Susan P. Fisher?Hoch|Kristina Vatcheva|Mohammad H. Rahbar|Joseph B. McCormick
Undiagnosed Diabetes and Pre-Diabetes in Health Disparities
The University of Texas Health Science Center at Houston
globally half diabetes mellitus undiagnosed sought determine extent characteristics undiagnosed type 2 diabetes mellitus prediabetes mexican americans residing united states disadvantaged population 50 lifetime risk diabetes microcosm current pandemic accessed baseline data 2004 2014 2838 adults recruited cameron county hispanic cohort cchc twostage randomly selected framinghamlike cohort mexican americans us mexico border severe health disparities examined prevalence risk factors metabolic health diagnosed undiagnosed diabetes prediabetes two thirds mexican american population diabetes prediabetes diabetes prevalence 280 nearly half undiagnosed prediabetes 316 mean bmi among diabetes 335 kgm2 compared 290 kgm2 without diabetes significant risk factors low income educational levels diabetes increased waisthip ratio lack insurance access health services played decisive role failure diabetes diagnosed participants undiagnosed diabetes prediabetes similar measures poor metabolic health similar generally severe diagnosed diabetes 50 minority mexican american population south texas diabetes prediabetes metabolically unhealthy third diabetes cases diagnosed sustained efforts imperative identify diagnose treat individuals underserved communities