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Jun 5 β€’ 10 tweets β€’ 5 min read
Attending a very important and timely discussion at #ADA2022 on "Diabetes During Humanitarian Crises with Special Focus on Ukraine" πŸ‡ΊπŸ‡¦

(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?

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.

You can find the adapted switching guides here:


Anjali Anand from @MSF_USA It's hard in situations like this to ensure continuity of care. First you have to find where people are gathering. You don't know how long people will be staying. Sometimes you can't bring in supplies because there's no road access.

Anjali: having a presence before the conflict occurs is important to have knowledge of the areas, knowing how to deal with the admin issues, + building trust with patients.

There's still a functioning health system in Ukraine, focus is currently on donating supplies.
Kelly Mueller: "how do you move with speed in times of great uncertainty?"

Important consideration in this space, how to be fast but also get it right.

Carol Atkinson from @insulinforlife:

In hurricane season in 2017, @insulinforlife put out a call for supplies so they could do a grassroots response. She thought "Can we really do this? We're sending everything we have." Fears about making a mistake. Then 4 trucks came

The response was amazing. People gave what they had, e.g. if they had to switch insulins and couldn't give it back to their pharmacist. They were grateful they could donate it to help others.

It's a wonderful opportunity to be a connector.

"Together, we can really make a difference" - @DrBobGabbay


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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+ πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ

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

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…

Read 21 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.

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.

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 presentation. Jane is pictured on
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

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

Read 8 tweets
Jun 4
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
Read 5 tweets

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