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Poster attached as supplemental file below


Diabetes mellitus is one of the most common chronic conditions, a complex disease requiring continuous medical care and treatment. People with diabetes are at risk of developing life-threatening complications, increasing their need for medical care, increased cost of care, reduced quality of life, and, if not well managed, can lead to recurrent admissions and premature death. Four hundred sixty-three million adults are currently living with diabetes worldwide. By 2030, this number will rise to an estimated 578 million people while the Center for Disease Control (CDC) reported a total of 34.2 million people are living with diabetes in the United States (US), and an additional 88 million people are prediabetes. The total direct estimated costs of diagnosed diabetes in the US as of 2017 were $237 billion, while indirect cost due to absenteeism and reduced productivity was estimated at $90 million. Individually, a person diagnosed with diabetes has an estimated excess medical cost of $9,601. This high cost of care can be highly overwhelming for patients who have no adequate insurance coverage. 43.4% of US adults between the ages of 19 to 64 were inadequately insured. The inadequately insured population comprises the uninsured (12.5%), the underinsured (21.3%), and people who experienced a gap in coverage in the preceding 12 months (9.5%). This relates to two of five working-age adults falling under this category, with 40% Latinos and about 24% black. This study aims to conduct a systemic review of the literature to understands what intervention methods have been used to provide diabetic care for inadequately insured people. We believe that this study's findings can be used to inform the development of diabetic care management program in low resource settings and organizations that provide care to this vulnerable population.