Health-Care Utilization and Outcomes in Young Adults With Type 1 and Type 2 Diabetes
Anna Zenno1,2, Alyssa Huang1, Alissa J Roberts1
1Department of Pediatrics, University of Washington, Seattle, WA 98105, USA.
Journal of the Endocrine Society
|June 28, 2024
Summary
Young adults with diabetes mellitus (DM) face challenges in self-care, leading to higher HbA1c levels and increased healthcare use. Understanding these factors is crucial for improving diabetes management in this age group.
Area of Science:
- Endocrinology
- Public Health
- Healthcare Management
Background:
- Young adulthood presents unique challenges for diabetes mellitus (DM) self-management due to life transitions and increased independence.
- Young adults with DM exhibit poorer glycemic control (higher HbA1c) and lower adherence to care standards compared to older adults.
- This demographic experiences higher rates of emergency department visits and hospitalizations, often for diabetic ketoacidosis.
Purpose of the Study:
- To review healthcare utilization patterns among young adults with DM.
- To explore factors contributing to elevated HbA1c levels in this population.
- To discuss the specific healthcare needs, technological roles, and social determinants of health impacting young adults with DM.
Main Methods:
- This study is a review of existing literature on healthcare utilization and management of DM in young adults.
- It synthesizes information on factors influencing glycemic control, self-care adherence, and health outcomes.
- The review analyzes the impact of technology and social determinants of health on healthcare access and utilization.
Main Results:
- Young adults with DM demonstrate distinct healthcare utilization patterns, often marked by higher emergency care needs.
- Factors contributing to suboptimal glycemic control include challenges in self-care, adherence issues, and socioeconomic influences.
- Technology adoption and social determinants significantly shape the healthcare experiences and outcomes for this population.
Conclusions:
- Addressing the unique needs of young adults with DM requires tailored interventions focusing on self-care support and adherence.
- Integrating technological solutions and mitigating the impact of social determinants are vital for improving health outcomes.
- Enhanced healthcare strategies are necessary to reduce complications and improve long-term health for young adults managing diabetes.
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