Inequities in Health Outcomes in Children and Adults With Type 1 Diabetes: Data From the T1D Exchange Quality Improvement Collaborative
Shideh Majidi, Osagie Ebekozien, Nudrat Noor, Sarah K. Lyons, Ryan McDonough, Kajal Gandhi, Roberto Izquierdo, Carla Demeterco‐Berggren, Sarit Polsky, Marina Basina, Marisa Desimone, Inas H. Thomas, Nicole Rioles, Jose Jimenez‐Vega, Faisal Malik, Brian Miyazaki, Anastasia Albanese-O’Neill, Nana‐Hawa Yayah Jones, T1D Exchange Quality Improvement Collaborative Study Group
Abstract
Health care inequities among racial and ethnic groups remain prevalent. For people with type 1 diabetes who require increased medical access and care, disparities are seen in access to care and health outcomes. This article reports on a study by the T1D Exchange Quality Improvement Collaborative evaluating differences in A1C, diabetic ketoacidosis (DKA), severe hypoglycemia, and technology use among racial and ethnic groups. In a diverse cohort of nearly 20,000 children and adults with type 1 diabetes, A1C was found to differ significantly among racial and ethnic groups. Non-Hispanic Blacks had higher rates of DKA and severe hypoglycemia and the lowest rate of technology use. These results underscore the crucial need to study and overcome the barriers that lead to inequities in the care and outcomes of people with type 1 diabetes.