Type 2 & other diabetes

Health disparities in diabetes treatment: The challenge of G6PD deficiency

Diabetes Res Clin PractPublished Matched cohort study

Authors' conclusion

This research highlights serious gaps in the management of G6PD-deficient patients with diabetes, who suffer from insufficient medication management and higher rates of complications. These findings underscore the need to account for G6PD deficiency in diabetes treatment to ensure equitable and effective healthcare for this vulnerable population.

Study context

Population
Patients within a national health organization, G6PD-deficient vs matched controls, followed over two decadesmatched cohort
Exposure
G6PD-deficient patients vs matched controls without G6PD deficiency
  • G6PD-deficientn = 3,913
Outcome
HbA1c levels, patterns of diabetes medication purchases, and incidence of severe diabetes-related complications
Follow-up
Over two decades
Methodological detailsnational health organization, two decades
  • National health organization
  • Two decades

Main finding

As reported in the abstract

Severe diabetes-related complications
Each group vs controlsEstimate (95% CI)
G6PD-deficient
aHR, severe kidney insufficiency 1.44(1.16–1.81)
G6PD-deficient
aHR, MI 1.75(1.23–2.49)
G6PD-deficient
aHR, neuropathy 1.27(1.02–1.58)

Observational data: associations, not effects.

Original publication

Health disparities in diabetes treatment: The challenge of G6PD deficiency. Diabetes Res Clin Pract. Published 20 December 2024. doi:10.1016/j.diabres.2024.111965

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