Vulnerability and social determinants in diabetes

Social determinants of health significantly influence the development and progres-sion of chronic diseases such as type 2 diabetes (T2DM). This article examines key social determinants including education, economic stability, neighborhood, and factors such as eth-nicity, race, or religion that impact individuals with T2DM. The role of gender as a social determinant is also explored, emphasizing the need for gender-specific considerations in T2DM management and research. Additionally, the impact of poverty on health outcomes is analy-zed, highlighting the bidirectional relationship between poverty and disease. Comprehensive measures addressing these determinants are crucial to improving the health and well-being of individuals with T2DM. Addressing social inequalities through targeted interventions can contribute to better treatment outcomes and equitable healthcare.(c) 2023 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Published by Elsevier Espana, S.L.U. All rights reserved.