ArticlePublic health2025
Diabetes incidence before and after the pandemic onset in adult subgroups with prediabetes.
Article in Public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
objectivesDuring the COVID-19 pandemic, type 2 diabetes (T2D) incidence increased, but it remains unclear if different groups were disproportionately affected. We evaluated overall changes in T2D incidence before and during the pandemic and by insurance type, sex, and race/ethnicity subgroups. STUDY
designRetrospective dynamic cohort.
methodsWe included 323,609 adults (≥18-89 years) with prediabetes and BMI ≥25 kg/m
resultsBefore the pandemic, monthly T2D incidence was stable. After the pandemic onset, the monthly trend increased by 6.5 % (-0.2 %, 10.3 %) for comprehensive and 3.2 % (0.6 %, 5.1 %) for lab-only; both trends persisted through 2021. After accounting for differential screening bias this increase remained but was not significant given wider confidence intervals. T2D incidence level for lab-only increased 51 % more among Hispanic vs. White adults and persisted through 2021. No other group differences were observed.
conclusionsThe pandemic onset was followed by an increase in T2D incidence overall and with sharper increases among Hispanic adults. This highlights the broader health changes of the pandemic and underscores the need for public health strategies to manage this growing burden.
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