HOME >> MEDICINE >> NEWS
Diabetes patients with low literacy more likely to have poorly controlled disease

Diabetes patients with low literacy are nearly twice as likely as patients with higher literacy to have poorly-controlled blood sugar and serious long-term diabetes complications, according to UCSF researchers.

This study, which appears in the July 24 issue of the Journal of the American Medical Association (JAMA), is the first to demonstrate that lower literacy is associated with worse health outcomes for patients with a chronic medical condition -- even after accounting for patients' educational attainment, age, race, insurance, and diabetes drug regimen.

"Having diabetes and difficulty reading creates a double bind. Diabetes patients rely on a number of tools to manage their disease and prevent serious health problems. For patients with low literacy, it's as though they have received the toolkit, but not the operating instructions," said Dean Schillinger, MD, UCSF assistant professor of medicine at San Francisco General Hospital Medical Center (SFGHMC) and lead author of the study. "Because our health system expects patients to be able to read at a very high level, we may be leaving a lot of patients in the dark."

The diabetes care regimen is one of the most challenging of any for chronic illness, he explained. Patients often must monitor their own blood sugar, manage multiple medications, visit many providers, maintain foot hygiene, adhere to diet and meal plans, and engage in exercise. Patients also have to be able to identify when they are having problems with these functions, problem-solve to prevent crises, and advocate for themselves in what is often an overwhelming health care system. For this reason, diabetes outcomes may be especially sensitive to problems in communication, empowerment, and self-management, Schillinger said.

"When a patient doesn't speak English, the communication problems are obvious. But even if a patient speaks the same language as the health care provider, literacy is often a hidden barrier. We're
'"/>

Contact: Maureen McInaney
mmcinaney@pubaff.ucsf.edu
415-476-2557
University of California - San Francisco
23-Jul-2002


Page: 1 2 3

Related medicine news :

1. Diabetes a bigger heart disease risk for women than for men
2. Diabetes: A link between oral and overall health?
3. Diabetes among older adults imposed an estimated $133.5 billion cost in 1990s
4. Diabetes increases deaths among people 65 and older
5. Diabetes may be going unnoticed in many UK children
6. Diabetes drug improves metabolic changes associated with HIV combination therapy
7. Diabetes linked to increased risk of Alzheimers in long-term study
8. Diabetes patients skip medications to save money
9. Diabetes doubles risk of liver disease and liver cancer
10. Salk news: Diabetes first steps
11. Diabetes management improves when patients, doctors agree on treatment goals, UMHS study finds

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/31/2020)... ... , ... Just found out your dear friend has cancer? , It’s hard to hear your ... shares their diagnosis. Once the shock wears off, the questions and fears can be overwhelming. ... best ways to help? Words are failing me. I’m scared. I want to DO something. ...
(Date:8/31/2020)... ... August 31, 2020 , ... Colorado State University Global (CSU ... affordable online education – is proud to announce its new master’s degree in ... its kind in the nation, the 60-credit hour program is designed to provide ...
(Date:8/31/2020)... ... August 31, 2020 , ... In an effort to give back to ... 10 percent of each hotel room booked with a special new rate code to ... Indiana (RMHC-CNI) , effective immediately. Donations will be applied to any room type, ...
(Date:8/28/2020)... ... 28, 2020 , ... Ernst & Young LLP (EY US) ... Of The Year® 2020 Florida Award finalist. Now in its 34th year, the ... growth and prosperity as they build and sustain successful businesses that transform our ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Integrated ... Miami is the first Florida school to deploy its breakthrough Mobile Biodefense Indoor Air ... airborne COVID-19. True North Classical Academy plans to fully reopen equipped with the filtration ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... While coronavirus cases continue to increase across ... and community organizations remain closed. Because about 80% of blood donations are made at ... blood donors and blood drive hosts to ensure blood products are readily available for ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... If you live in New York City ... real estate part makes sense, it’s the law of supply and demand, but are plastic ... has a significant percentage of their patients that make the four-hour trip to have ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Dr. ... reproductive and endoscopic surgeon and serves as a clinical professor in the Department of ... of the American Laparoscopy Society & Pacific Coast Reproductive Society and is a Clinical ...
Breaking Medicine Technology:
Cached News: