摘要：Chronic disease management is becoming increasingly important in correctional settings, especially diabetes. We conducted a retrospective chart review of diabetic inmates in San Francisco County Jail and examined the sociodemographic characteristics, markers of disease status, and compliance with jail-specific care guidelines within this setting. We found high rates of compliance with immediate-term care guidelines (e.g., finger-stick glucose and blood pressure checks at intake) but less success in providing the more complex care required for chronic diseases. Inmates’ age, race, and gender did not affect likelihood of meeting guidelines. The growth and aging of the incarcerated population make the care of chronic disease in correctional institutions increasingly important. Diabetes management is particularly challenging because inmates lose control over their medications, mealtimes, and activities. The American Diabetes Association and the National Commission on Correctional Health Care have published comprehensive guidelines for the care of persons with diabetes in correctional settings. 1 , 2 To date, few data are available on adherence to these guidelines. Therefore, we examined diabetes care in the San Francisco County Jail to characterize the demographic and clinical status of the diabetic population and to examine care guideline adherence within the correctional institute.
