Diabetes management interventions for homeless adults: a systematic review

Janice Constance, Joanne M. Lusher*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)
278 Downloads (Pure)


Recent studies investigating diabetes show that inequalities to access appropriate care still persists. Whilst most of the general population are able to access a suitable quality of care, there are a number of groups who fail to receive the same standard. Objective: The objective of this review was to identify existing diabetes management interventions for homeless adults. Method: A literature search was conducted in February 2017, and repeated in September 2020. Results: Of the 223 potentially relevant articles identified, only 26 were retrieved for detailed evaluation, and 6 met the inclusion criteria. Papers focusing on the management of diabetes in homeless people were included. The studies used interventions including diabetes education; medication support and supplies for blood monitoring; improvements in self-care behaviours; improvements in diabetes control; patient empowerment/engagement; and community engagement/partnerships. Conclusion: Effective strategies for addressing the challenges and obstacles that the homeless population face, requires innovative, multi-sectored, flexible and well-coordinated models of care. Without appropriate support, these groups of people are prone to experience poor control of their diabetes; resulting in an increased risk of developing major health complications.
Original languageEnglish
Pages (from-to)1773-1783
Number of pages11
JournalInternational Journal of Public Health
Issue number9
Early online date23 Oct 2020
Publication statusPublished - 31 Dec 2020


  • type 2 diabetes
  • systematic review
  • diabetes management


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