That is the principal finding from a study of more than 9000 veterans carried out in Tennessee. The study was published online April 4 in the Journal of Rural Health.The investigators, led by Alan Peiris, MD, PhD, who works at both the Veterans Affairs Medical Center and East Tennessee State University, aimed to assess the impact of diabetes and related complications among veterans, particularly those living in rural areas.
The study found that veterans residing in rural communities were at a significantly higher risk of developing diabetes-related complications compared to their urban counterparts. Limited access to healthcare facilities, fewer specialized providers, and socioeconomic factors all contributed to poorer health outcomes.
Dr. Peiris and his team emphasized that rural veterans faced greater challenges in managing their condition due to long travel distances to VA hospitals, limited availability of endocrinologists, and difficulties in obtaining timely medical care. The study highlighted the urgent need for improved healthcare infrastructure, telemedicine services, and targeted diabetes management programs to better support veterans in remote locations.
Furthermore, researchers found that lifestyle factors, including diet and physical activity, played a crucial role in disease progression. Many veterans in rural areas struggled with obesity, hypertension, and lack of exercise—factors that significantly increased their risk of complications such as heart disease, kidney failure, and neuropathy.
The study calls for policy changes and increased funding to bridge the healthcare gap for rural veterans. Experts suggest that expanding telehealth services, improving medication access, and implementing community-based wellness programs could make a significant difference in improving diabetes management among this vulnerable population.
As the veteran community continues to age, addressing these healthcare disparities remains a top priority. Ensuring better support and medical care for those who have served the nation is not just a responsibility—it is a necessity.