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The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations.

ABSTRACT: Vitamin D deficiency is associated with incidence of type 2 diabetes (T2DM) as well as poor glycemic control among T2DM patients, yet comparative studies of its association among ethnic minority populations are scarce. Using baseline data from a behavioral intervention study of Korean Americans (KAs) with T2DM (N?=?250 KAs) and the NHANES data set, we explored differential roles of vitamin D on HbA1_C level or T2DM control in several racial groups. Significantly more KAs (55.2%) were vitamin D-deficient (U.S. average, 37.8%). Both common and unique correlates of vitamin D deficiency in minority populations were identified, including significant associations between Vitamin D and HbA1_C in both non-diabetic and diabetic populations. Future studies are warranted to explain the causal mechanism of the effect of vitamin D and glycemic control as well as to examine contextual factors associated with vitamin D deficiency in certain minority groups.Clinical Trials Registry: Identifier NCT01264796.

SUBMITTER: Kim MT

PROVIDER: S-EPMC6689459 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations.

Kim Miyong To MT Kim Kim Byeng KB Ko Jisook J Murry Nicole N Levine David D Lee Ju-Young JY

Journal of immigrant and minority health 20191201 6

Vitamin D deficiency is associated with incidence of type 2 diabetes (T2DM) as well as poor glycemic control among T2DM patients, yet comparative studies of its association among ethnic minority populations are scarce. Using baseline data from a behavioral intervention study of Korean Americans (KAs) with T2DM (N = 250 KAs) and the NHANES data set, we explored differential roles of vitamin D on HbA1<sub>C</sub> level or T2DM control in several racial groups. Significantly more KAs (55.2%) were v ...[more]

PMID: 30747313

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Project description:ObjectiveClinical pharmacist support for patients with type 2 diabetes mellitus (T2DM) can optimize patient outcomes and medication adherence. However, there is limited understanding of what pharmacist roles patients perceive as most helpful in T2DM management interventions. This study describes experiences of minority patients with uncontrolled T2DM in terms of perceived pharmacist helpfulness and specific roles found to be most helpful within diabetes management.DesignA secondary analysis of a 2-year randomized, crossover trial was conducted.Setting and participantsThis study included 244 African American and Hispanic adults with uncontrolled T2DM who received clinical pharmacist support within a team-based model.Outcome measuresThe patients completed a mixed-methods survey regarding their experience with the intervention that included a general helpfulness rating on a 10-point unipolar Likert scale and described the support qualitatively, including their perception of the pharmacist roles. Thematic analysis guided coding of the responses.ResultsOne hundred forty-seven (60%) patients completed the survey and had at least 1 encounter with a clinical pharmacist. Of these, 108 (74%) were African American, 39 (27%) were Hispanic, and 101 (69%) were women. The median rating of clinical pharmacist helpfulness was 10 (very helpful). Only 10 (7%) participants rated pharmacist helpfulness as 1 (not at all helpful). "Medication education and management" was the most frequently perceived supportive role of the clinical pharmacists, followed by "non-medication-related patient education," "social support," and "care coordination." Miscommunication related to scheduling was the most common reason cited for not meeting with the clinical pharmacist.ConclusionThis sample of minority patients with uncontrolled T2DM recognized many roles outlined within the American Pharmacists Association Medication Therapy Management framework. Patient experiences with clinical pharmacist T2DM support are crucial for developing effective programs, maximizing patient engagement, satisfying patient needs, and ensuring that a program's intended purpose aligns with the patient perspective.

Dataset Information

The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations.

Publications

The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations.

Similar Datasets

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