C o l l a b o r a t i v e
CHIC investigators are conducting a number of ongoing funded diabetes projects, which serve as important resources for this proposal's infrastructure development activities.
Americans die from diabetes-related complications each year. Adults
with diabetes die from heart disease at rates two to four times
higher than those without diabetes. An estimated 17 million Americans
suffer from the disease, over a third of whom may remain undiagnosed.
In California, diabetes incidence has doubled in the past decade.
Forty percent of those diagnosed with diabetes in Los Angeles County
are Hispanic. The largest increases in older Americans in coming
decades will be among non-whites, particularly Latinos. Rates for
type 2 diabetes are 2-5 times greater for Latinos than the general
population, there is higher mortality from diabetes among Latinos,
and Latinos have earlier onset and more severe forms of the disease.
The American Diabetes Association (ADA) emphasized the importance of
self-management programs for achieving diabetes control. While a
third to half of Americans with diabetes have poor glycemic control
(HbA1c >8.0%), this proportion is higher among minorities. Only
about a third of people with diabetes receive diabetes education.
Culturally appropriate support and education programs for
Mexican-American diabetics can improve glucose control, but average
HbA1c levels may remain high and disparities in risk for diabetes
persist despite development of such programs.
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