Several clinical practice guidelines advise race- and ethnicity-based screening for youth-onset type 2 diabetes (T2D) due to a higher prevalence among American Indian Alaska Native, Asian, Black, Hispanic youths compared with White youths. However, rather than biological risk, this disparity likely reflects the inequitable distribution of adverse social determinants health (SDOH), product interpersonal structural racism.

This study examines trends in prescribing and reimbursement for glucagon products Medicaid before after the introduction of these newer products.

Background Since the rapid widespread uptake in 2020, use of telemedicine to deliver diabetes specialty care has persisted. However, evidence evaluating patient and clinician perspectives on benefits, shortcomings, approaches improve for type 2 is limited. Objective This study aims assess specific benefits limitations current delivery views enhance effectiveness patients who rely it. Methods We conducted semistructured qualitative interviews with clinicians adults diabetes. used a...

Buspirone, a 5-HT1A receptor agonist, and environmental enrichment (EE) enhance cognition reduce histopathology after traumatic brain injury (TBI) in adult rats, but have not been fully evaluated pediatric TBI, which is the leading cause of death children. Hence, aims this study were to assess efficacy buspirone alone (Experiment 1) combination with EE 2) TBI postnatal day-17 male rats. The hypothesis was that both therapies would confer cognitive histological benefits when provided singly,...

Importance Telemedicine can increase access to endocrinology care for people with type 2 diabetes (T2D), but patterns of use and outcomes telemedicine specialty adults T2D beyond initial uptake in 2020 are not known. Objective To evaluate their association glycemic control among varying clinical complexity receiving T2D. Design, Setting, Participants Retrospective cohort study a single large integrated US health system. were who had visit from May October 2020. Data analyzed June 2022 2023....

Abstract Background Recent recommendations guiding appropriate use of telemedicine for endocrinology care have largely relied on expert opinion due to limited evidence factors that increase quality care. In this study, we assessed the perspectives front-line specialists and strategies perceived diabetes delivered via after more than 2 years widespread use. Methods Adult in academic health systems who recently used video-based provide were invited participate an online survey study between...

Objective: To explore the clinical consequences and potential root causes of insulin pump-associated adverse events (AEs) reported in Food Drug Administration's Manufacturer User Facility Device Experience (MAUDE) database. Research Design Methods: Qualitative template analysis narrative data a 20% stratified random sample (n = 2429) AEs that occurred during first 6 months 2020 involving five pump models marketed at time: (1) MiniMed™ 670G, (2) 630G, (3) Omnipod®, (4) Omnipod DASH®, (5)...

Background: Population health management approaches can help target diabetes resources like Diabetes Self-Management Education and Support (DSMES) to individuals at the highest risk of complications poor outcomes. Little is known about patient characteristics associated with DSMES receipt since widespread uptake telemedicine for care in 2020. Methods: In this retrospective cohort study, we used electronic medical record (EMR) data assess patterns delivery from May 2020 2022 among adults who...

Purpose: The purpose of this study was to identify factors impacting the acceptability continuous glucose monitoring (CGM) in adolescents and young adults (AYAs) with type 2 diabetes mellitus (T2DM). Methods: In single-center study, semistructured interviews were conducted AYAs T2DM their parents determine attitudes about CGM, including barriers facilitators. Interviews audio-recorded, transcribed, evaluated using thematic analysis. Results: Twenty 10 participated (n = 30 total). mean age...

Abstract Objective Outpatient diabetes mellitus (DM) care over video telehealth (TH) requires modifications to how endocrinologists complete physical examinations (PEs). But there is little guidance on what PE components include, which may incur wide variation in practice. We compared endocrinologists’ documentation of DM for in-person (IP) vs TH visits. Methods Retrospective chart review 200 notes new patients with from 10 (10 IP and visits each) the Veterans Health Administration between...

Purpose The purpose of this feasibility study was to determine the effectiveness an insurer-based diabetes educator (DE)–driven intervention that relies on systematic restructuring primary care (PC) linking DE services through population health, practice redesign, and coordinated for patients with mellitus (DM) identified as high risk. Methods Two DEs were introduced members PC teams worked practice-based managers (PBCMs) identify refer DM considered at risk, A1C >9%, DM-related emergency...

Objective: Explore alarm signals cited in insulin pump-associated adverse events (AEs), describe the clinical consequences and other root cause informing remarks that cooccurred with signals, identify opportunities for improvements to patient education, instructional materials, systems prevent future AEs. Research Design Methods: We explored type, frequency, associated of a pre-coded data set 2294 AEs involving MiniMed 670G, 630G, t:slim X2. also top 10 most frequently signals. Results:...

Purpose: The purpose of the study was to examine impact a novel approach provide diabetes specialty team care rural patients with type 2 (T2DM) on clinical outcomes and processes care. Methods: Diabetes Care Network (DCN) provides Veterans T2DM elevated A1C an initial 6-week period remote self-management education support medication management by centrally located specialists. Participants are then comanaged liaisons embedded in primary facilities for remainder 12-month intervention. In this...

Perform a cost-effectiveness analysis of addition subcutaneous semaglutide versus empagliflozin to usual treatment for patients with Type 2 diabetes and cardiovascular disease in US setting.

To assess what patient, family supporter, and call characteristics predicted whether patients completed automated coach-provided calls in a telehealth diabetes intervention.A total of 123 adults with type 2 high glycated hemoglobin A1c (HbA1c) or blood pressure, enrolled received interactive voice response (IVR) visit preparation over 12 months.Data from baseline surveys diabetes-related clinical information patient medical records were entered into multilevel, multivariate regression models...

Objective: To explore insulin pump-associated severe adverse events (SAEs) involving intensive care unit (ICU) admissions and deaths examine the impact of COVID-19 pandemic on these SAEs. Methods: Qualitative template analysis narrative data in reported SAEs occurring between May 1, 2019, January 31, 2021, MiniMed 670G, 630G, Omnipod, Omnipod DASH, t:slim X2 pumps. Results: Over 21-month measurement period, 460 an ICU admission 288 a death were to Food Drug Administration. Problems with pump...

<sec> <title>BACKGROUND</title> New technologies like mobile applications (apps), continuous glucose monitors (CGM), and activity trackers are available to support adults with diabetes (AWD) but it is not clear how these tools used together for self-management. This mixed-methods study assessed AWD use technology relate health behaviors self-management goals. </sec> <title>OBJECTIVE</title> To understand new apps, CGMs, in daily <title>METHODS</title> 61 aged 18-70 type 1 or 2 who at least...

Abstract Disclosure: M. Zupa: None. J. Bauer: S. Rothenberger: Y. Zheng: A. Johnson: E. Kinnee: Rosland: Care from endocrinologists has been linked to improved care quality and uptake of novel treatments which may improve outcomes for adults with T2D ASCVD, who are at high risk adverse health outcomes. However, transportation, geographic, other barriers impact access specialty under-resourced populations. We sought evaluate the patient-level geographic sociodemographic factors on receipt...

Technologies such as mobile apps, continuous glucose monitors (CGMs), and activity trackers are available to support adults with diabetes, but it is not clear how they used together for diabetes self-management. This study aims understand differing clinical profiles digital health literacy levels integrate data from multiple behavior tracking technologies Adults type 1 or 2 who ≥1 medications responded a web-based survey about app tracker use in 6 categories: blood level, diet, exercise...

<sec> <title>BACKGROUND</title> Since the rapid widespread uptake in 2020, use of telemedicine to deliver diabetes specialty care has persisted. However, evidence evaluating patient and clinician perspectives on benefits, shortcomings, approaches improve for type 2 is limited. </sec> <title>OBJECTIVE</title> This study aims assess specific benefits limitations current delivery views enhance effectiveness patients who rely it. <title>METHODS</title> We conducted semistructured qualitative...