Objective: In consideration of the increasing prevalence of diabetes, multiple factors related to levels of long-term glycemic control, and complex causes of racial disparities across a variety of chronic conditions, patterns of admissions and complications related to diabetes by ethnicity were explored to develop a more clear understanding of underlying causes of disparities.
Method: Using the 2003 National Inpatient Sample, we analyzed the correlation between the primary diagnosis and the likelihood that the condition represented poorly controlled diabetes or a diabetes-related complication.
Results: Minorities were more likely to be admitted through the emergency department and for a condition directly related to diabetes progression. Further, minorities were more likely to be admitted for acute hyperglycemia and acute hypoglycemia.
Conclusion: Interventions that address root causes of disparities related to diabetes and other conditions, such as care-seeking behaviors and ease of access to primary care providers, are keys to eliminating ethnic disparities.