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January 06, 2021
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COVID-19, disparities in diabetes among top endocrinology news in 2020

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Ethnic and racial disparities in health care was a key focus for Healio readers in 2020. Among the biggest news were studies showing race as a primary driver for poor outcomes and death in COVID-19.

Readers were also interested in research declaring an urgent need for more Black participants in diabetes clinical trials, the history of racial disparities in US health care, the importance of cross-cultural communication in Hispanic and Latino communities, and more.

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Here are some of the top stories on race in endocrinology from 2020.

‘The vaccine is safe’: Endocrinologist E. Dale Abel shares his COVID-19 vaccine experience

“I view sharing my experience as really important. I see myself as a role model for many. As a Black man, it is important that I am a public example of accepting science and putting something into my body that I believe will play an important role in putting an end to this pandemic,” Abel told Endocrine Today.

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‘This is indeed real’: Race, obesity drive risk for poor outcomes, death in COVID-19

Obesity and race are additive, multiplicative confounders influencing COVID-19 outcomes in American adults. A speaker at ObesityWeek said the disparities have substantial implications for medical and public health responses.

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Study: FDA’s metformin label change likely mitigated race, sex disparities

Black adults with type 2 diabetes and moderate chronic kidney disease were less likely to receive a metformin prescription compared with white adults under an old FDA serum creatinine-based metformin label.

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Race disparities persist in CGM use among children with type 1 diabetes

White children with type 1 diabetes are twice as likely to initiate continuous glucose monitoring and four times as likely to persist with therapy at 1 year compared with Black and Hispanic children.

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An ‘urgent need’: Steps to increase black participation in diabetes clinical trials

Data from clinical trials show that findings often do not apply to minority populations. Researchers said future trials need to adopt cultural competency practices to recruit and retain Black participants.

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Current health disparities for Black people follow from history of structural racism in US

A history of structural racism in the US continues to lead to health disparities today for Black people and other underrepresented groups. These disparities led to disproportionate death totals from COVID-19.

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Black, Hispanic adults receive unequal treatment for adrenalectomy

Black and Hispanic adults undergoing adrenalectomy have higher complication rates, a longer hospital stay, and decreased access to high-volume surgeons compared to white adults.

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Cross-cultural communication crucial to treating Hispanic, Latino patients with diabetes

A speaker at the 2020 Cardiometabolic Health Congress virtual meeting advised providers to take a more individualized approach and listen to Hispanic and Latino patients with type 2 diabetes.

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CDC tool identifies diabetes-related health disparities

The CDC expanded the U.S. Diabetes Surveillance System with a new social determinants of health module to help identify under-resourced areas and assess the impact of health disparities on diabetes burden and risk factors.

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Obesity may ‘blunt’ effect of race on bone parameters

Advantages in bone parameters that may contribute to reduced fracture risk among Black vs. white adolescents and young adults may be attenuated by obesity.

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