DIABETES AND THE ENDOCRINE PANCREAS I: Edited by Matthew J. FreebyMaximizing diabetes education efforts in vulnerable populations – newer delivery conceptsTorres, Hugo A.; Schmidt, Vanessa A. Author Information Division of Endocrinology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA Correspondence to Vanessa A. Schmidt, MD, 2020 Santa Monica Blvd, Suite 550, Santa Monica, CA 90404, USA. Tel: +1 310 828 1050; fax: +1 310 828 2382; e-mail: [email protected] Current Opinion in Endocrinology & Diabetes and Obesity: February 2022 - Volume 29 - Issue 1 - p 23-28 doi: 10.1097/MED.0000000000000688 Buy Metrics Abstract Purpose of review Patients from ethnic/minority backgrounds or low socioeconomic status face numerous barriers to achieving ideal diabetes care goals. The purpose of this review is to describe the burden of diabetes in vulnerable populations; discuss the etiologic factors leading to health disparities in diabetes; and present challenges and solutions to improving diabetes care through novel diabetes self-management education and support interventions. Recent findings Recent interventions to alleviate health disparities utilize a combination of community health workers, peer leaders and technology-based approaches to provide diabetes self-management education and support and overcome barriers to diabetes control such as low literacy, difficulty with transportation, and cultural beliefs. These interventions achieve clinically meaningful improvements in blood glucose control as measured by haemoglobin A1C and are effective in addressing psychosocial outcomes such as diabetes distress. Research is underway to address food insecurity through food delivery and use behavioural economics principles to provide financial incentives to diabetes control. Summary Combining human interaction through peer or community health worker led diabetes educational efforts and support with technology-based interventions shows promise in improving diabetes outcomes for vulnerable populations. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.