Diabetes Management and Healthcare Disparities
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Questions and Answers

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?

    <p>Widening the gap in diabetes outcomes between the rich and poor</p> Signup and view all the answers

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

    <p>Ensuring that the benefits of therapies proven to prevent diabetes complications are not blunted for the most vulnerable populations</p> Signup and view all the answers

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

    <p>Better blood glucose control</p> Signup and view all the answers

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

    <p>That high insulin doses are a result of disease progression</p> 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?

    <p>It can lead to both hypoglycemia and hyperglycemia</p> Signup and view all the answers

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

    <p>No one size fits all approach</p> Signup and view all the answers

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

    <p>Implementing equitable insulin dosing practices</p> 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?

    <p>To prevent the onset of debilitating symptoms and diagnosis of end-organ failure</p> Signup and view all the answers

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

    <p>Financial and access barriers to obtaining insulin and diabetes management tools</p> Signup and view all the answers

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

    <p>Insulin therapy</p> Signup and view all the answers

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

    <p>To improve patient outcomes and reduce disparities in care</p> Signup and view all the answers

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

    <p>Providing incentives for patients who achieve certain glycemic targets</p> 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?

    <p>To impact clinical care and shift to a multi-normative treatment approach</p> Signup and view all the answers

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