Diabetes preventive care practices in North Carolina, 2000-2015

Huabin Luo, Ronny A. Bell, Doyle M. Cummings, Zhuo Chen

Research output: Journal PublicationArticlepeer-review

4 Citations (Scopus)


This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000-2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood glucose selfmonitoring, hemoglobin A1c tests, foot examinations, and flu shots. Non-Hispanic black and non-Hispanic white respondents showed increases in blood glucose self-monitoring, and a significant time-by-race interaction was observed for annual flu shots. Predisposing, enabling, and need factors were significantly associated with most measures. DSME was positively associated with 7 measures. Expanding access to health insurance and health care providers is key to improving diabetes management, with DSME being the gateway to optimal care.

Original languageEnglish
Article number170316
JournalPreventing chronic disease
Issue number3
Publication statusPublished - 1 Mar 2018

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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