[ Diabetes Type 2 ]

Race and shared decision-making: perspectives of African-Americans with diabetes. – PubMed

Quality of life (QOL) among Americans with diabetes was compared to Americans without diabetes using the Behavioral Risk Factor Surveillance System for 1996 through 2000. METHODS: A population-based sample of 808 noninstitutionalized Mexican Americans aged >65 years with diabetes who had a Mini-Mental State Examination (MMSE) >17 at baseline from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE). Method: Using data from the Health and Retirement Study, we investigated physical activity between 2004 and 2010 among 1,857 adults aged 65 years and above with diabetes. The authors analyzed data on depression, risk perceptions, diabetes self-management, and A1C in African Americans with type 2 diabetes. Diabetes is a disorder in how the body uses glucose, a sugar that serves as the body’s fuel. Participants in both Group and Individual DSME improved slightly over the 3-month period in self-care activities, A1C level, and goal attainment. June 10, 2016 Innovative Approaches to Treating Type 1 Diabetes Addressed in Beta-Cell Replacement Presentations Transplanting islet cells from pigs into humans and developing “universal donor” stem cell lines are two innovative approaches being explored for replacing deteriorating beta cells in people with type 1 diabetes, investigators explained during a news briefing and symposium on June 10, 2016, at the American Diabetes Association’s 76th Scientific Sessions at the Ernest N.

These added components were found to be an important variable in interpreting the results for low-income Mexican-American patients. Coding was conducted iteratively; each transcription was independently coded by two research team members. Although there was heterogeneity in patients’ perceptions about the influence of race on SDM, in each of the SDM domains (information-sharing, deliberation/physician recommendations, and decision-making), participants identified a range of race-related issues that may influence SDM. Participants identified physician bias/discrimination and/or cultural discordance as issues that may influence physician-related SDM behaviors (e.g. less likely to share information such as test results and more likely to be domineering with African-American patients). They identified mistrust of white physicians, negative attitudes and internalized racism as patient-related issues that may influence African-American patients’ SDM behaviors (e.g. It is important for diabetes educators to recognize the impact of low education and the fatalistic perceptions that depression engenders in this population.

The study was published on September 8, 2015, in the Journal of the American Medical Association. Finding innovative ways to address such communication barriers is an important area of future research.

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