Thread by @NadiaJamilMD

Up next is "Healthcare Disparities in Cardiovascular Disease: Social and Nutrition Deserts" by Joshua J. Joseph, MD, MPH, FAHA (@joshuajosephmd), moderated by S. Sethu K. Reddy, MD (@endocrineguru) at #AACECVMET #AACE #Endotwitter

@joshuajosephmd @endocrineguru There are higher rates of diabetes mortality (2-fold death disparity) in rural areas as compared to urban areas, and a higher mortality in Black patients compared to White patients. #AACECVMET #AACE #HealthDisparities

@joshuajosephmd @endocrineguru Diabetes prevalence & hospital admissions correlate w/ residential security maps. The 1930s Home Owners Loan Corporation redlining score has an impact today: 1 unit-higher HOLC grades assoc w/ 54% higher DM mortality & 67% higher rate of diabetes years of life lost #AACECVMET

@joshuajosephmd @endocrineguru Food security is having enough calories. Nutrition security is having the right calories. 20.4% are Food Insecure: 7.8% choose between buying food & paying for medical care/meds, 15.7% choose between buying food or paying rent/mortgage #AACECVMET

@joshuajosephmd @endocrineguru 6 cross-cutting themes of successful disparity interventions: target multiple pt barriers rather than 1 solution, culturally tailor interventions, use multidisciplinary teams, employ interactive skills based pt learning, use pt navigators, involve family/community! #AACECVMET

@joshuajosephmd @endocrineguru Training providers in communication skills results in substantial and significant improvements in patients taking medications. Improved provider communication & shared decision making improved medication adherence among Black adults #AACECVMET

@joshuajosephmd @endocrineguru Life's Simple 7 Health Factors from the AHA shows area to target with meaningful community partnerships that engage individuals/communities, eg. health screenings, health coaches, Community Health Workers #AACECVMET#AACE

@joshuajosephmd @endocrineguru Racial-Ethnic Disparities have been noted in Diabetes Tech use among young adults with T1DM: CGM use was 53% in White patients and 31% in Black patients with type 1 DM; insulin pump use 61% in White patients and 20% in Black patients. #AACECVMET #Endotwitter #T1DM