{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:57:21Z","timestamp":1791219441392,"version":"4.1.0"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To characterize gaps in diagnostic coding and pharmacologic treatment among adults with laboratory-confirmed diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study using national commercial and Medicare claims (2017\u20132023) linked to laboratory results. Adults with laboratory-confirmed diabetes and no prior diabetes\/prediabetes were observed for 1 year. Outcomes were type 2 diabetes diagnostic coding and pharmacologic treatment initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 27,650 adults with laboratory-confirmed diabetes, 66.6% received both a diagnosis code and pharmacologic treatment within 1 year; 19.7% received a diagnosis only, 4.1% received treatment only, and 9.6% received neither. Compared with HbA1c 6.5\u20136.9%, higher HbA1c was associated with progressively higher probabilities of diagnostic coding and treatment initiation, whereas greater comorbidity burden was associated with lower probabilities of both outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>One-third of adults with laboratory-confirmed diabetes lacked claims-documented diagnostic coding, treatment, or both, with patterns of care defined by glycemic severity and comorbidity burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc26-1318","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:15:17Z","timestamp":1791216917000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Gaps in Diagnosis and Treatment of Patients With Laboratory-Confirmed Diabetes: A National Cohort Study"],"prefix":"10.2337","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1266-9436","authenticated-orcid":false,"given":"Jim P.","family":"Stimpson","sequence":"first","affiliation":[{"name":"1Department of Health Economics, Systems, and Policy, University of Texas Southwestern Medical Center, Dallas, TX"},{"name":"2Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yixin","family":"Tang","sequence":"additional","affiliation":[{"name":"3Quantitative Biomedical Research Center, Department of Health Data Science and Biostatistics, University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Pena Bojorges","sequence":"additional","affiliation":[{"name":"1Department of Health Economics, Systems, and Policy, University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua M.","family":"Liao","sequence":"additional","affiliation":[{"name":"1Department of Health Economics, Systems, and Policy, University of Texas Southwestern Medical Center, Dallas, TX"},{"name":"2Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,10,5]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1318\/897816\/dc261318.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1318\/897816\/dc261318.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:15:18Z","timestamp":1791216918000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dc26-1318\/172723\/Gaps-in-Diagnosis-and-Treatment-of-Patients-With"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dc26-1318","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"article-number":"dc261318"}}