The Use of Diabetes Technology to Address Inequity in Health Outcomes: Limitations and Opportunities

Shivani Agarwal, Iman Simmonds, Alyson K. Myers

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of Review: The 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. Findings: While 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. Summary: We 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.

Original languageEnglish (US)
Pages (from-to)275-281
Number of pages7
JournalCurrent diabetes reports
Volume22
Issue number7
DOIs
StatePublished - Jul 2022

Keywords

  • Continuous glucose monitors (CGM)
  • Diabetes technology
  • Disparities
  • Insulin pump
  • Telehealth

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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