Confronting the diabetes disparity: A look at best practices in the Texas-Mexico border region

Diabetes prevalence is higher along United States-Mexico border than in non-border regions. Numerous community-based organizations at the border are addressing the diabetes disparity through prevention and management programs; however, the nature, scope, and effectiveness of these efforts and programs are not well documented. Purpose: This was an exploratory study to identify and describe key characteristics of best practices in diabetes prevention in the Lower Rio Grande Valley (Valley). The Valley is a four-county area located in the easternmost part of the Texas-Mexico border region with a predominately Hispanic, underserved population. Methodology: A survey was administered to 84 community-based organizations in the Valley; 25 community-based organizations responded. Nineteen programs related to diabetes and healthy lifestyle behaviors were identified in this border region. Results: The majority of diabetes programs implemented were based on guidelines of national and state professional associations and agencies, prioritized low-income, minority populations, offered free programs, and conducted program evaluations. Conclusion: Many community-based organizations in the LRGV are actively addressing the diabetes disparity in the region through best practices based on national and state guidelines. Future research should examine the fidelity and effectiveness of diabetes programs along the border.