# Health-Care Utilization and Outcomes in Young Adults With Type 1 and Type 2 Diabetes

## TL;DR

This paper reviews how young adults with diabetes struggle with self-care, leading to poor health outcomes and frequent emergency visits.

## Contribution

The paper provides a comprehensive analysis of health-care utilization and factors affecting diabetes management in young adults.

## Key findings

- Young adults with diabetes have higher HbA1c levels compared to older adults.
- They experience higher rates of emergency department visits and hospitalizations for diabetic ketoacidosis.
- Social determinants and technology play significant roles in their diabetes care and health outcomes.

## Abstract

Young adulthood can be a challenging time for individuals with diabetes mellitus (DM) as they experience increasing independence and life transitions, which can make it difficult to engage in DM self care. Compared to older adults, young adults are more likely to have higher glycated hemoglobin A1c (HbA1c). They also often have lower adherence to standards of care in DM, and higher utilization of emergency department (ED) visits and hospitalizations for diabetic ketoacidosis. This review describes health-care utilization and explores factors that may contribute to high HbA1c among young adults with DM. In addition, it discusses the unique health-care needs of young adults with DM, examines the role of technology in their DM care, and analyzes the effects of social determinants of health on their health-care utilization.