We’re Failing Young People with Diabetes

Our study, comparing hospitalization rates for diabetic ketoacidosis in the US to Manitoba, Canada, was just published in the Journal of General Internal Medicine.  I have an op-ed up today on the study in the Washington Post.

Diabetic ketoacidosis is a dangerous complication of diabetes that is typically preventable with regular use of insulin.

Among teenagers, we found that the ketoacidosis hospitalization rate was slightly higher in the US compared to Canada. However, as teenagers became young adults, the hospitalization rate soared by 90% in the US, but only rose 23% in Canada. Differences in our health systems – particularly the disruptions in coverage that are common when adolescents become young adults, could help explain this difference.

Andrea Christopher was the co-first author; other co-authors include Alan Katz, Dan Chateau, Chelsey McDougall, David Bor, David Himmelstein, Steffie Woolhandler, and Danny McCormick.

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