Disease Management Diabetes Results: Represents Health Disparities Collaborative for Diabetes Overall CAP Results

Enrollment Facility (Table) Facility Cabin Creek Family Care Charleston Family Care Teays Valley New River Health Center North Fayette Family Health Center Riverside Health Center Total Valid FrequencyPercentValid Percent Cumulative Percent

Hemoglobin A1c Test Within Past 6 Months HD= Health Disparities Collaborative Data CAP= Overall CAP Program ABCD Clinic Percent

Average Hb A1c Values ABCD Clinic HD= Health Disparities Collaborative Data CAP= Overall CAP Program

Average Hb A1c Values (2 nd reading) ABCD Clinic HD= Health Disparities Collaborative Data CAP= Overall CAP Program

Documented Patient Self-Management ABCD Clinic Perecent HD= Health Disparities Collaborative Data CAP= Overall CAP Program

Aspirin Use ABCD Clinic Percent HD= Health Disparities Collaborative Data CAP= Overall CAP Program

Microalbuminuria Screening ABCD Clinic Percent 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 9.0 baseline 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 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: West Virginia Healthy People 2010 Objectives Michigan Diabetes Program American Diabetes Association National Diabetes Education Program Internet Links for further information

The American Association of Clinic Endocrinologists has created Medical Guidelines for the Management of Diabetes Mellitus Preventive-Care Practices Among Persons with Diabetes from Morbidity & Mortality Weekly Report Patient Diabetes Management Schedule Management-Schedule-patient.pdf Management-Schedule-patient.pdf Internet Links for further information

Professional Diabetes Management Schedule numbers-at-a-glance.PDF numbers-at-a-glance.PDF Diabetes Goal Contract National Data Facts facts.htmhttp://publichealth.state.ky.us/diabetes-national- facts.htm Internet Links for further information