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: Figaro MK, Long DM, May ME, Ndetan H, Cook A, Conway RB
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:fc90ea26094f4c66b842a8306ba7af352021-12-02T12:10:22ZRacial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes1178-7007https://doaj.org/article/fc90ea26094f4c66b842a8306ba7af352020-11-01T00:00:00Zhttps://www.dovepress.com/racial-variation-in-the-relationship-of-glycemic-control-with-fracture-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007M 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 AmericansFigaro MKLong DMMay MENdetan HCook AConway RBDove Medical Pressarticlediabetesfragility fracturesglycemic controlracial differencesafrican americansSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 4153-4155 (2020)
institution DOAJ
collection DOAJ
language EN
topic diabetes
fragility fractures
glycemic control
racial differences
african americans
Specialties of internal medicine
RC581-951
spellingShingle diabetes
fragility fractures
glycemic control
racial differences
african americans
Specialties of internal medicine
RC581-951
Figaro MK
Long DM
May ME
Ndetan H
Cook A
Conway RB
Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
description 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
format article
author Figaro MK
Long DM
May ME
Ndetan H
Cook A
Conway RB
author_facet Figaro MK
Long DM
May ME
Ndetan H
Cook A
Conway RB
author_sort Figaro MK
title Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
title_short Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
title_full Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
title_fullStr Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
title_full_unstemmed Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
title_sort racial variation in the relationship of glycemic control with fracture risk in elderly patients with diabetes
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/fc90ea26094f4c66b842a8306ba7af35
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AT ndetanh racialvariationintherelationshipofglycemiccontrolwithfractureriskinelderlypatientswithdiabetes
AT cooka racialvariationintherelationshipofglycemiccontrolwithfractureriskinelderlypatientswithdiabetes
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