16 Questions
What is one of the consequences of racial and ethnic groups receiving lower quality care?
Underutilization of preventive care services
What is a potential benefit of ensuring that certain groups are not disproportionately disempowered by co-payments and coverage limitations?
Reducing the gap in diabetes outcomes between the rich and poor
What is a factor that contributes to African Americans being more insulin resistant than their Caucasian counterparts?
Higher rates of comorbidities
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
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
What is a potential consequence of higher insulin requirements and dosing in African Americans?
Better blood glucose control
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
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
What is the principle behind eliminating health disparities in diabetes care?
No one size fits all approach
What is a proposed strategy for addressing health disparities in insulin dosing?
Implementing equitable insulin dosing practices
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
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
What is the most effective treatment in reducing mean glucose and glycemic variability?
Insulin therapy
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
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
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
This quiz assesses your understanding of the importance of accessible evidence-based management for diabetes patients, particularly in racial and ethnic groups that often receive lower quality care. It also explores the impact of recent therapeutic advances on healthcare outcomes and the widening gap between the rich and the poor. Test your knowledge of diabetes management and healthcare disparities!
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