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Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region


Diabetes prevalence ranged from 6.6% to 13.0%. Of the counties analyzed, 78 were economically distressed, 104 were at-risk, and 238 were not distressed. Seven of the programs were located in distressed counties, 28 programs were in at-risk counties, and 154 were in counties that were not distressed. Although 124 counties in the region had 1 or more programs, 296 counties had no programs.

Bivariate choropleth maps of counties in the Appalachian region in 2021 showing the number of accredited or recognized programs offering diabetes self-management education and support (DSMES) services, by diabetes prevalence (Map A) and by county economic status of not distressed, at-risk, and distressed, as defined by the Appalachian Regional Commission (ARC) (Map B). Sources: ARC county data (14), American Diabetes Association or accredited by the Association of Diabetes Care and Education Specialists (DSMES program data); and diabetes prevalence (13).

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