Pulse & Heritage

Endocrine

Type 2 Diabetes

Twice the prevalence in Black communities, later diagnosis, and A1C accuracy issues with sickle cell trait.

Last updated April 15, 2026

Who is most affected

  • Black adults (roughly 60% higher prevalence than non-Hispanic white adults)
  • Hispanic/Latino adults
  • Veterans (higher prevalence than the general population)
  • People with sickle cell trait (A1C readings can run artificially low)

Key disparities

  • Diagnosis often happens later, when complications are already present
  • Amputation rates run 2–4× higher in Black diabetic patients
  • Insulin rationing tracks with income and insurance status
  • A1C accuracy issues with sickle cell trait can hide poor glucose control

Placeholder content. Real article forthcoming.

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Why diagnosis happens later

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A1C accuracy and sickle cell trait

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What you can ask at your next appointment

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