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Diabetes Preventive Care Practices in North Carolina, 2000–2015

This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000–2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood...

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Detalles Bibliográficos
Autores principales: Luo, Huabin, Bell, Ronny A., Cummings, Doyle M., Chen, Zhuo (Adam)
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871352/
https://www.ncbi.nlm.nih.gov/pubmed/29565787
http://dx.doi.org/10.5888/pcd15.170316
Descripción
Sumario:This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000–2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood glucose self-monitoring, hemoglobin A(1c) tests, foot examinations, and flu shots. Non-Hispanic black and non-Hispanic white respondents showed increases in blood glucose self-monitoring, and a significant time-by-race interaction was observed for annual flu shots. Predisposing, enabling, and need factors were significantly associated with most measures. DSME was positively associated with 7 measures. Expanding access to health insurance and health care providers is key to improving diabetes management, with DSME being the gateway to optimal care.