--- title: Racial and Ethnic Disparities in the Burden and Cost of Diabetes for US Medicare Beneficiaries description: May 2019 | Namino M. Glantz, Ian Duncan, Tamim Ahmed, Ludi Fan, Beverly L. Reed, Samaneh Kalirai, and David Kerr --- Publication # Racial and Ethnic Disparities in the Burden and Cost of Diabetes for US Medicare Beneficiaries [ Arbital Health ](https://arbitalhealth.com/blog/author/arbital-health) May 15, 2019 [mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries&utm_medium=social&utm_source=email) [Publication](https://arbitalhealth.com/blog/tag/publication) Published: May 15, 2019 Publisher: Mary Ann Liebert, Inc. By: Namino M. Glantz, Ian Duncan, Tamim Ahmed, Ludi Fan, Beverly L. Reed, Samaneh Kalirai, and David Kerr   Abstract **Purpose:** To examine the burden and cost of diabetes among fee-for-service Medicare beneficiaries.   **Methods:** Medicare 5% File data for type 1 diabetes (T1D) and type 2 diabetes (T2D) consisting of 1,397,933 enrollees in fee-for-service without Medicare Advantage during the period 2012–2013 were analyzed by race and ethnicity.   **Results:** Although non-Hispanic whites (nHWs) comprised most of this population (86%), prevalence of T1D and T2D was higher for Hispanics than nHWs (3.4% vs. 1.8%, *p*=0.0006, for T1D and 33.4% vs. 21.9%, *p*<0.0001, for T2D). Hispanics also had more acute hospital admissions (*p*=0.0235 for T1D and *p*=0.0009 for T2D) and longer lengths of stay (7.5 vs. 6.9 days for T1D, *p*=0.0105, and 6.7 vs. 6.2 days for T2D, *p*<0.0001) compared with nHWs. Allowed and paid costs per member per month adjusted for confounding were higher for Hispanics than nHWs for T2D (both *p*<0.0001) and lower for those with T1D (both *p*<0.0001). Mean number of chronic diseases in patients with diabetes was higher in Hispanics than nHWs (both T1D and T2D, *p*<0.0000). For T2D, Hispanics were more likely to have glycated hemoglobin (HbA1c) and lipid testing as well as nephropathy screening (all *p*<0.0001). Hispanics with T1D were also more likely to have HbA1c and lipid tests (*p*=0.0014 and *p*=0.0011, respectively); retinopathy and nephropathy screening rates did not differ significantly from rates among nHWs.   **Conclusion:** Diabetes disproportionately impacts US seniors, with Hispanics almost twice as likely as nHWs to be diagnosed. Racial and ethnic disparities exist in the burden and cost of diabetes care for Medicare recipients.   [ Read Full Publication ](https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0004)   ### View More News & Insights from the Arbital Health Team: Publication ### [Racial Disparities in the Burden of End-Stage Renal Disease due to Diabetes among Medicare Beneficiaries](https://arbitalhealth.com/blog/racial-disparities-in-the-burden-of-end-stage-renal-disease-due-to-diabetes-among-medicare-beneficiaries) Arbital Health Jul 1, 2018 Publication ### [Understanding the impact of five major determinants of health (genetics, biology, behavior, psychology, society/environment) on type 2 diabetes in U.S. Hispanic/Latino families](https://arbitalhealth.com/blog/understanding-the-impact-of-five-major-determinants-of-health-genetics-biology-behavior-psychology-society/environment-on-type-2-diabetes-in-u.s.-hispanic/latino-families) Arbital Health Jan 6, 2020 Publication ### [Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes](https://arbitalhealth.com/blog/insurance-status-and-biological-and-psychosocial-determinants-of-cardiometabolic-risk-among-mexican-origin-u.s.-hispanic/latino-adults-with-type-2-diabetes) Arbital Health May 4, 2020 ### Sign-Up for Arbital Health Email Updates Unlock a wealth of valuable insights and stay ahead of the curve with Arbital Health's exclusive email updates. 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