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The Use of Diabetes Technology to Address Inequity in Health Outcomes: Limitations and Opportunities
Purpose of ReviewThe management of diabetes has been revolutionized by the introduction of novel technological treatments and modalities of care, such as continuous glucose monitoring, insulin pump therapy, and telehealth. While these technologies have demonstrated improvement in health outcomes, it remains unclear whether they have reduced inequities from racial/ethnic minority or socioeconomic status. We review the current literature to discuss evidence of benefit, current limitations, and future opportunities of diabetes technologies.FindingsWhile there is ample evidence of the health and psychological benefit of diabetes technologies in large populations of people with type 1 and type 2 diabetes, there remain wide disparities in the use of diabetes technologies, which may be perpetuating or widening inequities. Multilevel barriers include inequitable prescribing practices, lack of support for social determinants of health, mismatch of patient preferences and care models, and cost.SummaryWe provide a review of disparities in diabetes technology use, possible root causes of continued inequity in outcomes, and insight into ways to overcome remaining gaps.
Journal Article
Sons of Ares
In the future, when mankind has spread across thestars, the hierarchy of man is dictated by the color of one's caste. TheGolds rule all, but what will happen when one falls for a lowly Red? See how aforbidden love will set the course of events for the future and lead to theformation of the formidable Sons of Ares! --Publisher.
BOOK
Young Children with Type 1 Diabetes: Recent Advances in Behavioral Research
Purpose of ReviewThis review provides a recent update of behavioral research pertinent to young children with T1D and addresses current priorities and future directions.Recent FindingsRates of type 1 diabetes (T1D) in young children (ages 1–7) are continuing to rise. Since 2014, changes to diabetes care and management have impacted young children and reinforced the need for increased attention and interventions to support diabetes management, especially in caregivers who are primarily responsible for their young child’s diabetes management.SummaryT1D is associated with unique physiologic challenges in young children, with constant management demands elevating parental diabetes-related stress and fear of hypoglycemia. Diabetes technology use has significantly increased in young children, contributing to improvements in glycemic levels and parent and child psychosocial functioning. Yet despite the positive outcomes demonstrated in select clinical behavioral interventions, research with this young child age group remains limited in scope and quantity.
Journal Article
The weeping time : memory and the largest slave auction in American history
\"In 1859, at the largest recorded slave auction in American history, over 400 men, women, and children were sold by the Butler Plantation estates. This book is one of the first to analyze the operation of this auction and trace the lives of slaves before, during, and after their sale. Immersing herself in the personal papers of the Butlers, accounts from journalists that witnessed the auction, genealogical records, and oral histories, Anne C. Bailey weaves together a narrative that brings the auction to life. Demonstrating the resilience of African American families, she includes interviews from the living descendants of slaves sold on the auction block, showing how the memories of slavery have shaped people's lives today. Using the auction as the focal point, The Weeping Time is a compelling and nuanced narrative of one of the most pivotal eras in American history, and how its legacy persists today\"--Publisher.
Book
Follow Chester! : a college football team fights racism and makes history
\"A little known civil rights hero and college football MVP finally gets a voice in this...account detailing Chester Pierce's game-chang ing play as he became the first black college football player to compete south of the Mason-Dixon Line.\"-- Publisher marketing.
Book
Catching lightning in a bottle : how Merrill Lynch revolutionized the financial world
\"The first complete history of Merrill Lynch - traces ML's impact on the world of finance from the day Charlie Merrill opened his one-man shop on January 6, 1914, to the final shareholder meeting prior to its acquisition by Bank of America on December 5, 2008. Win Smith also weaves in his personal experiences and observations. As the son of a founding partner, the author has known every Merrill Lynch CEO from the first, Charlie Merrill, to the last, John Thain. While it details the drastic decline of the company between 2001 and 2008, it also explores the story of the company's \"Mother Merrill\" tradition - the vision and guiding principles shared by employees with each other and with their clients throughout the world.\"--Amazon.com
Book
Implementation of Psychosocial Screening into Diabetes Clinics: Experience from the Type 1 Diabetes Exchange Quality Improvement Network
Purpose of ReviewAlthough advances in diabetes technology and pharmacology have significantly and positively impacted diabetes management and health outcomes for some, diabetes care remains burdensome and can be challenging to balance with other life priorities. The purpose of this article is to review the rationale for assessment of psychosocial domains in diabetes care settings and strategies for the implementation of psychosocial screening into routine practice. Survey data from the Type 1 Diabetes Exchange Quality Improvement Network is highlighted.Recent FindingsImplementation of psychosocial screening requires identifying the population; selecting validated tools to assess target domains; determining frequency of screening and mode of survey delivery; and scoring, interpreting, documenting, and facilitating referrals such that these processes are part of clinical workflows.SummaryRecognizing the influence of psychosocial factors for people with diabetes (PWD), professional society guidelines for comprehensive diabetes care recommend the integration of psychosocial screening into routine care.
Journal Article