Diabetes Care in Low Resource Settings

Background. Diabetes programs are difficult to implement in low-income settings. Mentoring clinics is promising to implement initiatives. We mentored local Community Health Workers (CHWs) to implement a diabetes program for low-income Latino(a)s (N=59) with type 2 diabetes in a twophased approach, each 6-months. Methods. -Phase 1 (training, feasibility assessment): participants randomized to the diabetes program or usual care. CHW-instructors (CHW-Is) led the program, CHWs observed. -Phase 2 (mentoring): CHWs led the program, CHW-Is mentored. -The program included monthly group visits and weekly CHWs/CHWIs-participant telehealth contact. -Outcomes included baseline to 6-month clinical changes i.e., HbA1c, adherence to medications and six American Diabetes Association (ADA) guidelines, CHW pre/posttest scores, and hypoglycemia. Results. Significant outcomes included improved HbA1c levels, medication and ADA adherence, hypoglycemic events, and CHWs test scores.