ArticleJournal of diabetes science and technology2020
The Underground Exchange of Diabetes Medications and Supplies: Donating, Trading, and Borrowing, Oh My!
Article in Journal of diabetes science and technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- "Nobody's Going to Say No to a Dollar": Framing HIV Medication Diversion Through the Lens of Economies of Diversion.AIDS and behavior · 2026Article
- Family member involvement when multiple family members have type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Insights on Improving Health Insurance Literacy in Diabetes.The Journal of clinical endocrinology and metabolism · 2025Review
- "Can I afford to live today?" The emotional toll of navigating the healthcare system with type 1 diabetes.Frontiers in endocrinology · 2025Article
- Financial stress in emerging adults with type 1 diabetes: a mini review integrating lessons from cancer research.Frontiers in clinical diabetes and healthcare · 2024Review
- Navigating barriers to affording and obtaining insulin and diabetes supplies.Journal of diabetes · 2023Article
- Understanding the needs of people aging with type 1 diabetes: a user-focused research study with prototype diabetes advance directive and setting the stage for future research.Journal of diabetes and metabolic disorders · 2022Article
- GoFundMe as a Medical Plan: Ecological Study of Crowdfunding Insulin Success.JMIR diabetes · 2022Article
- Accessibility of Low-cost Insulin From Illegitimate Internet Pharmacies: Cross-sectional Study.Journal of medical Internet research · 2022Article
- Financial Barriers in Emerging Adults With Type 1 Diabetes: A Qualitative Analysis.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- 100 years on: the impact of the discovery of insulin on clinical outcomes.BMJ open diabetes research & care · 2021Review
- Medical Device Workarounds in Providing Care for Children With Medical Complexity in the Home.Pediatrics · 2021Article
- Medicines as Common Commodities or Powerful Potions? What Makes Medicines Reusable in People's Eyes.Pharmacy (Basel, Switzerland) · 2021Article
- Public Perspectives on Anti-Diabetic Drugs: Exploratory Analysis of Twitter Posts.JMIR diabetes · 2021Article
- "Life or death": Experiences of insulin insecurity among adults with type 1 diabetes in the United States.SSM - population health · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe cost of diabetes medications and supplies is rising, resulting in access challenges. This study assessed the prevalence of and factors predicting underground exchange activities-donating, trading, borrowing, and purchasing diabetes medications and supplies. RESEARCH DESIGN AND
methodsA convenience sample of people affected by diabetes was recruited online to complete a survey. Mixed method analysis was undertaken, including logistic regression to examine the relationship between self-reported difficulty purchasing diabetes medications and supplies and engagement in underground exchange activity. Thematic qualitative analysis was used to examine open-text responses.
resultsParticipants (
conclusionOver half of the participants in this study engaged in underground exchange activities out of necessity. Providers must be aware about this underground exchange and inquire about safety and possible alternative resources. There is an urgent need to improve access to medications that are essential for life. Our study points to a failure in the US healthcare system since such underground exchanges may not be necessary if medications and supplies were accessible.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.