RT Book, Section A1 Egede, Leonard E. A1 Ford, Marvella E. A1 Williams, Joni L. Strom A2 Greenberg, Raymond S. SR Print(0) ID 1108590149 T1 Health Disparities T2 Medical Epidemiology: Population Health and Effective Health Care, 5e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182272-5 LK accesspharmacy.mhmedical.com/content.aspx?aid=1108590149 RD 2024/03/28 AB Two male coworkers were referred by their supervisor to the same primary care physician for annual physical examinations. One patient was a 55-year-old African American man; the other was a 55-year-old European American man. Both men worked at the same job for nearly 30 years and had the same insurance coverage. Both patients were previously diagnosed with diabetes, which was managed by taking oral medications. An indicator of long-term blood glucose levels, the glycosylated hemoglobin A1c (HbA1c), for the African American and European American men, were 10.9% and 8.2%, respectively, which are both elevated. The African American patient had a positive family history of diabetes, with several first-degree relatives having amputations secondary to poor glycemic control. Amputations are performed because of recurrent severe infections of skin ulcerations that cannot be controlled otherwise.