Literature DB >> 30445663

Understanding the growing epidemic of type 2 diabetes in the Hispanic population living in the United States.

Cristina Aguayo-Mazzucato1, Paula Diaque1, Sonia Hernandez1,2, Silvia Rosas1, Aleksandar Kostic1, Augusto Enrique Caballero3.   

Abstract

The prevalence and incidence of type 2 diabetes (T2D) among the Hispanic population in the United States are higher than the national average. This is partly due to sociocultural factors, such as lower income and decreased access to education and health care, as well as a genetic susceptibility to obesity and higher insulin resistance. This review focuses on understanding the Hispanic population living in the United States from a multidisciplinary approach and underlines the importance of cultural, social, and biological factors in determining the increased risk of T2D in this population. An overview of the acute and chronic complications of T2D upon this population is included, which is of paramount importance to understand the toll that diabetes has upon this population, the health system, and society as a whole. Specific interventions directed to the Hispanic populations are needed to prevent and alleviate some of the burdens of T2D. Different prevention strategies based on medications, lifestyle modifications, and educational programmes are discussed herein. Diabetes self-management education (DSME) is a critical element of care of all people with diabetes and is considered necessary to improve patient outcomes. To be more effective, programmes should take into consideration cultural factors that influence the development and progression of diabetes. These interventions aim to enhance long-term effects by reducing the incidence, morbidity, and mortality of T2D in the Hispanic population of the United States.
© 2018 John Wiley & Sons, Ltd.

Entities:  

Keywords:  Hispanics; Latinos; complications; education; epidemiology; pathophysiology; prevention; type 2 diabetes

Mesh:

Year:  2018        PMID: 30445663      PMCID: PMC6953173          DOI: 10.1002/dmrr.3097

Source DB:  PubMed          Journal:  Diabetes Metab Res Rev        ISSN: 1520-7552            Impact factor:   4.876


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