HealthDay News — Interruptions in private health insurance coverage are common among U.S. adults with type 1 diabetes and are associated with an increase in glycated hemoglobin and in use of acute care services, according to a report published in the July issue of Health Affairs.

In a longitudinal study, Mary A.M. Rogers, Ph.D., from the University of Michigan in Ann Arbor, and colleagues examined the frequency of interruptions in private health insurance and associated outcomes for working-age U.S. adults with type 1 diabetes in 2001 to 2015. Data were included for a sample of 168,612 adults (ages 19 to 64 years) with type 1 diabetes who had 2.6 mean years of insurance coverage overall.

The researchers found that 24.3 percent of the adults experienced an interruption in coverage. There was a 3.6 percent relative increase in glycated hemoglobin for each interruption. After an interruption in health insurance, the use of acute care services was five-fold greater than before the interruption; use remained elevated when stratified by age, sex, or diabetic complications. Lower perceived health status and lower satisfaction with life were associated with an interruption.

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“We conclude that interruptions in private health insurance are common among adults with type 1 diabetes and have serious consequences for their well-being,” the authors write.

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