Understanding Disparities in Diabetes Clinical Care: Implications for Technology Use, Response to Medication Therapy, and Risk of Complications-Understanding Disparities in Diabetes Clinical Care: Implications for Technology Use, Response to Medication Therapy, and Risk of Complications

Understanding Disparities in Diabetes Clinical Care: Implications for Technology Use, Response to Medication Therapy, and Risk of Complications

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Video Summary

In a study conducted at Kaiser Permanente in Northern California, the prevalence of albuminuria (a sign of kidney disease) in individuals with diabetes and normal kidney function was investigated. The study included a diverse group of participants, and it was found that 18.3% of participants had albuminuria. Ethnic differences were also observed, with Asian Pacific Islanders having the highest prevalence at 21.1%, followed by Black individuals, Hispanic/Latinx individuals, and non-Hispanic whites. Among Asian Pacific Islanders, Filipinos and Native Hawaiians/Pacific Islanders had the highest risk, while South Asians had a lower risk compared to Chinese individuals. The study suggests that understanding these ethnic differences in kidney disease prevalence is important in the management of the disease.<br />The session on combating therapeutic inertia discussed various strategies to improve diabetes management in primary care settings. The first presentation focused on the impact of SGLT2 inhibitors and ACE inhibitors on proteinuria in diabetic patients, emphasizing the need to reevaluate previous studies that did not include SGLT2 inhibitors. The second presentation explored the association between ethnicity and the progression of kidney disease in Asian Americans, highlighting the significance of considering ethnic diversity in research. Lastly, the impact of Project ECHO for diabetes on primary care providers' prescribing practices was evaluated in the final presentation, with positive results indicating improved comfort and use of diabetes medications and technology after participating in the program. Overall, the session emphasized the importance of addressing therapeutic inertia and enhancing care for patients with diabetes in primary care settings.

Keywords

albuminuria

kidney disease

diabetes

prevalence

ethnic differences

Asian Pacific Islanders

Black individuals

Hispanic/Latinx individuals

therapeutic inertia

diabetes management

primary care settings

SGLT2 inhibitors


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