Current Diabetes Reports

, 18:65 | Cite as

Disparities in Care Delivery and Outcomes in Young Adults With Diabetes

  • Shivani AgarwalEmail author
  • Marisa Hilliard
  • Ashley Butler
Psychosocial Aspects (SS Jaser, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Psychosocial Aspects


Purpose of Review

This review summarizes the literature on care and outcome disparities in young adults (YA) with type 1 and type 2 diabetes, and outlines remaining needs and suggestions to reduce disparities and improve care.

Recent Findings

Despite well-documented disparities and data from large national and international diabetes populations, the role that social determinants of health play in disease management is largely unstudied. Further, mechanisms of how these risk factors interact with the unique developmental needs of racial-ethnic minority and economically vulnerable young adults with diabetes remain unknown. Little intervention research has focused on improving outcomes in this vulnerable population.


More research needs to focus on identifying and addressing risk factors in racial-ethnic minority and economically vulnerable young adults with diabetes. Interventions need to be adapted and developed to meet the unique needs of this high-risk population. Clinicians and healthcare systems must recognize the inequity in care and outcomes for this group and structure clinical programs and policies to promote their optimal care.


Young adults Type 1 diabetes  Type 2 diabetes Health disparities Health outcomes Emerging adult Adolescents 


Compliance With Ethical Standards

Conflicts of Interest

Shivani Agarwal, Marisa Hilliard, and Ashley Butler declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

We have included studies by each of the authors Shivani Agarwal, Marisa Hilliard, and Ashley Butler which include human subjects. Informed consent was obtained for all human subjects included in these studies.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Shivani Agarwal
    • 1
    Email author
  • Marisa Hilliard
    • 2
  • Ashley Butler
    • 2
  1. 1.Endocrinology, Diabetes, and MetabolismUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Baylor College of Medicine and Texas Children’s HospitalHoustonUSA

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