This paper studies the spillovers of global liquidity and monetary policy divergence from advanced economies to Vietnam. Applying the structural Bayesian Vector Auto-Regressive model with Sims–Zha prior distribution, we find that unconventional monetary policy shocks of major central banks led to a reduction in inflation and short-term interest rate as well as an appreciation of local currency in Vietnam. However, market liquidity provided by surge in the cross-border credit flow led to a temporary upward pressure on inflation, interest and foreign exchange rates. Both types of global liquidity caused an insignificant effect on stock price which evidence the dominance of traditional interest rate and bank-lending over asset price channels in Vietnam. When disintegrating the effects among the monetary shocks from the US, European Union and Japan, the empirical result reveals some evidence of contradictory effects. Accordingly, GDP decreased after Fed’s asset purchase while it slightly increased following the same action from European Central Bank. Quantitative easing shocks also caused a depreciation in USD and Euro, resulting in a decrease in foreign exchange rate but large-scale asset purchase from the Bank of Japan is translated into an upward trend in the exchange rate.
Diabetes outcomes are affected by socioeconomic factors including health insurance. While some research has examined the impact of health insurance in people with type 1 diabetes (T1D) (e.g., disruptions in health insurance on health outcomes) , it is less clear whether health insurance type (e.g., private versus government-sponsored) shares a unique association with diabetes outcomes. Thus, we examined relationships between demographics, socioeconomic status, and health insurance type with HbA1c in adults in the T1D Exchange Registry - an online longitudinal study of people living with T1D. Participants (N = 7725) were 42.2 years old (SD = 14.6) on average and 75.4% reported their gender as female. Most participants (92.2%) reported their race as White and 5.1% identified as Hispanic. Many participants used insulin pumps (71.3%) and continuous glucose monitors (CGM, 83.0%) . Self-reported HbA1c was 7.3% (SD = 1.58) on average. Health insurance type was categorized into private (79.0%) , Medicaid (9.6%) , Medicare (9.5%) , or no health insurance (1.9%) . Health insurance type, demographic factors (i.e., age, gender, race, ethnicity) , socioeconomic factors (i.e., income, education level) , and diabetes technology use (i.e., insulin pump, CGM) were entered simultaneously into a linear regression with HbA1c as the outcome variable. Private insurance was used as the reference group. Statistical significance was set at p < .05. We found lower HbA1c was associated with identifying race as White (Β = -0.21) , having higher income (Β = -0.10) , having higher education (Β = -0.17) , using an insulin pump (Β = -0.46) and using CGM (Β = -0.72) . Higher HbA1c was associated with identifying as female (Β = 0.14) and having either Medicaid (Β = 0.23) or no health insurance (Β = 0.30) . These results suggest, above and beyond other socioeconomic and demographic factors, health insurance type may contribute to small but meaningful differences in HbA1c. Disclosure C.Kelly: None. H.Nguyen: None. J.Liu: None. K.S.M.Chapman: None. M.Peter: None. C.Leon: None. K.Laferriere: None. J.Ravelson: None. W.Wolf: None.
Use of automated insulin delivery (AID) in people with type 1 diabetes (T1D) has increased in recent years. We analyzed data from the T1D Exchange Registry - an online longitudinal study following adults and children with T1D - to describe characteristics of AID use and its association with self-reported HbA1c, occurrence of diabetic ketoacidosis (DKA) symptoms, and occurrence of severe hypoglycemia events (SHE) . Of 12,065 participants (69.5% female, 87.5% non-Hispanic White, mean age 37.9 yrs, mean T1D duration 19.9 yrs) , 26.4% reported using AID, 43.6% using insulin pump without AID, and 30.0% using multiple daily injections (MDI) . Private insurance was reported in 77.4% of AID users, 74.9% pump without AID, and 66.3% MDI. Among the 3,185 AID users, 50.6% used predictive low glucose suspend (PLGS) features, including Medtronic 640G and Tandem Basal-IQ; 49.4% used hybrid closed-loop (HCL) , including DIY looping, Medtronic Auto Mode, and Tandem Control-IQ. Average HbA1c was lower in AID users than those using MDI and pump without AID; Incidence of SHE was lower among HCL users compared with PLGS users and AID users compared with MDI users (Table 1) . These cross-sectional real-world data support findings of previous clinical studies showing significant improvements in HbA1c with AID use, with HCL use providing additional protection against SHE. Disclosure J.Liu: None. W.Wolf: None. K.Miller: Research Support; Dexcom, Inc., Tandem Diabetes Care, Inc. C.Kelly: None. K.S.M.Chapman: None. M.Peter: None. D.Finan: None. H.Nguyen: None. K.Laferriere: None. C.Leon: None.
Experiences of a severe hypoglycemic event (SHE) , although infrequent occurrences, may interfere with engaging in social activities and increase distress. Previous work in parents suggests having nasal glucagon (NG) - a ready-to-use rescue agent for SHE - alleviates some of these psychosocial concerns. To examine whether young adults also perceived psychosocial benefits from NG, we recruited individuals aged 18-26 with T1D for an online survey. Participants rated the perceived impact of possible SHEs on fully engaging in social activities and distress (‘strongly disagree’ to ‘strongly agree’) and perceived changes since starting NG (‘worsened a great deal’ to ‘improved a great deal’) . Participants then answered questions about preparedness and protection using a validated measure to compare perceptions of NG to a glucagon kit requiring reconstitution. The final sample included 364 young adults (Meanage = 21.6 years; 73.6% female; MeanHbA1c = 7.1%) . Roughly one third of participants (35.4%) agreed/strongly agreed that possible SHEs limited their engagement in social activities. Most participants (63.7%) agreed/strongly agreed that treating a SHE was distressing. Since having NG, 30.9% of participants reported their freedom to engage in social activities improved/greatly improved and 67.4% reported no change. Of those who reported some amount of distress about SHEs (n = 326) , 49.7% reported their distress improved/greatly improved (i.e., reduced) and 48.8% of participants reported no change. Participants reported greater positive perceptions of Preparedness/Protection with NG (Median = 5.9, IQR = 5.1-6.3) compared to the glucagon kit requiring reconstitution (Median = 4, IQR = 3-4.9) as analyzed with a Wilcoxon signed rank test (p < .001) . Our results suggest that NG may provide meaningful psychosocial benefits for young adults, which could be especially important as they navigate this transitional age for diabetes management. Disclosure C. S. Kelly: None. H. Nguyen: None. W. Luo: Other Relationship; Lilly, Sanofi. K. S. M. Chapman: None. J. Poon: Employee; Eli Lilly and Company. Stock/Shareholder; Eli Lilly and Company. L. A. Baker: None. W. Wolf: None. M. Perez-Nieves: Employee; Eli Lilly and Company. Stock/Shareholder; Eli Lilly and Company. B. Mitchell: Employee; Eli Lilly and Company. Stock/Shareholder; Eli Lilly and Company. Funding Eli Lilly and Company
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