What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Diabetes. Intervention: Health care access. Primary outcome: Poor glycemic control (HbA1c ≥ 7%).

What does this research mean for the field?

Health care access factors, such as insurance status and visit frequency, are not significantly associated with glycemic control in U.S. adults with diabetes after adjustment, whereas male sex and Hispanic ethnicity are linked to poorer control. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study examined how health care access relates to glycemic control among U.S. adults with diabetes.

May 18, 2026CureusOpen Access

Health Care Access and Glycemic Control Among U.S. Adults With Diabetes: Analysis of National Health and Nutrition Examination Survey, 2011–2018

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Key result

Health care access shows no significant association with poor glycemic control in adults with diabetes.

Why the study?

Does health care access improve glycemic control in U.S. adults with diabetes?

Key Points

This study examined how health care access relates to glycemic control among U.S. adults with diabetes.
Cross-sectional analysis using NHANES data from 2011 to 2018
Included adults aged 18 years or older with diabetes
Estimated associations with survey-weighted logistic regression accounting for complex sampling design.
No significant association found between health care access variables and poor glycemic control.
Male sex and Hispanic ethnicity linked to higher odds of poor glycemic control.
Other demographic and clinical variables did not show significant associations.

Study Design

Type

Cross-Sectional

Multicenter

Yes

Structured PICO

Does health care access improve glycemic control in U.S. adults with diabetes?

Population

U.S. adults aged 18 years or older with diabetes from the NHANES 2011-2018 survey.

Exposure

Health care access (including insurance status, usual source of care, and health care visits)

Outcome

Poor glycemic control (defined as glycated haemoglobin [HbA1c] ≥ 7%)surrogate

Discussion

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Implication

Health care access alone is not significantly associated with glycemic control in U.S. adults with diabetes, suggesting that broader social and patient-level factors are critical for improving diabetes outcomes.

Cite This Study

Muoghalu et al. (2026) conducted a cross-sectional in Diabetes. Health care access was evaluated on Poor glycemic control (HbA1c ≥ 7%). Health care access was not significantly associated with poor glycemic control (HbA1c ≥ 7%) among U.S. adults with diabetes.

synapsesocial.com/papers/6a0aace55ba8ef6d83b704ff https://doi.org/10.7759/cureus.108950

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Health Care Access and Glycemic Control Among U.S. Adults With Diabetes: Analysis of National Health and Nutrition Examination Survey, 2011–2018

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Health Care Access and Glycemic Control Among U.S. Adults With Diabetes: Analysis of National Health and Nutrition Examination Survey, 2011–2018

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider