24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825
Fax: (361)578-5500

Diabetes
Resources
Basic InformationLatest News
Have Diabetes? Don't Lose Sight of Danger to Your EyesCommon Diabetes Meds Linked to Higher Odds for a Serious ComplicationAHA News: Controlling Diabetes Takes on Greater Urgency During COVID-19 PandemicStressful Days, Worse Blood Sugar Control for People With DiabetesAnimal Tests Point to Possible Path to Ultrafast InsulinSigns of Developing Adult Diabetes Seen as Early as Age 8: StudyDoes COVID-19 Trigger New Cases of Diabetes?Telehealth Programs Improve Blood Sugar for Rural Americans With DiabetesContinuous Glucose Monitors Help With Type 1 Diabetes at Any AgeCost of Type 1 Diabetes: $2,500 a Year With Insurance1 in 10 Hospitalized COVID-19 Patients With Diabetes Dies: StudyWhite House Announces Plan for Medicare Recipients to Get Insulin at $35 Per MonthLost Pregnancies, Diabetes May Be LinkedType 2 Diabetes Linked to Worse Mental Outcomes After StrokeSleep Apnea Tied to Raised Diabetes Risk in Black AmericansHeart Attacks, Strokes Are Declining Among People With DiabetesCould Your Contact Lenses Track, Treat Your Diabetes?AHA News: Managing Diabetes Risk in Hispanic, Asian CommunitiesObesity Is Biggest Type 2 Diabetes Risk FactorAHA News: Understanding the Risky Combination of Diabetes and the CoronavirusWhy Is Coronavirus a Bigger Worry for People With Diabetes?What People With Type 1 Diabetes Need to Know About COVID-19Family Ties Help Young Adults With Type 1 Diabetes FlourishPatch Pump Device Could Offer Cheaper Insulin DeliveryCan AI Predict Who Will Develop Diabetes?Blood Sugar Control May Aid Stroke Recovery in Diabetes PatientsBacteria May Be a Player in Diabetes Among Very ObeseNew Tool Helps Muslims With Diabetes Manage Blood Sugar During Ramadan FastWant to Help Keep Diabetes at Bay? Brush & FlossDiabetes Among U.S. Young, Especially Asians, Continues to ClimbDrug Duo Speeds Regeneration of Key Cells Lost in DiabetesMedicare Could Save Billions If Allowed to Negotiate Insulin PricesAt the Barbershop, a Trim -- and a Diabetes ScreeningCertain Diabetes Meds May Lower Gout Risk, TooBig Advances Made Against Diabetes in 2019CDC Study Breaks Down Diabetes Risk for Hispanic, Asian SubgroupsFDA Authorizes Marketing of Automated Insulin Dosing ControllerDo Processed Foods Up Your Type 2 Diabetes Risk?Changing Timing, Frequency of Meals May Help With Diabetes'Diabetes Burnout' Is Real, Here's How to CopeAs Diabetes Costs Soar, Many Turn to Black Market for HelpFDA Testing Levels of Carcinogen in Diabetes Drug MetforminMom-to-Be's Diabetes May Up Odds of Heart Disease in Her KidsPrediabetes Now Common Among Teens, Young AdultsHeart Attack at 44 Helped Her Realize Diabetes' DangersDiabetes Tougher on Women's HeartsDiabetes Technology Often Priced Out of ReachSupplements Don't Prevent Kidney Disease in Type 2 DiabeticsWhy Are Insulin Prices Still So High for U.S. Patients?Health Tip: Snacks for People With Diabetes
Links
Related Topics

Medical Disorders

AHA News: Managing Diabetes Risk in Hispanic, Asian Communities


HealthDay News
Updated: Apr 17th 2020

new article illustration

FRIDAY, April 17, 2020 (American Heart Association News) -- People living with diabetes are twice as likely to die from cardiovascular diseases such as heart failure, heart attack and stroke. While it's not a new statistic, it does resonate in Hispanic and Asian communities in the United States, where 1 in 5 adults has diabetes, diagnosed or not.

Recent research gives a more detailed glimpse into how specific ethnic communities share the burden differently. But with proper awareness and resources, experts say the disease can be managed – or prevented altogether.

Among Hispanics, 25% of Mexicans are living with diagnosed or undiagnosed diabetes, according to a 2019 study published in JAMA, followed by 22% of Puerto Ricans, 21% of Cubans and Dominicans and 19% of Central Americans. Among Asian adults, the rates were 23% for South Asians and 22% for Southeast Asians.

There are several possible contributing factors, said Nadia S. Islam, a medical sociologist and associate professor in the department of population health at NYU Langone Health in New York City.

"Both Latino and certain Asian American subgroups experience high rates of limited English proficiency, which makes it challenging to access care and understand health information and counseling," Islam said.

Awareness about the heart disease risk with diabetes already is an issue overall. A recent online survey conducted by The Harris Poll determined that of people age 45 and older with Type 2 diabetes, about half were aware of their heart disease and stroke risk.

Diet, culture and genetics also can play roles.

"Diabetes education needs to be tailored to the community the patient comes from," said Dr. Sylvia E. Rosas, an associate professor of medicine at Harvard University Medical School and director of the Latino Kidney Clinic at the Joslin Diabetes Center in Boston. "With regards to advice on diet, one example is, limit pasta and potatoes. But our communities usually eat more rice and root vegetables – cassava, yuca, yautia."

But too much of one starchy carb can be just as harmful as another for people with diabetes, so suggestions for lifestyle changes should be in tune with a person's culture.

New immigrants often experience drastic diet changes, both Islam and Rosas said, and their new American intake suddenly includes more fat, which can lead to weight gain.

But for Asians, weight is not always an issue.

"Research has demonstrated that Asians have a unique risk factor related to diabetes whereby they develop diabetes at lower levels of body mass index, or BMI, compared to other racial and ethnic minority groups," Islam said.

And that might mean many Asian adults with diabetes aren't being diagnosed.

A 2018 study looked at federal recommendations used to guide doctors on screening for prediabetes and diabetes. It calls for evaluations when patients are between 40 and 70 years old and overweight. The analysis, published in the Journal of General Internal Medicine, showed following those recommendations would mean 70% of Asians with prediabetes or Type 2 diabetes would be undiagnosed until their next screening test, which could occur years later.

Latinos also often develop Type 2 diabetes younger than age 40, and the study showed 56% of them could be undiagnosed using the narrower federal recommendation.

The key for these two groups is to be aware they are at risk, Rosas said.

"One of the most important issues is the detection of the disease," she said. "Many do not know they have it. Once you know that you have diabetes, the most important issue is to control the disease with diet, exercise and medications if needed."

Islam said the responsibility for action falls not only on health care providers but on trusted community leaders, who can deliver education and coaching on diet, physical activity and social support.

"There needs to be more advocacy for resources and programs to support these communities in diabetes prevention and management efforts," she said.