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Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
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Type 2 Diabetes and Financial Outcomes.

Matthew Pesavento1, Cäzilia Loibl1, Stephanie Moulton1

  • 1The Ohio State University, Columbus.

JAMA Network Open
|July 28, 2025
PubMed
Summary

Type 2 diabetes is linked to significantly worse financial health, including more debt and lower credit scores. Patients with type 2 diabetes face higher risks of adverse financial outcomes, especially those from marginalized groups.

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Area of Science:

  • Health Economics
  • Clinical Research
  • Public Health

Background:

  • Type 2 diabetes is a prevalent condition with significant health implications.
  • Growing evidence suggests a link between chronic diseases and financial well-being.
  • Understanding this association is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the association between type 2 diabetes and adverse financial outcomes.
  • To identify specific patient demographics at increased risk for financial hardship due to diabetes.

Main Methods:

  • Economic evaluation using linked electronic health records and credit records.
  • Analysis of adult patients (≥18 years) from Ohio primary care centers (2017-2021).
  • Inclusion criteria: glycated hemoglobin value, type 2 diabetes diagnosis, or antidiabetic medication prescription.

Main Results:

  • Patients with type 2 diabetes had significantly higher probabilities of adverse financial outcomes compared to those without.
  • Key adverse outcomes included lower credit scores, increased medical and nonmedical debt in collections, and higher rates of bankruptcy and foreclosure.
  • Higher risk was observed in Black patients, those with Medicaid, Hispanic ethnicity, younger age, no earned income, and females.

Conclusions:

  • Type 2 diabetes is positively associated with adverse financial outcomes.
  • Patients with type 2 diabetes experience substantially greater financial difficulties.
  • Integrating financial health assessments into diabetes management is essential, particularly for high-risk populations.