Jasmine Profile picture
Jun 4 5 tweets 2 min read
Dr Rebekah Walker speaking at #ADA2022 about the influence of food insecurity on quality of life.

food insecurity = uncertain of having or being unable to get enough food because of insufficient money/other resources
10.5% of US households were food insecure at some time during 2020. Those with diabetes and prediabetes are more likely to be food insecure. #ADA2022
Food insecurity in those with diabetes is associated with higher levels of diabetes distress, lower self efficacy, and worse glycemic outcomes. But what about quality of life? #ADA2022
The primary outcome of the study being reported today was health related quality of life. People were also asked 10 questions about food insecurity. People who were food insecure reported significantly worse physical and mental health related quality of life.

#ADA2022
This was similar to or larger than differences to those with and without comorbidities such as stroke, joint pain and heart disease. #ADA2022

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More from @JasmineSchipp

Jun 5
I'm now attending the symposium at #ADA2022 on diabetes care among people who are LGBTIQA+ 🏳️‍🌈🏳️‍⚧️

Great to see this on the program, especially during Pride Month.

(pinging @edjpedjp and @KaiSchweizer as you might want to follow the ADA hashtag for this session!)
First is Dr Nicole VanKim (umass.edu/sphhs/person/n…) speaking on social determinants of health.

Lesbian and bisexual women had a higher risk of T2D than straight women. This varied by age: 144% higher in those aged under 39

#ADA2022
Dr VanKim:

Prevalence of poverty is also higher in the LGBT community.

This statistic comes from the "LGBT poverty in the United States" report by Badgett et al: escholarship.org/content/qt37b6…

#ADA2022
Read 21 tweets
Jun 5
Attending a very important and timely discussion at #ADA2022 on "Diabetes During Humanitarian Crises with Special Focus on Ukraine" 🇺🇦

(ping @DIPadvocate17)
1st @DrBobGabbay

What's important to think about in an emergency:

What information, resources + supplies do people need?
What advocacy is needed?
Are there research opportunities here? e.g. COVID pandemic
Partnerships: how can we work together?

#ADA2022
Nuha El Sayed: When a conflict happens, there's often a limited supply of insulin. People might have to switch to a type of insulin they didn't use before. There's a good switching guide available, but it was US centric. They've adapted it for the Ukraine.

#ADA2022
Read 10 tweets
Jun 5
At #ADA2022 this morning, Dr Anne Peters talking on "diabetes technology - panacea meets reality"

There's been a marked increase in the use of technology in the last decade. Mean A1c has improved significantly, but not enough to meet guidelines. Hospitalisations haven't reduced.
We have to take social determinants of health into account, and common stressors (e.g. deportation, loss of job, imprisonment, food insecurity). Giving people who are struggling devices won't necessarily help, and they're often stolen.

#ADA2022
Having stressors like this makes it really hard to manage an already difficult condition.

It's also really hard to get help if you don't speak English. For example, calling a pump company if you require a translator often involves much longer hold times.

#ADA2022
Read 9 tweets
Jun 4
Always great to see a familiar face at #ADA2022! @janespeight from the @ACBRD is presenting on diabetes stigma

Diabetes has an image problem: it is often represented inaccurately in the media e.g. stock images of sugary foods. The first slide of Jane's p...
The language used about diabetes is often stigmatising too. People with diabetes can experience stigma from the media, but also family, friends and health care professionals.

Consequences include emotional distress, hiding their diabetes, and impaired self-care

#ADA2022
4 in 5 people with diabetes have some experience of stigma. Up to 20% have been discriminated against at work due to their diabetes.

#ADA2022
Read 8 tweets

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