Diabetes, Metabolic Syndrome and Obesity (Nov 2020)
Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes
Abstract
M Kathleen Figaro,1 Dustin M Long,2 Michael E May,3 Harrison Ndetan,4 Alan Cook,4 Rebecca Baqiyyah Conway4,5 1Heartland Endocrine Group, Davenport, IA, USA; 2Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA; 3Department of Medicine, Vanderbilt University, Nashville, TN, USA; 4Department of Epidemiology and Biostatistics, University of Texas Health Science Center at Tyler, Tyler, TX, USA; 5Department of Community Health, University of Texas Health Science Center at Tyler, Tyler, TX, USACorrespondence: Rebecca Baqiyyah ConwayDepartment of Community Health, University of Texas Health Science Center at Tyler, 11937 US Highway 271, Suite #H250, Tyler, TX 75708, USATel +1 412-721-2779Email [email protected]: We investigated racial variation in glycemic control (glycated hemoglobin A1c [HbA1c]) with fracture risk in geriatric patients with diabetes. Compared to an HbA1c of 7.0– 7.9% [53– 63 mmol/mol], HbA1c ≥ 9.0% [≥ 75 mmol/mol] was associated with increased fracture risk among Blacks and those of Unknown race only. This increase was attenuated in Blacks after accounting for the relative frequency of patient-provider interaction.Keywords: diabetes, fragility fractures, glycemic control, racial differences, African Americans
