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01-11-2016 | Capsule Commentary

Capsule Commentary on Axon et al., Differential Impact of Homelessness on Glycemic Control in Veterans with Type 2 Diabetes Mellitus

Author: Matthew J. Crowley, MD, MHS

Published in: Journal of General Internal Medicine | Issue 11/2016

Excerpt

Axon et. al used a large longitudinal database to characterize the relationship between homelessness and glycemic control among veterans with type 2 diabetes.1 The authors found that homelessness was associated with poor glycemic control across racial/ethnic groups during the observation period. The magnitude of this association was greatest in Hispanic patients and lowest in non-Hispanic blacks. The authors conclude that homelessness is a significant risk factor for uncontrolled diabetes in veterans, and suggest the need for broader efforts targeting diabetes management in homeless populations. …

Axon RN, Gebregziabher M, Dismuke CE, Hunt KJ, Yeager D, Santa Ana EJ, Egede LE. Differential Impact of Homelessness on Glycemic Control in Veterans with Type 2 Diabetes Mellitus. J Gen Intern. doi:10.1007/s11606-016-3786-z

Ali MK, Bullard KM, Imperatore G, et al. Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion. Characteristics associated with poor glycemic control among adults with self-reported diagnosed diabetes – national health and nutrition examination survey, United States, 2007–2010. MMWR Surveill Summ. 2012;61:32–37.

Crowley MJ, Holleman R, Klamerus ML, Bosworth HB, Edelman D, Heisler M. Factors associated with persistent poorly-controlled diabetes mellitus (PPDM): clues to improving management in patients with resistant poor control. Chronic Illn. 2014;10:291.CrossRefPubMedPubMedCentral

Richardson LK, Egede LE, Mueller M, Echols CL, Gebregziabher M. Longitudinal effects of depression on glycemic control in veterans with type 2 diabetes. Gen Hosp Psychiatry. 2008;30:509–514.CrossRefPubMed

American Diabetes Association. Standards of medical care in diabetes—2016. Diabetes Care. 2016;39:S1–S112.

Title: Capsule Commentary on Axon et al., Differential Impact of Homelessness on Glycemic Control in Veterans with Type 2 Diabetes Mellitus
Author: Matthew J. Crowley, MD, MHS
Publication date: 01-11-2016
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 11/2016
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-016-3819-7

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