Social determinants of health directly impact glucose patterns in FBHAs living with T2DM. Study findings published in Diabetology evaluated how demographic, clinical, lifestyle, and psychosocial factors relate to CGM-derived glycemic indices in this underserved population.

This exploratory cross-sectional study included 59 adults aged 21 years or older with T2D for at least one year who were recruited from two urban health clinics. Participants had a mean age of 51.7 ± 9.9 years, an average T2D duration of 7.7 ± 6.8 years, and 1.63 ± 1.30 coexisting chronic conditions. Nearly 50% were male, 29% were overweight, and 21% had obesity, with a mean hemoglobin A1c of 58 mmol/mol (7.5%).

Higher body weight and poorer dietary habits were associated with elevated glucose levels, while greater race-related stress significantly correlated with increased glucose variability. These trends highlight the need to address modifiable social and environmental influences, including dietary access and psychosocial stressors, to improve glycemic stability in FBHAs.

CGM use was well tolerated, supporting its broader implementation in targeted diabetes care strategies for this high-risk group.