Treating the Most Vulnerable and Costly in Diabetes

被引:0
作者
David V. Wagner
Maggie Stoeckel
Megan E. Tudor
Michael A. Harris
机构
[1] Oregon Health & Science University,
[2] Stony Brook University,undefined
[3] Harold Schnitzer Diabetes Health Center,undefined
来源
Current Diabetes Reports | 2015年 / 15卷
关键词
DKA; Type 1 diabetes; Treatment; Vulnerable; Risk factor; Cost;
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学科分类号
摘要
Diabetic ketoacidosis (DKA) is associated with negative health outcomes and high costs for patients, families, and communities. Interventions developed to effectively reduce DKA and related costs should target the multiple risk factors associated with DKA and adherence difficulties. Certain demographic, psychological, and family factors are associated with increased risk for adherence problems and DKA. Individuals with a combination of risk factors (e.g., mental health problems, low socioeconomic status, high family conflict) may be particularly vulnerable to DKA. Although several different interventions have demonstrated promise in improving adherence and/or decreasing the risk of DKA, the generalizability of treatment results to those individuals most vulnerable to DKA is limited. Approaches which include multiple evidence-based components of care, are flexible in treatment delivery (e.g., home- and community-based, utilize technology), and target the multiple risk factors across relevant systems (e.g., individual, family, school, medical) are warranted to effectively reduce DKA in vulnerable populations.
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