Economic insecurity tied to poor diabetes control
The less you earn, the more likely your diabetes is not well managed, according to a new data analysis.
For a person with type 2 diabetes to best manage their condition, access to quality and healthy food, medication, and other lifestyle changes is crucial. However, the new study indicates that legislation like the Affordable Care Act (ACA) does not guarantee that these things are accessible to all diabetes patients.
Researchers at Massachusetts General Hospital analyzed data collected from 2012 to 2013 from 411 people with diabetes at clinics and health centers in Massachusetts. They found that in 28 percent of the cases analyzed, people with diabetes didn't take their medicines because they couldn't afford the drugs. About 20 percent said they didn't have reliable access to healthy food. And about 64 percent of those who reported an unstable food supply had uncontrolled diabetes.
Overall, a person with economic insecurity had a 39 percent increased likelihood of having poorly controlled diabetes.
Since Massachusetts had expanded healthcare coverage before the ACA was implemented, this research offers an indication of how even with more extensive healthcare coverage, people with limited financial resources have difficulty managing conditions like diabetes that require lifestyle changes and uninterrupted access to medication.