Diabetes Management and Healthcare Disparities

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What is one of the consequences of racial and ethnic groups receiving lower quality care?

Overutilization of preventive care services

Widening the gap in diabetes outcomes between the rich and poor

Increased access to educational initiatives

Underutilization of preventive care services (correct)

What is a potential benefit of ensuring that certain groups are not disproportionately disempowered by co-payments and coverage limitations?

Improving tight glycemic control for all individuals with diabetes

Increased access to modern insulin dosing for developing nations

Increasing the quality of care for racial and ethnic groups

Reducing the gap in diabetes outcomes between the rich and poor (correct)

What is a factor that contributes to African Americans being more insulin resistant than their Caucasian counterparts?

Previous cardiovascular disease only in Caucasian individuals

Lower rates of comorbidities

Higher rates of comorbidities (correct)

Lower insulin requirements

What is a potential consequence of not making recent therapeutic advances and knowledge about tight glycemic control available to all individuals with diabetes?

Widening the gap in diabetes outcomes between the rich and poor (A) Signup and view all the answers

What is a goal of advocacy efforts in countries with healthcare financing?

Ensuring that the benefits of therapies proven to prevent diabetes complications are not blunted for the most vulnerable populations (C) Signup and view all the answers

What is a potential consequence of higher insulin requirements and dosing in African Americans?

Better blood glucose control (A) Signup and view all the answers

What is a common misconception about insulin therapy in African American patients with type 2 diabetes?

That high insulin doses are a result of disease progression (C) Signup and view all the answers

Why is sliding scale insulin regimens not an effective means of providing tight glycemic control in admitted patients with type 2 diabetes?

It can lead to both hypoglycemia and hyperglycemia (C) Signup and view all the answers

What is the principle behind eliminating health disparities in diabetes care?

No one size fits all approach (A) Signup and view all the answers

What is a proposed strategy for addressing health disparities in insulin dosing?

Implementing equitable insulin dosing practices (A) Signup and view all the answers

Why is it important to consider the initiation of insulin therapy before the onset of debilitating symptoms and diagnosis of end-organ failure?

To prevent the onset of debilitating symptoms and diagnosis of end-organ failure (D) Signup and view all the answers

What is a barrier to addressing undertreatment of insulin dosing among minority and underprivileged populations?

Financial and access barriers to obtaining insulin and diabetes management tools (B) Signup and view all the answers

What is the most effective treatment in reducing mean glucose and glycemic variability?

Insulin therapy (D) Signup and view all the answers

Why is it important to simplify insulin regimens and empower patients to be involved in medical decision-making?

To improve patient outcomes and reduce disparities in care (A) Signup and view all the answers

What is a proposed strategy for promoting patient self-management behaviors and improving provider initiative to intensify therapy?

Providing incentives for patients who achieve certain glycemic targets (D) Signup and view all the answers

What is the goal of a comprehensive program using continuing medical education tools to teach the skills necessary to make dosing decisions based on pharmacokinetics?

To impact clinical care and shift to a multi-normative treatment approach (C) Signup and view all the answers

Diabetes Management and Healthcare Disparities

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