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Disease Management
Diabetes Results:
Represents Health Disparities Collaborative for Diabetes
Overall CAP Results
Enrollment Facility (Table)Facility
240 30.2 30.2 30.2
283 35.6 35.6 65.7
84 10.6 10.6 76.3
110 13.8 13.8 90.1
5 .6 .6 90.7
74 9.3 9.3 100.0
796 100.0 100.0
Cabin Creek
Family Care Charleston
Family Care Teays Valley
New River Health Center
North Fayette Family
Health Center
Riverside Health Center
Total
Valid
Frequency Percent Valid Percent
Cumulative
Percent
Hemoglobin A1c Test Within Past 6 Months
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
0102030405060708090
100
A B C D
Clinic
Per
cen
t
Average Hb A1c Values
0.01.02.03.04.05.06.07.08.09.0
10.0
A B C D
Clinic
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
Average Hb A1c Values (2nd reading)
0.01.02.03.04.05.06.07.08.09.0
10.0
A B C D
Clinic
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
Documented Patient Self-Management
0102030405060708090
100
A B C D
Clinic
Per
ecen
t
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
Aspirin Use
0102030405060708090
100
A B C D
Clinic
Per
cen
t
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
Microalbuminuria Screening
0102030405060708090
100
A B C D
Clinic
Per
cen
t
HD= Health Disparities Collaborative Data CAP= Overall CAP Program
Type 1 diabetes accounts for 5-10% of diabetes. Type II for 90-95%
During pregnancy, 2-5% of women develop gestational diabetes, which disappears after their babies are born
Diabetes is the leading cause of adult blindness. Diabetes is the leading cause of end-stage kidney disease. Diabetes nerve damage affects about 65% of people with diabetes.
Diabetes is the leading cause of lower limb amputations. Compared with non-diabetic population, people with diabetes have 15 times the risk.
Diabetics are three times more likely than non-diabetics to suffer heart attack or stroke.
LATEST DIABETES STATISTICS
Hemoglobin A1c
The HgA1c is the gold standard for diabetes care. To help prevent diabetes complications, the HgA1c should be maintained at 7% or below according to the Diabetes Control and Complications Trial (DCCT) and United Kingdom Prospective Diabetes Study (UKPDS) findings.
According to the United Kingdom Prospective Diabetes Study for every percentage point decrease in HbA1c (e.g. 9 to 8 percent), there was a 35 percent reduction in the risk of micro vascular complications. (ADA, Clinical Practice Recommendations, 2002).
NATIONAL SHARED TREATMENT OBJECTIVES Health Disparities Collaborative for Diabetes
>90% of diabetics with 2 HbA1c tests within the last year <25% baseline
Average HbA1c value <8.0 >9.0 baseline
West Virginia Health People 2010 Objectives - DiabetesObjective 5.6. Increase to 85% the proportions of persons with diabetes who have a glycosylated hemoglobin (HemoglobinA1c) measurement at least once per year. (Baseline: 15.9% in 1988)
Data Sources: West Virginia Bureau of Public Health (WVBPH) - Office of Epidemiology and Health Promotion (OEHP), Behavioral Risk Factor Surveillance System (BRFFS) & April 2000, West Virginia Department of Health and Human Resources Bureau for Public Health
While the objective is for more than 90% of the nation’s diabetics to have 2 Hemoglobin tests within the last year, currently less than 25% have 2 such tests. While the objective is for the average value to become less than 8, the current average value is greater than 9.
Health Disparities Collaborative – Diabetes: http://www.healthdisparities.net/collaboratives_diabetes.htm
West Virginia Healthy People 2010 Objectiveshttp://www.wvdhhr.org/bph/hp2010/objective/contents.html
Michigan Diabetes Programhttp://www.osophs.dhhs.gov/ophs/BestPractice/MI.htm
American Diabetes Association
http://www.diabetes.org/main/application/commercewf
National Diabetes Education Program http://ndep.nih.gov/materials/puborder/resource.htm#health
Internet Links for further information
The American Association of Clinic Endocrinologists has created Medical Guidelines for the Management of Diabetes Mellitus http://www.aace.com/clin/guidelines/
Preventive-Care Practices Among Persons with Diabetes from Morbidity & Mortality Weekly Report http://www.medscape.com/viewarticle/444031_2
Patient Diabetes Management Schedule http://publichealth.state.ky.us/Programs/Diabetes/Patient%20Diabetes%20Management-Schedule-patient.pdf
Internet Links for further information
Professional Diabetes Management Schedule http://publichealth.state.ky.us/Programs/Diabetes/Mgt-schedule-numbers-at-a-glance.PDF
Diabetes Goal Contract http://www.healthdisparities.net/PatientGoalSetting.pdf
National Data Facts http://publichealth.state.ky.us/diabetes-national-facts.htm
Internet Links for further information
