Healthcare Coverage and Glycemic Control in Young Adults with Youth-Onset Type 2 Diabetes: Results from the TODAY2 Study

Autor: Philip S. Zeitler, Michelle Van Name, Maggie Siska, Siripoom McKay, Lori Laffel, Rose A. Gubitosi-Klug, Shihchen Kuo, William H. Herman, Thomas J. Songer, Barbara H. Braffett, Ruth S. Weinstock, Writing Committee, The TODAY Study Group
Rok vydání: 2020
DOI: 10.2337/figshare.12656921
Popis: Objective: To examine the relationship between healthcare coverage and HbA1c in young adults with youth-onset type 2 diabetes who transitioned to community diabetes care after receiving care during the Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY) study. Research Design and Methods: Participants completed questionnaires annually. HbA1c was measured in a central laboratory. Data from 2 years before and after transitioning to community care (2013-2016) were examined and compared between states with and without expanded Medicaid. Results: In 2016 (n=427, mean age 24 years), two years after transitioning to community care, 93% of participants in states with Medicaid expansion had healthcare coverage compared to 68% (p Conclusions: More young adults with type 2 diabetes from the TODAY cohort had healthcare coverage in states with expanded Medicaid but glycemic control remained poor, regardless of coverage. New therapies and approaches are needed for this vulnerable population.
Databáze: OpenAIRE