“…Individuals may use various strategies to cope with these circumstances, both adaptive and maladaptive. Much of the literature describing burden, stress, or coping driven by the financial and resource aspects of managing diabetes includes one or more of these areas based on data availability ( Caraballo et al, 2020 Feb , Mszar et al, 2020 May 18 , Shi et al, 2021 Jun , Blanchette et al, 2021 Aug , Patel et al, 2016 Aug ) Among people with Type 1 diabetes, Blanchette et al found that 21% of the variance in HbA1c is explained by greater financial stress ( Blanchette et al, 2021 Aug ) Using data from the National Health Interview Survey, multiple studies have shown high prevalence of food insecurity, inability to pay medical bills, financial stress, and cost-related non-adherence (CRN) behaviors among people with diabetes ( Patel et al, 2016 Aug , Caraballo et al, 2020 Feb , Mszar et al, 2020 May 18 ). However, these national studies demonstrate associations between those with diabetes and disease-agnostic indicators of burden, stress, and coping behaviors.…”