous burden that diabetes places on patients and their loved ones. As November marks National Diabetes Month, let us recommit to educating ourselves and our communities about how to prevent, manage, and treat diabetes.
Diabetes affects nearly 26 million Americans, but the Native Hawaiian and Pacific Islander community is at particular risk. In fact, Native Hawaiians and Pacific Islanders are more than three times more likely to be diagnosed with diabetes, compared to non-Hispanic whites. This is due to higher rates of risk factors such as being overweight and obesity, high blood pressure, high cholesterol, and smoking. Within the U.S. Pacific Islands themselves, the prevalence of overweight and obesity exceeds 90 percent and diabetes approaches 50 percent in some areas. Read More
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Saturday, December 14th, 2013
The Diabetes Educator November 18, 2013
Aims The purpose of this quasi-experimental, 1-group longitudinal study is to examine the effects of a family-based intervention program on diabetes self-management behaviors, A1C, other biomarkers, psychosocial factors, and health-related quality of life in Hispanics with diabetes.
Methods Adult patients with diabetes (n = 36) and family members (n = 37) were recruited from a community clinic in rural central North Carolina. Patients and family members attended an 8-week culturally tailored diabetes educational program taught in Spanish. Data were collected pre- and post-intervention for both patients and family members, with an additional data collection for patients 1 month post-intervention. Read More
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Saturday, December 14th, 2013
The Diabetes Educator: September 17, 2013
Purpose The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals.
Methods Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance. Read more
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Friday, December 13th, 2013
The Diabetes Educator: October 4, 2013
Implications for Treatment Adherence, Access, and Outcomes
Purpose The purpose of this study was to examine how attitudes and practices related to bodily aesthetic ideals and self-care might inform the engagement of Latinas with type 2 diabetes (T2DM).
Methods Focus groups were used to collect qualitative data concerning bodily aesthetic ideals and diabetes management, including help-seeking experiences, from Latina women with T2DM (n = 29) receiving care through Latino Diabetes Initiative at the Joslin Diabetes Center. Focus groups were conducted in Spanish, audiotaped, transcribed, and content analyzed. Read more
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Wednesday, November 20th, 2013
Aims/hypothesis
The aim of the study was to compare longitudinal changes in insulin sensitivity (SI) and beta cell function between women with and without a history of gestational diabetes mellitus (GDM).
Methods
The prospective follow-up cohort included 235 parous non-diabetic Mexican–American women, 93 with and 142 without a history of GDM. The participants underwent dual-energy x-ray absorptiometry, OGTTs and IVGTTs at baseline and at a median of 4.1 years follow-up. The baseline values and rates of change of metabolic measures were compared between groups. Read More
Posted by Diabetes South Texas Staff
Minority Diabetes Reports
Wednesday, November 20th, 2013
Diabetes Care: November 19, 2013
OBJECTIVE To assess racial differences in diabetes processes and intermediate outcomes of care in an internal medicine, patient-centered medical home (PCMH) group practice.
RESEARCH DESIGN AND METHODS We conducted a retrospective cohort study of 1,457 adults with diabetes receiving care from 89 medical providers within a PCMH-designated, academic practice between July 1, 2009 and July 31, 2010. We used mixed-models to assess independent associations between patient race (non-Hispanic white or black) and 1) receipt of processes of care (A1C and LDL testing, foot and retinal examination, and influenza and pneumococcal vaccination) and 2) achievement of intermediate outcomes (LDL<100mg/dL, BP<140/90mmHg, A1C<7.0% [<53mmol/mol] and A1C>9.0% [>75mmol/mol]), controlling for sociodemographic factors, health status, treatment intensity and clinical continuity. Read More
