Racial/Ethnic Differences in Glycemic Control in Older Adults with Type 2 Diabetes: United States 2003–2014
Open accessAbstract
The aim of this study was to determine whether racial differences in HbA1c persist in older adults (≥65 years) living with type 2 diabetes. Data from The National Health and Nutrition Examination Survey (NHANES) 2003-2014 were used to examine the association between HbA1c and older adults (≥65 years) over time. Compared to non-Hispanic Whites, Mexican Americans had the greatest difference in average HbA1c among minority groups, followed by those with unspecified/mixed ethnicities and non-Hispanic Blacks. In the adjusted linear model, racial minorities had a statistically significant relationship with HbA1c. There was no relationship between HbA1c and older age and insulin use. Trends in mean HbA1c over time increased for non-Hispanic Blacks and Mexican Americans and decreased for non-Hispanic Whites. The findings suggest that racial differences in HbA1c persist into older age and compared to non-Hispanic Whites, non-Hispanic Blacks and Mexican Americans are at an increased risk of morbidity, mortality, and disability due to high HbA1c. Furthermore, alternate measures of glycemic control may be needed to screen and manage T2DM in racial minorities.
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Studies have focused on African American and Latinx populations with type 2 diabetes who experienced higher mean HbA1c levels than non-Latinx White populations.
“Studies have focused on African American and Latinx populations with T2D who experienced higher mean hemoglobin A1c (HbA1c) levels than non-Latinx White populations.11,12,13,14”
From Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial (2023) · cites this paper as [13]
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Urina-Jassir, M., Herrera-Parra, L. J., Hernández Vargas, J. A., Valbuena-García, A. M., Acuña-Merchán, L., & Urina-Triana, M. (2021) · Figshare · doi:10.6084/m9.figshare.14853186
- Authors
- Smalls, B. L., Ritchwood, T. D., Bishu, K. G., & Egede, L. E.
- Affiliations
- University of Kentucky (US)
- Duke University (US)
- Medical University of South Carolina (US)
- Medical College of Wisconsin (US)
- Corresponding author
- Smalls, Brittany L.
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-02-04
- Volume
- 17
- Issue
- 3
- Pages
- 950
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7036954
- OpenAlex
- W3005117035
- Cited by
- 54
- References
- 44
- Citations by year
- 2025: 6 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 16 · 2020: 2
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UKnowledge (University of Kentucky) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Kentucky
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK120861, K24DK093699, R01DK118038, K01DK116923)
- National Institute on Minority Health and Health Disparities (R01MD013826)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, glycemic control, HbA1c, racial disparities, ethnic differences, older adults, Mexican Americans, non-Hispanic blacks, non-Hispanic whites, NHANES, temporal trends, insulin use, diabetes screening
- MeSH terms
- Aged, Aged, 80 and over, Blood Glucose, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Minority Groups, Nutrition Surveys, United States, Mexican Americans, White People, Racial Groups
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