scholarly journals Health Care Coverage and Glycemic Control in Young Adults With Youth-Onset Type 2 Diabetes: Results From the TODAY2 Study

Diabetes Care ◽  
2020 ◽  
Vol 43 (10) ◽  
pp. 2469-2477
Author(s):  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Young Adults ◽  
Glycemic Control ◽  
Health Care Coverage ◽  
Onset Type

scholarly journals Health care access and glycemic control in youth and young adults with type 1 and type 2 diabetes in South Carolina

2019 ◽  
Vol 20 (3) ◽  
pp. 321-329 ◽  
Author(s):  
Angela D. Liese ◽  
Xiaonan Ma ◽  
Lauren Reid ◽  
Melanie W. Sutherland ◽  
Bethany A. Bell ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Young Adults ◽  
South Carolina ◽  
Glycemic Control ◽  
Health Care Access ◽  
Care Access ◽  
Youth And Young Adults

1321-P: Reduced Heart Rate Variability (HRV) in Young Adults with Youth-Onset Type 2 Diabetes (T2D) Is Related to Glycemic Control: The TODAY Study

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1321-P
Author(s):  
AMY SANGHAVI SHAH ◽  
LAURE EL GHORMLI ◽  
FIDA BACHA ◽  
RYAN M. FARRELL ◽  
SAMUEL GIDDING ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Young Adults ◽  
Glycemic Control ◽  
Onset Type

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

2020 ◽  
Author(s):  
The TODAY Study Group ◽  
Writing Committee: ◽  
Ruth S. Weinstock ◽  
Barbara H. Braffett ◽  
Thomas J. Songer ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Glycemic Control ◽  
Community Care ◽  
Treatment Options ◽  
Laboratory Data ◽  
Medicaid Expansion ◽  
Onset Type ◽  
Healthcare Coverage

<b>Objective</b>: 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. <p><b>Research Design and Methods</b>: 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. </p> <p><b>Results</b>: 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<0.0001) in states without Medicaid expansion. Mean HbA1c was 9.8% in participants with government coverage, 9.3% with commercial coverage, and 10.1% in those with no coverage (p=0.0774). Additionally, 32%, 42%, and 66% of government, commercial covered, and no coverage, respectively, were not attending outpatient diabetes visits (p<0.0001). Of those with government coverage, 83% reported they had adequate coverage for insulin syringes/needles/pens, and 89% for glucose monitoring supplies, with more limited coverage in those with commercial plans. Participants with commercial coverage had higher education attainment (p<0.0001); 52% had HbA1c ≥9.0% compared to 64% of government covered and 58% with no coverage (p=0.0646).</p> <b>Conclusions</b>: 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.

scholarly journals Diabetes Distress in Young Adults With Youth-Onset Type 2 Diabetes: TODAY2 Study Results

Diabetes Care ◽  
2022 ◽  
Author(s):  
Paula M. Trief ◽  
Diane Uschner ◽  
Melinda Tung ◽  
Marsha D. Marcus ◽  
Maria Rayas ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Anxiety Symptoms ◽  
Diabetes Distress ◽  
Emotional Burden ◽  
Health Care Coverage ◽  
Factors Associated ◽  
Onset Type ◽  
High Distress

OBJECTIVE To assess the prevalence of high diabetes distress and associated factors in the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY2) study cohort of young adults with youth-onset type 2 diabetes. RESEARCH DESIGN AND METHODS Participants completed the Diabetes Distress Scale (DDS) at end-of-study visits. Factors examined for association with high distress were demographic (sex, race/ethnicity, age, education, income), medical (HbA1c, BMI, complications), psychological (depressive and anxiety symptoms), and social (number in household, offspring, health care coverage, established with diabetes care provider). Univariate logistic regression identified factors associated with high distress that were controlled for in multivariate logistic regressions. RESULTS Of 438 participants, 66% were female (mean age 26.8 years, 18% non-Hispanic White, 37% non-Hispanic Black, 38% Hispanic). High distress (DDS ≥2) was reported by 105 (24%) participants. Subscales identified 40% with high regimen distress and 29.7% with high emotional burden. A greater percentage of those with high distress were female (P = 0.002), diagnosed with hypertension (P = 0.037) and retinopathy (P = 0.005), treated with insulin, had higher HbA1c, and had moderate to severe depressive and anxiety symptoms (all P &lt; 0.001). In multivariate analyses, female sex (P &lt; 0.001), HbA1c (P &lt; 0.001), anxiety symptoms (P = 0.036), and lack of health care coverage (P = 0.019) were associated with high distress, after controlling for potential confounders. Moderate to severe depressive symptoms were associated with high regimen distress (P = 0.018) and emotional burden (P &lt; 0.001); insulin treatment was associated with high emotional burden (P = 0.027). CONCLUSIONS Future research should identify modifiable factors associated with high diabetes distress in young adults with youth-onset type 2 diabetes that may inform distress interventions with this medically vulnerable group.

scholarly journals Dietary strategies to manage diabetes and glycemic control in youth and young adults with youth‐onset type 1 and type 2 diabetes: The SEARCH for diabetes in youth study

2020 ◽  
Vol 21 (7) ◽  
pp. 1093-1101
Author(s):  
Katherine A. Sauder ◽  
Jeanette M. Stafford ◽  
Natalie S. The ◽  
Elizabeth J. Mayer‐Davis ◽  
Joan Thomas ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Glycemic Control ◽  
Onset Type ◽  
Youth And Young Adults ◽  
Youth Study ◽  
Dietary Strategies ◽  
Diabetes In Youth

scholarly journals Changes in diabetes medication regimens and glycemic control in adolescents and young adults with youth-onset type 2 diabetes: The SEARCH for diabetes in youth study

2018 ◽  
Vol 19 (6) ◽  
pp. 1065-1072 ◽  
Author(s):  
Cathy A Pinto ◽  
Jeanette M Stafford ◽  
Tongtong Wang ◽  
R Ravi Shankar ◽  
Jean M Lawrence ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Glycemic Control ◽  
Adolescents And Young Adults ◽  
Diabetes Medication ◽  
Onset Type ◽  
Youth Study ◽  
Diabetes In Youth

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

2020 ◽  
Author(s):  
The TODAY Study Group ◽  
Writing Committee: ◽  
Ruth S. Weinstock ◽  
Barbara H. Braffett ◽  
Thomas J. Songer ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Glycemic Control ◽  
Community Care ◽  
Treatment Options ◽  
Laboratory Data ◽  
Medicaid Expansion ◽  
Onset Type ◽  
Healthcare Coverage

<b>Objective</b>: 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. <p><b>Research Design and Methods</b>: 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. </p> <p><b>Results</b>: 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<0.0001) in states without Medicaid expansion. Mean HbA1c was 9.8% in participants with government coverage, 9.3% with commercial coverage, and 10.1% in those with no coverage (p=0.0774). Additionally, 32%, 42%, and 66% of government, commercial covered, and no coverage, respectively, were not attending outpatient diabetes visits (p<0.0001). Of those with government coverage, 83% reported they had adequate coverage for insulin syringes/needles/pens, and 89% for glucose monitoring supplies, with more limited coverage in those with commercial plans. Participants with commercial coverage had higher education attainment (p<0.0001); 52% had HbA1c ≥9.0% compared to 64% of government covered and 58% with no coverage (p=0.0646).</p> <b>Conclusions</b>: 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.

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