Trends in Receipt of American Diabetes Association Guideline-Recommended Care Among U.S. Adults With Diabetes: NHANES 2005–2018

Diabetes Care ◽  
2021 ◽  
pp. dc202541
Author(s):  
Jung-Im Shin ◽  
Dan Wang ◽  
Gail Fernandes ◽  
Natalie Daya ◽  
Morgan E. Grams ◽  
...  
Keyword(s):  
American Diabetes Association ◽  
Recommended Care ◽  
American Diabetes Association Guideline

scholarly journals Trends in Receipt of American Diabetes Association Guideline-Recommended Care Among U.S. Adults With Diabetes: NHANES 2005–2018

2021 ◽  
Author(s):  
Jung-Im Shin ◽  
Dan Wang ◽  
Natalie Daya ◽  
Morgan E. Grams ◽  
Sherita H. Golden ◽  
...  
Keyword(s):  
American Diabetes Association ◽  
Healthcare Delivery ◽  
Self Report ◽  
Cross Sectional ◽  
Recommended Care ◽  
The Past ◽  
American Diabetes Association Guideline ◽  
National Trends ◽  
Cholesterol Testing ◽  
Design And Methods

<b>Objective: </b>To characterize national trends and characteristics of adults with diabetes receiving American Diabetes Association (ADA) guideline-recommended care. <div><p><b>Research Design and Methods: </b>We performed serial cross-sectional analyses of 4,069 adults aged≥20 years with diabetes who participated in the 2005-2018 National Health and Nutrition and Examination Survey (NHANES)</p> <p><b>Results: </b>Overall, the proportion of US adults with diabetes receiving ADA guideline-recommended care (meeting all five criteria (self-report) in the past year: having a primary doctor for diabetes and number of visits for this doctor≥1; HbA1c testing; an eye exam; a foot exam; and cholesterol testing)<b> </b>increased from 25.0% in 2005-2006 to 34.1% in 2017-2018 (P-trend=0.004). For participants with age≥65 years, it increased from 29.3% in 2005-2006 to 44.2% in 2017-2018 (P-trend=0.001), whereas for participants with age 40-64 and 20-39 years, it did not change significantly during the same time period: 25.2% to 25.8% (P-trend=0.457) and 9.9% to 26.0% (P-trend=0.401), respectively. Those who were not receiving ADA guideline-recommended care were more likely to be younger, of lower socioeconomc status, uninsured, newly diagnosed with diabetes, not on diabetes medication, and free of hypercholesterolemia. </p> <p><b>Conclusions: </b>Receipt of ADA guideline-recommended care increased only among adults with diabetes aged ≥65 years in the past decade. In 2017-2018, only 1 out of 3 US adults with diabetes reported receiving ADA guideline-recommended care, with even a lower receipt of care among those<65 years of age. Efforts are needed to improve healthcare delivery and equity in diabetes care. Insurance status is an important modifiable determinant of receiving ADA guideline-recommended care. </p></div>

scholarly journals Trends in Receipt of American Diabetes Association Guideline-Recommended Care Among U.S. Adults With Diabetes: NHANES 2005–2018

2021 ◽  
Author(s):  
Jung-Im Shin ◽  
Dan Wang ◽  
Natalie Daya ◽  
Morgan E. Grams ◽  
Sherita H. Golden ◽  
...  
Keyword(s):  
American Diabetes Association ◽  
Healthcare Delivery ◽  
Self Report ◽  
Cross Sectional ◽  
Recommended Care ◽  
The Past ◽  
American Diabetes Association Guideline ◽  
National Trends ◽  
Cholesterol Testing ◽  
Design And Methods

<b>Objective: </b>To characterize national trends and characteristics of adults with diabetes receiving American Diabetes Association (ADA) guideline-recommended care. <div><p><b>Research Design and Methods: </b>We performed serial cross-sectional analyses of 4,069 adults aged≥20 years with diabetes who participated in the 2005-2018 National Health and Nutrition and Examination Survey (NHANES)</p> <p><b>Results: </b>Overall, the proportion of US adults with diabetes receiving ADA guideline-recommended care (meeting all five criteria (self-report) in the past year: having a primary doctor for diabetes and number of visits for this doctor≥1; HbA1c testing; an eye exam; a foot exam; and cholesterol testing)<b> </b>increased from 25.0% in 2005-2006 to 34.1% in 2017-2018 (P-trend=0.004). For participants with age≥65 years, it increased from 29.3% in 2005-2006 to 44.2% in 2017-2018 (P-trend=0.001), whereas for participants with age 40-64 and 20-39 years, it did not change significantly during the same time period: 25.2% to 25.8% (P-trend=0.457) and 9.9% to 26.0% (P-trend=0.401), respectively. Those who were not receiving ADA guideline-recommended care were more likely to be younger, of lower socioeconomc status, uninsured, newly diagnosed with diabetes, not on diabetes medication, and free of hypercholesterolemia. </p> <p><b>Conclusions: </b>Receipt of ADA guideline-recommended care increased only among adults with diabetes aged ≥65 years in the past decade. In 2017-2018, only 1 out of 3 US adults with diabetes reported receiving ADA guideline-recommended care, with even a lower receipt of care among those<65 years of age. Efforts are needed to improve healthcare delivery and equity in diabetes care. Insurance status is an important modifiable determinant of receiving ADA guideline-recommended care. </p></div>

Psychological Impact of Coronavirus (COVID-19) Disease on Cancer Patients

Coronaviruses ◽  
2021 ◽  
Vol 01 ◽  
Author(s):  
Gaurav Dhiman
Keyword(s):  
Cancer Patients ◽  
Related Problem ◽  
Preventive Measures ◽  
Psychological Impact ◽  
Vulnerable Group ◽  
Recommended Care ◽  
Health Related ◽  
The Face ◽  
Mental Trauma ◽  
The Cost

: In this letter, the psychological impact of COVID-19 on cancer infected patients is discussed. Cancer is a serious health-related problem in the human body nowadays. The 2019 pandemic of coronavirus disease has developed into an unheard-of pandemic. Given the havoc wreaked by this pathogen worldwide, many countries have implemented a severe, legally enforced method of social distancing, in the form of a lockdown. Unless adequate preventive measures are taken, the cost of the pandemic and subsequent lockdown can prove to be irreparable. The obvious consequences of this lockout, such as the escalating levels of unemployment, imminent economic crisis, and extreme food scarcity faced by the sudden unemployed migrant labour population, have been widely reported. Cancer patients are a highly vulnerable group even during non-pandemic periods, often presenting late in the course of their illness, without the services required to avail recommended care. The incidence of psychological complications and emotional distress is considerably higher than in the general population, and the trauma of both the pandemic and subsequent lockdown contributes significantly to their mental trauma. This analysis is geared at solving the challenges faced by cancer patients in the face of this pandemic and subsequent lockdown, with a look at potential solutions that can be enforced.

Humor and A1C: the interaction between humor and diabetes control

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
David S. Greene ◽  
Nancy Dunavant King
Keyword(s):  
Type 1 Diabetes ◽  
American Diabetes Association ◽  
Good Control ◽  
Diabetes Control ◽  
Humor Styles ◽  
Psychological Benefits ◽  
Significant Difference ◽  
Aggressive Humor ◽  
College Educated

Abstract There is increasing evidence of specific medical and psychological benefits associated with humor within diabetes populations. The benefits of maintaining good diabetes control are also well established. The more general relationship between humor and diabetes control however remains unexplored. The purpose of this study was to examine if there was a difference between people with diabetes with an A1C ≤ 6.99% versus those ≥7.0% on four disparate types of humor. The sample consisted of 284 participants, 65.5% with type 1 diabetes, 68.3% female, 89.1% Caucasian, and 68.7% college educated. Participants completed the Humor Styles Questionnaire (HSQ) and were divided into two groups, A1C ≤ 6.99% and A1C ≥ 7.0%. The A1C ≤ 6.99% group scored significantly higher on both types of positive humor, affiliative humor (P < 0.01) and self-enhancing humor (P < 0.05). There was no significant difference between participants on either type of negative humor, aggressive humor (P > 0.05) or self-defeating humor (P > 0.05). Results indicate that good control (A1C ≤ 6.99%) is associated with positive humor. These findings provide evidence that there is an association between American Diabetes Association recommended levels of control and positive humor styles. Implications regarding positive humor and good diabetes control are discussed.

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