Publications by authors named "B I Gulanski"
Article Synopsis
- Continuous glucose monitoring (CGM) can enhance diabetes management for patients on insulin, but our study found disparities in CGM prescriptions among different racial and ethnic groups among U.S. Veterans.
- Out of 368,794 patients, only 11.2% received a CGM prescription, with notably lower rates for Black or African American (9.2%) and Hispanic or Latino patients (8.3%) compared to White patients (11.8%).
- After adjusting for various factors, Black or African American patients had 38% lower odds and Hispanic patients had 21% lower odds of being prescribed CGM than their non-Hispanic White counterparts, highlighting ongoing racial disparities in healthcare access.
Affecting an estimated 88 million Americans, prediabetes increases the risk for developing type 2 diabetes mellitus (T2DM), and independently, cardiovascular disease, retinopathy, nephropathy, and neuropathy. Nevertheless, little is known about the use of metformin for diabetes prevention among patients in the Veterans Health Administration, the largest integrated healthcare system in the U.S.
View Article and Find Full Text PDFIntroduction: Type 2 diabetes mellitus (T2DM) is a powerful risk factor for cardiovascular disease (CVD), conferring a greater relative risk in women than men. We sought to examine sex differences in cardiometabolic risk factors and management in the contemporary cohort represented by the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE).
Research Design And Methods: GRADE enrolled 5047 participants (1837 women, 3210 men) with T2DM on metformin monotherapy at baseline.
Objective: Fragility fractures (fractures) are a critical outcome for persons aging with HIV (PAH). Research suggests that the fracture risk assessment tool (FRAX) only modestly estimates fracture risk among PAH. We provide an updated evaluation of how well a 'modified FRAX' identifies PAH at risk for fractures in a contemporary HIV cohort.
View Article and Find Full Text PDFObjective: Pilot-test personalized digital health information to substantiate human-delivered exercise support for adults with type 1 diabetes (T1D).
Design: Single-group, 2-week baseline observation, then 10-week intervention with follow-up observation.
Setting: Community-based sample participating remotely with physician oversight.