INS and type 1 diabetes mellitus: However, sociodemographic factors associated with Medicaid (e.g., low income, single parenting), rather than Medicaid itself, may be accountable for such challenges as T1DM care and management requires an extensive amount of both tangible and non-tangible resources, such as ready availability of insulin and diabetes supplies and parental supervision (11).We found that an increase in the duration of persistent poor control or in the mean HbA1c level significantly reduced the likelihood of subsequent improvement.