Stagnant glycemic control in the US from 1988 to 2020

According to a study published online on December 20, Open JAMA network.

Siddharth Venkatraman, from Johns Hopkins University School of Medicine in Baltimore, and colleagues described trends and disparities in Control blood sugar and severe hyperglycemia in US adults with diabetes using insulin in a serial population-based cross-sectional study using data from the National Health and Nutrition Examination Survey from 1988 to 1994 and 1999 to 2020. Data were included for 2,482 participants with diabetes taking insulin.

The researchers found that the proportion of diabetics who received insulin injections and had control of their blood sugar did not change significantly from 1988-1994 to 2013-2020, from 29.2% to 27.5%. Compared with non-Hispanic white adults, Mexican-American adults who received insulin injections were less likely to have blood sugar control; During the study period, the disparity increased. No significant change was observed in the proportion of adults with severe hyperglycemia, which was 14.6% between 2013 and 2020. The highest rates of severe hyperglycemia were observed in those populations. adults who are Mexican-American or non-Hispanic black, uninsured, or from poor families. income.

“Despite advances in insulin formulations and diabetes management strategies, glycemic control and severe hyperglycemia in adults using insulin does not improve in the United States as a whole adult population with diabetes,” the authors write.

One author revealed financial ties to the publishing and health technology industries.

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