Diabetes
Human cells consume sugar (glucose) as fuel. Diabetes is a chronic deficiency in the body’s management of this resource, either because the body doesn’t make enough insulin—a hormone that helps usher glucose into cells—or doesn’t effectively use the insulin it produces. The result is too much sugar circulating in the bloodstream, instead of moving into cells to provide energy.
Diabetes is serious, and left untreated it damages many parts of the body over time. Without proper management, it can lead to heart disease, stroke, kidney and/or nerve damage, amputations, a compromised immune system, or vision loss. Diabetes affects nearly 25 percent of Veterans receiving VA care, more than twice the rate of the general population.
HSR’s diabetes research focuses on understanding risk factors such as lifestyle and genetics; developing and evaluating approaches to prevention, monitoring, and management; and addressing complications and related health problems.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term " Diabetes" . Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(recent DIABETES publications)
- Ali B, Samuel R, Kramer JR, Li L, Yu X, Cao Y, Desiderio R, Cholankeril G, Asch SM, El-Serag HB, Kanwal F. Evolving burden of metabolic dysfunction-associated steatotic liver disease and its complications in a US nationwide healthcare system. Hepatology communications. 2026 Jan 1; 10(1):DOI: 10.1097/HC9.0000000000000878.
- Scarlett LD, Solorzano W, Khoshbin K, Villanueva GP, Mangual KS, Tavares M, Santana C, Escobar B, Borrell J, Brumley B, Moin T, Everett E. Impact of a Nurse Practitioner-Led Diabetes Program on Barriers to CGM Use in a Federally Qualified Health Center After Medicaid Expansion. Journal of diabetes research. 2025 Nov 6; 2025:5724236, DOI: 10.1155/jdr/5724236.
- Crowley MJ, Cutrona SL, Jeffreys AS, Anderson S, White BS, Lewinski AA, Amante DJ, McDannold SE, Nevedal AL, King HA, Reardon CM, Opra Widerquist MA, Arasim ME, Sidoli E, Kirshner MA, DeLaughter KL, Hung A, Maciejewski ML, Coffman CJ, Jackson GL. Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System. Journal of general internal medicine. 2025 Nov 4 DOI: 10.1007/s11606-025-09936-2.
- Shannon EM, Chen L, Yuan A, Chary A, Gabrielian S, Eisenman DP, Washington DL. Extreme Heat, Social Factors, and Mortality Among California Veterans With Cardiometabolic Disease. JAMA Network Open. 2025 Nov 3; 8(11):e2545524, DOI: 10.1001/jamanetworkopen.2025.45524.
- Porterfield L, Yu X, Amspoker AB, Johnston CA, Naik AD, Virani SS, Ballantyne CM, Balasubramanyam A, Vaughan EM. Age-related variations in HbA1c improvements: insights from a telehealth-supported community-based intervention. Innovation in aging. 2025 Oct 30; 9(11):igaf121, DOI: 10.1093/geroni/igaf121.
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Publication Briefs
(recent DIABETES Publication Briefs )
- Veterans with Diabetes Receiving Community Primary Care Had Worse Diabetes Care Quality and Higher Costs than Veterans Receiving VA Primary Care
This study compared the quality, costs, and outcomes of community- and VA-provided primary care for Veterans with diabetes over 12 months during FY 2021–2022. Findings showed that Veterans who received community primary care had worse diabetes care quality and higher mean total costs (driven by higher inpatient and prescription drug costs) than Veterans who received VA primary care. There was no d...
Date: August 5, 2024
- Veterans with COVID-19 have Greater Risk of Potentially Preventable Hospitalization than Non-infected Veterans
This study sought to determine whether infection with SARS-CoV-2 is associated with an increased risk of a potentially preventable hospitalization and, if so, how long this association persists after infection. Findings showed that Veterans with COVID-19 had three times greater risk of potentially preventable hospitalization than matched uninfected Veterans within 30 days after infection and more ...
Date: April 10, 2024
- Higher Preventive Health Inventory Use Associated with Improved Quality of Care
This study examined associations between Preventive Health Inventory (PHI) adoption and clinical quality measures at 216 VA primary care clinics nationwide that implemented the PHI and had the highest and lowest PHI use as of February 2021. Findings showed that higher uptake of the PHI was associated with improved quality of diabetes and hypertension care. Compared to the lowest use clinics, the h...
Date: April 17, 2023
- Intervention for Patient-Family Dyads Improves Outcomes for Veterans with Diabetes
Researchers designed the Caring Others Increasing Engagement in Patient Aligned Care Teams (CO-IMPACT) intervention to provide training and tools to adult patient-supporter dyads. This randomized clinical trial evaluated the CO-IMPACT intervention compared with standard care among Veterans with diabetes and HbA1c>8% or systolic blood pressure (SBP)>150mmHg, each with an adult supporter (239 dyads)...
Date: November 14, 2022
- Traumatic Brain Injury May Be a Potentially Novel Risk Factor for Cardiovascular Disease in Veterans
This study sought to determine the association between TBI and subsequent cardiovascular disease (CVD) in post-9/11 era Veterans. Findings showed that post-9/11 Veterans with mild TBI, moderate to severe TBI, and penetrating TBI were more likely to develop CVD compared to Veterans without TBI. Although the risk was highest shortly after injury, TBI remained significantly associated with CVD for ye...
Date: September 6, 2022
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Studies
(recent DIABETES projects
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| Project No. |
Title |
PI |
Funding End |
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IIR 24-083
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Helping Veterans understand their providers' notes with Chatbot-NoteAid |
Yu , Hong |
2029-08-31 |
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ENDA-014-24S
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Optimal first line therapies for patients with Cardiovasular-Kidney-Metabolic (CKM) Syndrome |
Roumie, Christianne |
2029-03-31 |
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IIR 21-176
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Home foot-temperature monitoring through smart mat technology to improve access, equity, and outcomes in high-risk patients with diabetes |
Littman, Alyson |
2027-09-30 |
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CDA 20-273
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Helping Veterans Navigate Dual Pharmacy Benefits |
Hung, Anna |
2027-06-30 |
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IIR 20-042
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Comparative Effectiveness and Safety of Newer and Older Antihyperglycemic Medications |
Al-Aly, Ziyad |
2026-12-31 |
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HSR Briefs, Reports, Newsletters
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Videos
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Podcasts
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