Asqual Getaneh|Laney S. Light|David Brillon|Jorge Calles Escandón|James V. Felicetta|Gregory W. Evans|Carlos Lopez-Jimenez|Robert Cuddihy|J. Thomas Bigger
Diabetes Control Among Hispanics in the Action to Control Cardiovascular Risk in Diabetes Trial
Columbia University|Wake Forest University|Cornell University|Wake Forest University|Carl T. Hayden Veterans Affairs Medical Center|University of Arizona|University of Minnesota Medical Center|University of Minnesota Medical Center|Columbia University|Columbia University
hispanics united states represent diverse racial ethnic socioeconomic groups manifest heterogeneous cardiovascular risks including diabetes known residual differences control diabetes among hispanic groups given uniform access diabetes careto evaluate glucose control differences among mexicans puerto ricans dominicans receiving substantial diabetes care support action control cardiovascular risk diabetes accord trialsecondary analysis data randomized trial comparing two treatment strategies intensive targeting glycated hemoglobin 60 standard targeting glycated hemoglobin 70 79 seven hundred sixteen hispanic 6066 nonhispanic white participants recruited 77 clinical sites across united states canada 243 mexicans 199 puerto ricans 150 dominicans 135 hispanic groups born united statesglycated hemoglobincompared puerto ricans mexicans likely hr138 ci090210 dominicans likely hr101 ci066154 achieve glycated hemoglobin goal intensive arm participants born united states achieved glycated hemoglobin goal higher rate born elsewhere hr157 ci099251 intensive arm hr151 ci095243 standard arm differences statistically significant intensive arm puerto ricans or047 ci031071 dominicans or041 ci026066 less likely nonhispanic whites achieve glycated hemoglobin goal whereas difference nonhispanic whites mexicans statistically significant or066 ci043102hispanic groups given access comprehensive diabetes care differed nonsignificantly variable divergence nonhispanic whites achieving intensive glycated hemoglobin goal differences confirmed could due factors variable acculturation functional health literacy levels measured accord trial explored future studies