Trends in Racial and Ethnic Disparities in Early Glycemic Control Among Veterans Receiving Care in the Veterans Health Administration, 2008–2019
Authors' conclusion
Overall early glycemic control trends among veterans with newly diagnosed T2D have been stable since 2008, but trends differed by racial and ethnic groups and disparities in very poor glycemic control were still observed. Efforts should continue to minimize disparities among racial and ethnic groups.
Study context
- Population
- US veterans (95% male) with newly diagnosed T2D in primary care, VHA, cohorts by diagnosis year 2008–2010, 2011–2013, 2014–2016, 2017–201895% male
- Participants
- 837,023 veterans
- Exposure
- Racial and ethnic groups vs non-Hispanic White (NHW) veterans, across diagnosis-year cohorts
- Outcome
- Annual percentage of early glycemic control (average A1C <7%)
- Follow-up
- First 5 years after diagnosis
Methodological detailsmixed-effects models with random intercepts, adjusted for age, sex and years since diagnosis
- Mixed-effects models with random intercepts
- Adjusted for age, sex and years since diagnosis
Main finding
As reported in the abstract
Early glycemic control (average A1C <7%)
Average annual % achieving early glycemic control, 2008-2010, 2011-2013, 2014-2016 and 2017-2018 cohorts, respectively
73%, 72%, 72%, and 76%
Observational data: associations, not effects.
Further findings
- Hispanic veterans more likely to have A1C ≥9% within 5 years in all cohorts
Original publication
Trends in Racial and Ethnic Disparities in Early Glycemic Control Among Veterans Receiving Care in the Veterans Health Administration, 2008–2019. Diabetes Care. Published 10 September 2024. doi:10.
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