Mariam Antony

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There are many issues related to noncommunicable disease care in federal prisons, which fall under the management of the U.S. Bureau of Prisons, a federal agency. Although there are many noncommunicable diseases, this comment specifically focuses on diabetes because of its prevalence (how common it is in individuals), especially in incarcerated individuals. Prison and incarceration are not conducive to the management of diabetes because diabetes may not even show symptoms until an individual mismanages the disease for a long time. An individual could first appear normal and then suffer a diabetic emergency, which could lead to consequences like heart attack and stroke. The question explored in this note is whether the mismanagement of diabetic care within the federal prison system is contributing to the worsening condition of an incarcerated diabetic. The note will focus on the federal prison system because federal prisons under the U.S. Bureau of Prisons play an important role in serving as models for local and state jails, which face similar obstacles when it comes to diabetes management.