Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
M Kathleen Figaro,1 Dustin M Long,2 Michael E May,3 Harrison Ndetan,4 Alan Cook,4 Rebecca Baqiyyah Conway4,5 1Heartland Endocrine Group, Davenport, IA, USA; 2Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA; 3Department of Medicine, Vanderbilt University, Nashvil...
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| Autores principales: | , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
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Dove Medical Press
2020
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| Acceso en línea: | https://doaj.org/article/fc90ea26094f4c66b842a8306ba7af35 |
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| Sumario: | M Kathleen Figaro,1 Dustin M Long,2 Michael E May,3 Harrison Ndetan,4 Alan Cook,4 Rebecca Baqiyyah Conway4,5 1Heartland Endocrine Group, Davenport, IA, USA; 2Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA; 3Department of Medicine, Vanderbilt University, Nashville, TN, USA; 4Department of Epidemiology and Biostatistics, University of Texas Health Science Center at Tyler, Tyler, TX, USA; 5Department of Community Health, University of Texas Health Science Center at Tyler, Tyler, TX, USACorrespondence: Rebecca Baqiyyah ConwayDepartment of Community Health, University of Texas Health Science Center at Tyler, 11937 US Highway 271, Suite #H250, Tyler, TX 75708, USATel +1 412-721-2779Email rebeccabnconway@yahoo.comAbstract: We investigated racial variation in glycemic control (glycated hemoglobin A1c [HbA1c]) with fracture risk in geriatric patients with diabetes. Compared to an HbA1c of 7.0– 7.9% [53– 63 mmol/mol], HbA1c ≥ 9.0% [≥ 75 mmol/mol] was associated with increased fracture risk among Blacks and those of Unknown race only. This increase was attenuated in Blacks after accounting for the relative frequency of patient-provider interaction.Keywords: diabetes, fragility fractures, glycemic control, racial differences, African Americans |
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