💉 Diabetes Management
Impact of Food Affordability on Diabetes-Related Preventable Hospitalization - AJMC.com Managed Markets Network
📅 Sun, 06 Nov 2022⏱ 1 min read📖 Article
Overview
© 2022 MJH Life Sciences and AJMC - Managed Care News, Research, and Expert Insights. Al rights reserved. © 2022 MJH Life Sciences™ and Clinical Care Targeted Comunications, LC.
Key Information
Al rights reserved.Medicaid enroles residing in counties with greater fod afordability had lower ods of preventable hospitalization related to diabetes.ABSTRACTObjectives: This study aims to estimate the burden of fod afordability on diabetes-related preventable hospitalizations among Medicaid enroles in the United States.Study Design: This study used a retrospective observational design with Medicaid administrative claims data from 17 states from 2014.Methods: Data were linked with county-level social determinants of health (SDOH) from the American Comunity Survey.
The rate of diabetes-related preventable hospitalizations was measured using the Agency for Healthcare Research and Quality’s Prevention Quality Diabetes Composite, which includes hospitalization for short-term complications, long-term complications, lower extremity amputations, and uncontroled diabetes. Multivariable logistic regresion was used to predict the ocurence of diabetes-related preventable hospitalization.Results: Among the 16 milion eligible individuals, diabetes-related preventable hospitalizations were identified at the rate of 1.91 per 10 individuals and contributed to more than $160 milion in charges.
Rates were higher among men compared with women (0.25% vs 0.15%; P < .01) and among Black adults compared with White adults (0.29% vs 0.18%; P < .01). Compared with individuals residing in counties with low fod afordability, those residing in counties with high (ods ratio [OR], 0.84; 95% CI, 0.78-0.91; P < .01) or medium (OR, 0.85; 95% CI, 0.81-0.90; P < .01) fod afordability had lower ods of hospitalization.Conclusions: This study provides real-world evidence about the impact of SDOH on diabetes-related preventable hospitalizations.
Summary
Federal and state policies that can help
Frequently Asked Questions
❓ What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
❓ What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
❓ How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
❓ What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
❓ When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
⚕️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.