Disease Management
Diabetes Results:
Represents Health Disparities Collaborative for Diabetes
Overall CAP Results
Enrollment Facility (Table)
Facility
Cumulative
Frequency
Valid
Percent
Valid Percent
Percent
Cabin Creek
240
30.2
30.2
30.2
Family Care Charleston
283
35.6
35.6
65.7
Family Care Teays Valley
84
10.6
10.6
76.3
New River Health Center
110
13.8
13.8
90.1
5
.6
.6
90.7
74
9.3
9.3
100.0
796
100.0
100.0
North Fayette Family
Health Center
Riverside Health Center
Total
Percent
Hemoglobin A1c Test Within Past
6 Months
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
Average Hb A1c Values
10.0
9.0
8.0
7.0
6.0
5.0
4.0
3.0
2.0
1.0
0.0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
Average Hb A1c Values (2
nd
reading)
10.0
9.0
8.0
7.0
6.0
5.0
4.0
3.0
2.0
1.0
0.0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
Perecent
Documented Patient Self-Management
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
Percent
Aspirin Use
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
Percent
Microalbuminuria Screening
100
90
80
70
60
50
40
30
20
10
0
A
B
C
D
Clinic
HD= Health Disparities Collaborative Data
CAP= Overall CAP Program
LATEST DIABETES STATISTICS
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 nondiabetic population, people with diabetes have 15 times the risk.
Diabetics are three times more likely than non-diabetics to suffer heart attack or
stroke.
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
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.
West Virginia Health People 2010 Objectives - Diabetes
Objective 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
Internet Links for further information
Health Disparities Collaborative – Diabetes:
http://www.healthdisparities.net/collaboratives_diabetes.htm
West Virginia Healthy People 2010 Objectives
http://www.wvdhhr.org/bph/hp2010/objective/contents.html
Michigan Diabetes Program
http://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%20
Management-Schedule-patient.pdf
Internet Links for further information
Professional Diabetes Management Schedule
http://publichealth.state.ky.us/Programs/Diabetes/Mgt-schedulenumbers-at-a-glance.PDF
Diabetes Goal Contract
http://www.healthdisparities.net/PatientGoalSetting.pdf
National Data Facts http://publichealth.state.ky.us/diabetes-nationalfacts.htm