The All One Community (A1C) Program Boosts Diabetes Outcomes in Under-Engaged Asian Immigrants Through Culturally Tailored Education and Partner-Supported Enrollment

The All One Community (A1C) program addresses chronic disease among immigrant populations, specifically South Asian, Arab, and Rohingya groups in Greater Chicago. The program offers culturally and linguistically tailored type 2 diabetes education, incorporating social support from family or friends. Participants (n=247) provided biometric data at baseline and during community screenings at 3, 6, and 9 months. Of the 199 participants completing at least 10 sessions, 91 had diabetes (HbA1C ≥ 6.5). Significant improvements in blood pressure (p=0.025) and body mass index (BMI, p=0.015) were observed. Diabetic participants with a social support partner experienced greater BMI reductions (p<0.05). Uninsured participants showed more significant improvements in systolic blood pressure (p=0.02) and cholesterol (p=0.04) than those with insurance. The findings suggest that social support and targeted interventions can improve diabetes management in uninsured immigrants at higher health risk.