- LGBTQ Health, Identity, and Policy
- Diabetes Management and Research
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Chronic Disease Management Strategies
- HIV/AIDS Research and Interventions
- Diabetes Treatment and Management
- Diabetes Management and Education
- Diabetes and associated disorders
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Sexuality, Behavior, and Technology
- Primary Care and Health Outcomes
- Metabolism, Diabetes, and Cancer
- Tuberculosis Research and Epidemiology
- Healthcare Systems and Practices
- Diet and metabolism studies
- Medication Adherence and Compliance
- Pancreatitis Pathology and Treatment
- COVID-19 Clinical Research Studies
- Sex work and related issues
- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Chemotherapy-related skin toxicity
- Liver Disease Diagnosis and Treatment
- Hormonal Regulation and Hypertension
- African Sexualities and LGBTQ+ Issues
Emory University
2015-2024
University of Miami
2024
Federal Reserve
2023
Canadian Blood Services
2023
Grady Memorial Hospital
2021-2022
Emory University Hospital
2022
Dunwoody College of Technology
2020
AID Atlanta
2018-2020
Indiana University School of Medicine
2015
Research Triangle Park Foundation
1997
Higher serum urate levels are associated with an increased risk of diabetic kidney disease. Lowering the level allopurinol may slow decrease in glomerular filtration rate (GFR) persons type 1 diabetes and early-to-moderate disease.In a double-blind trial, we randomly assigned participants diabetes, at least 4.5 mg per deciliter, estimated GFR 40.0 to 99.9 ml minute 1.73 m2 body-surface area, evidence disease receive or placebo. The primary outcome was baseline-adjusted GFR, as measured...
This multicenter, open-label, randomized trial examined the safety and efficacy of exenatide alone or in combination with basal insulin non-critically ill patients type 2 diabetes (T2D).
Higher serum uric acid (SUA) is associated with diabetic kidney disease (DKD). Preventing Early Renal Loss in Diabetes (PERL) evaluates whether lowering SUA allopurinol slows glomerular filtration rate (GFR) loss people type 1 diabetes (T1D) and mild to moderate DKD. We present the PERL rationale, design, baseline characteristics.This double-blind, placebo-controlled, multicenter trial randomized 530 participants T1D, estimated GFR (eGFR) of 40-99.9 mL/min/1.73 m2, ≥4.5 m/dL, micro-...
Adherence to pre-exposure prophylaxis (PrEP) during periods of PrEP-indication (i.e., prevention-effective adherence) is critical for preventing HIV. We sought describe factors associated with adherence trajectories among transgender women (TW) inform PrEP implementation strategies. Using data from The LITE American Cohort (n = 728), we performed group-based multi-trajectory modeling (GBMTM) identify clusters TW similar and indication, sociodemographic, biobehavioral, structural correlates...
COVID-19 morbidity and mortality are increased in type 1 diabetes (T1D), but few data focus on age-based outcomes.
Abstract Background Risk of type 2 diabetes mellitus (T2DM) in transgender and gender diverse (TGD) persons, especially those receiving gender-affirming hormone therapy (GAHT) is an area clinical research importance. Methods We used data from electronic health record-based cohort study persons 18 years older enrolled 3 integrated care systems. The included 2869 transfeminine members matched to 28 300 cisgender women 258 men on age, race/ethnicity, calendar year, site, 2133 transmasculine...
Preexposure prophylaxis (PrEP) is effective in preventing HIV among adherent users. However, PrEP uptake transgender women low, and current prescribing guidelines from the Centers for Disease Control Prevention (CDC) are not specific to women. Self-perceived risk of those who PrEP-indicated well understood.This cross-sectional analysis included 1293 screened at baseline March 2018 May 2020 a multisite, prospective cohort study. We compared prevalence indication using CDC criteria versus...
<h3>Importance</h3> Little is known about emergency department (ED) use among people with diabetes and whether the pattern of ED varies across geographic areas population subgroups. <h3>Objective</h3> To estimate recent national- state-level trends in diabetes-related overall by race ethnicity, rural or urban location, insurance status. <h3>Design, Setting, Participants</h3> This cross-sectional study adults visiting a diagnosis used serial data from Nationwide Emergency Department Sample,...
Importance The frequency and impact of asymptomatic hypoglycemia in hospitalized patients with diabetes is not known. Objective We determined the clinical characteristics hospital outcomes general medicine surgery symptomatic hypoglycemia. Research design methods Prospective observational study adult blood glucose (BG) <70 mg/dL. Participants were interviewed about signs symptoms using a standardized questionnaire. Precipitating causes, demographics, insulin regimen, complications data...
The HIV epidemic disproportionately impacts transgender women in the United States. Cohort studies identify unique risks for affected populations, but use of facility-based methods may bias findings towards individuals living research catchment areas, more engaged health services, or, case those who are open about their identity. Digital clinical trials and other online increasingly common, providing opportunity to reach not commonly research. Simultaneously, there is a need understand...
There are limited tools to address equity in diabetes research and clinical trials. The T1D Exchange has established a 10-step framework advance research. Herein, the authors outline this approach expand on its practical application.
Importance Consistent medication use is critical for diabetes management. Population surveillance of consistency may identify opportunities to improve care. Objective To evaluate trends in longitudinal glucose-, blood pressure–, and lipid-lowering medications by adults with diabetes. Design, Setting, Participants This serial cross-sectional study assessed diagnosed participating the Medical Expenditure Panel Survey (MEPS), which allows cross-sections 2-year follow-up, between 2005 2006 panel...