November is National Diabetes Awareness Month, highlighting a critical opportunity to address diabetes in correctional facilities. The percentage of incarcerated individuals with diabetes is expected to grow as the correctional population ages. In addition, the detained population includes a disproportionate number of racial minorities who are disproportionately likely to have diabetes.
NCCHC Standards require that people with diabetes in detention settings should receive care that meets the same national standards as in the community. The American Diabetes Association emphasizes that timely access to medication, consistent glucose monitoring, and nutrition that supports glycemic control are vital to preventing life-threatening complications such as hypoglycemia and diabetic ketoacidosis (DKA).
Challenges in Corrections:
- Limited access to diabetes-friendly meals.
- Inconsistent medication and glucose monitoring.
- Lack of patient education on managing diabetes.
Opportunities for Impact:
- Empower self-management: The ADA recommends that patients be supported to participate in their own care whenever feasible, including self-monitoring and supervised insulin administration.
- Advocate for healthier food options: Facilities should offer consistent, heart-healthy meals and identify carbohydrate content to aid dietary management.
- Strengthen screening and continuity: Routine screening and clear transfer procedures help prevent medical emergencies and ensure ongoing care during movement between facilities.
The NCCHC Foundation supports correctional health care professionals with resources such as educational webinars and scholarships designed to strengthen chronic disease management.
This month, take action by enhancing patient education, advocating for systemic change, and accessing resources to advance diabetes care. Together, we can make a lasting impact behind the walls—ensuring that every person with diabetes receives the standard of care they deserve.
View the ADA Position Statement on Diabetes Management in Detention Facilities.
