Advancing Equity in Diabetes Prevention, Treatment, and Outcomes: Delivering on Our Values

Endocrinol Metab Clin North Am. 2023 Dec;52(4):559-572. doi: 10.1016/j.ecl.2023.05.001. Epub 2023 Jun 22.

Abstract

Diabetes inequities exist from diabetes prevention to outcomes and are rooted in the social drivers (determinants) of health. Historical policies such as "redlining" have adversely affected diabetes prevalence, control, and outcomes for decades. Advancing diabetes equity requires multimodal approaches, addressing both individual-level diabetes education, self-management, and treatment along with addressing social needs, and working to improve upstream drivers of health. All individuals affected by diabetes must advocate for policies to advance diabetes equity at the organizational, local, state, and federal levels. Centering diabetes efforts and interventions on equity will improve diabetes treatment and care for all.

Keywords: Diabetes; Disparities; Health equity; Nonmedical health-related social needs; Social drivers of health.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus* / epidemiology
  • Diabetes Mellitus* / prevention & control
  • Health Equity*
  • Humans
  • Social Determinants of Health