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tasteothewild t1_j1h1594 wrote

Reply to comment by lame-borghini in Despite improvements in insulin formulations and delivery over the last 30 years, diabetes control has not improved among US adults, and disparities for minority and uninsured adults worsens by Ordinarymangodoctor

No, they had access! To be included in the study you had to be on insulin. The point of this study is the complex issues related to adequate glycemic control in the-face-of using exogenous insulin. Yes, correct dosing and timing of insulin administration could be a factor since based on the population studied these are almost certainly type 2 diabetes patients who are, by definition, “insulin-resistant”. Therefore, other factors are huge; such as co-morbidities, health literacy, diet, exercise, etc.

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Elfin_842 t1_j1i6ox9 wrote

Admittedly, I haven't read the article, but from the headline they have to have access to some insulin. That doesn't mean they have access to all of the advancements. Insulin pumps and CGMs are expensive, but they make a world of difference. In addition to this, type 2 diabetics don't usually have a CGM. The mindset difference that I've seen between type 1 treatment and type 2 is crazy. Most of the type 2 diabetics I've known haven't cared a lot about their blood sugar as long as they got reasonable A1C results.

The last thing I'm interested to know is how insulin use was done. Insulin is expensive and some people ration their supply.

I agree that those other factors you mentioned are important, but I wouldn't assume that these people have all of the means needed to fully support themselves.

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