Diabetes care plans are crucial drivers of a person's ability to engage in diabetes self-management, yet Asian Americans may have reduced access to care plans.
Authors examine the association of race and ethnicity, and limited English proficiency (LEP) with receiving a diabetes care plan, and whether LEP status modifies this association. 2013-2022 California Health Interview Survey data were used. Exposures were race and ethnicity, Asian origin groups, and LEP. The outcome of interest was receipt of a diabetes plan. Weighted multivariable logistic regressions were conducted to examine the mentioned association.

Findings: Of 25,642 respondents, Koreans had the lowest rates of receiving a diabetes care plan compared to other Asian origin groups, among those with (42%) and without LEP (68%). Using the aggregate Asian grouping, Asian (vs. white) respondents had 40%  lower odds of receiving a plan, and respondents with (vs. without) LEP had 34% lower odds of receiving a plan. Using disaggregated Asian origin groups, only Chinese respondents and respondents with LEP remained at lower odds of receiving a diabetes care plan. Among those without LEP, Chinese respondents had 64% lower odds of receiving a plan than Hispanic/Latino respondents. Among those with LEP, both Chinese and Korean respondents remained at 77% and 79% lower odds of receiving a plan.