Disparities in diabetes management by race or ethnicity in a primary care clinic in central Texas.
ABSTRACT The authors determined the nature and magnitude of extant health disparities in patients with type 2 diabetes (T2DM) by race and ethnicity. Data were abstracted from the records of all patients 18 years or older who had been diagnosed with T2DM and seen over a 1-year period in one primary care clinic. The authors found that the mean HbA1c levels for African Americans (9.9%) and Hispanics (9.0%) were significantly higher than that of whites (8.7%; P<.0001), even after controlling for body mass index and age. Explanation of the significant racial and ethnic differences found in HbA1c levels, despite similar diabetes self-management treatment protocols or health care utilization, calls for further research.