Diabetes affects nearly 6% of the total US population. It is the seventh leading cause of death and fourth leading cause of death in African American women. It is the leading cause of blindness in 20- 74 year olds. There are approximately 800,000 new diagnosed cases every year.
In Georgia 200,000 are diagnosed each year. Diabetics are at a higher risk to develop heart disease or stroke than non-diabetics. Type 2 diabetes, (also known as adult onset diabetes), accounts for 90-95% of all diabetes in this country, with a significant increase in the number of children developing type 2. In Georgia, deaths from diabetes disproportionately affects African Americans at a rate double that of white Georgians.

 

 

The objective of the Diabetes core is to understand the causes of increased diabetes complication rates among high-disparity populations and to test interventions to improve glycemic control and reduce the incidence of preventable complications attributable to diabetes in low-income or uninsured persons, especially among African American men and women.

 

 

 

Dr. James Gavin, president of MSM, is the team leader. He is the former president of the American Diabetes Association. His work ranges from basic physiology, to clinical practice, to patient education, to diabetes-specific health disparities.
Under his leadership several projects have been implemented.  Those projects include: Medicaid Managed Care Quality and Costs Among Black and White Adults with Diabetes Mellitus-the purpose of that specific project is to examine the quality and cost of care among African Americans and Caucasian American adults with diabetes mellitus who are enrolled in the mandatory primary care case management program, Georgia Better Health Care, a managed care delivery model; HRSA Health Disparities Collaborative on Diabetes and Rapid-Cycle JgbA1C Testing to Facilitate Intensification of Therapy and Improve Glycemic Control, a project that looks at diabetes care in community health centers.
Sample pilot projects include:
  • Effect of Peroxisome Proliferator-Activated Receptor Gamma (PPARgamma) on Induction of Adipocyte Differentiation.
  • Screening/Surveillance Study for Pre-Diabetes, Obesity, and Cardiovascular Risk Factors (church network and AUC students).
  • Using Local Area Methods to Estimate Prevalence, Complication Rates, and Disease Burden of Diabetes at the Community Level.
  • Training Diabetic Lay Health Workers to Promote Self-management in High-Disparity Populations.
  • Delays in the Diffusion of New Oral Hypoglycemic Therapies to African American Diabetic patients.
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Center of Excellence on Health Disparities
the National Center for Primary Care
Morehouse School of Medicine
720 Westview Drive, SW - Atlanta, Georgia 30310
Phone: 404-756-8805 - FAX 404-756-5767 Email: mcoley
@msm.edu
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