Dulce Alarcon Yaquetto

Thesis title:

The economic and social cost of type 2 diabetes by health inequalities


The prevalence of type 2 diabetes (T2D) is rising secondary to the obesity epidemic and aging population. T2D is a progressive condition and it can take 5-10 years before diabetes complications emerge. Despite effective lifestyle and pharmacological interventions around half of patients do not have effective blood glucose control. It was estimated that around 10% of the NHS’s budget is spent on managing diabetes and its complications. This estimate is now outdated and there is a lack of understanding as to how the trajectory of the cost of diabetes care changes over time, and whether health inequalities in particular ethnicity and socioeconomic deprivation accelerate the cost of diabetes. This study will first review the current literature on the prospective costs of type 2 diabetes. Second, it will conduct a secondary analysis of a) routine primary care records and b) research cohort of incident T2D patients who have now had their condition for over 10 years and identify subgroups most at risk of higher costs. Third, interviews with commissioners and patients with T2D to understand the barriers and facilitators of diabetes care will be held. These results will support population health integrated management systems to help target support to those at highest risk of developing complications.

First supervisor:

Khalida Ismail


2-Life Course, Psychology, & Health





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