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Health Care Bias May Affect People With Obesity and Type 2 Diabetes

0 3 years ago

“Weight-based stereotypes may interfere with health care decision-making in these patients,” the researchers said.

A cross-sectional study evaluated the prevalence of pharmacologic diabetes treatment intensification based on weight status in patients with type 2 diabetes. The participants received outpatient care in southern Brazil from October 2011 to December 2019.

Eligible participants had a regular follow-up for ≥1 year, were aged ≥18 years, and had ≥2 measurements of glycated hemoglobin (HbA1c) in the study period.

The patients were randomly selected and then stratified into 2 groups according to their body mass index (BMI)—obesity (BMI ≥30.0 kg/m2 ) and without obesity (<30.0 kg/m2). The primary outcome was the adequacy of pharmacologic treatment intensification between the groups based on individualized glycemic targets.

A total of 402 participants (mean age, 66.9 ± 9.1 years; 56% female; 86.8% White) were included. Participants without obesity (n = 198) and those with obesity (n = 204) had mostly similar baseline characteristics. Patients without obesity were older than those with obesity (68.7 ± 9.0 vs 65.2 ± 8.9 years, respectively, P < .001), and fewer used insulin (49.5% vs 66.7%,respectively, P < .001).

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