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Type 1 diabetes self‐management behaviors among emerging adults: Racial/ethnic differences

Pediatric Diabetes Jun 10, 2020

Butler AM, Weller BE, Rodgers CRR, et al. - In the present study, the researchers sought to investigate racial/ethnic differences in self‐management behaviors (SMBs) and to identify connections between SMBs and blood glucose control. A sample of emerging adults (EAs) (aged 18‐25 years; N = 3,456) from the Type 1 Diabetes Exchange Registry was used to perform multivariate analyses to assess racial/ethnic differences in SMBs and connections between SMBs and blood glucose control for each racial/ethnic group. According to results, African Americans and Hispanics took less regularly an insulin bolus for snacks compared with non‐Hispanic whites, less frequently checked blood glucose with a meter, and were more likely to not use insulin for carbohydrate ratios. African Americans also checked blood glucose less frequently prior to mealtime boluses and missed insulin doses more frequently. SMBs associated with blood glucose control across groups were the frequency of blood glucose checks at mealtime, the lack of insulin dose, and blood glucose checks with a meter. Promoting two SMBs: checking blood glucose and taking insulin doses as required among African American EAs may be important for addressing glycemic racial disparities. Future research should evaluate possible social and contextual mechanisms that contribute to low involvement of African Americans in these behaviors in informing strategies to address racial differences in glycemic outcomes.

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