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Diabetes Report Card 2012: National and State Profile of Diabetes and Its Complications
 

Preventive Care Practices and Quality of Care
 

Diabetes complications are debilitating, costly, and sometimes deadly. Diabetes complications tend to be more common or more severe among people whose diabetes is poorly controlled. Diabetes control, achieved through diabetes care and management and clinical preventive care practices, keeps people with diabetes healthy and can improve health outcomes.

Preventive care practices are essential to diabetes care. Figure 4 shows the percentage of U.S. adults with diagnosed diabetes who received some of the preventive care practices recommended for them during the survey period of 2009–2010. Examples include annual eye exams, annual foot exams, and daily monitoring of blood glucose. Several of the national health objectives in Healthy People 2020 call for increasing the percentage of people with diabetes who are practicing these recommendations.

Table 3 presents state-level percentages of U.S. adults with diabetes who report receiving the recommended preventive care practices. State-specific trend data for these services are available at http://apps.nccd.cdc.gov/DDTSTRS/StateSurvData.aspx.

Figure 4. Percentage of U.S. Adults Aged >18 Years with Diabetes Who Report Receiving Preventive Care Practices, by State, 2009–2010
Figure 4 shows the percentage of U.S. adults aged 18 years or older with diabetes who report receiving preventive care practices during 2009–2010. Only about 50% got an annual flu vaccination, but more than 68% had their A1c level checked twice a year as recommended. The data in this figure were age-adjusted; see the Technical Notes section of the report for more details. This figure uses Behavioral Risk Factor Surveillance System data from the National Diabetes Surveillance System.
Data were adjusted. See Technical Notes for more details.
Source: National Diabetes Surveillance System, National Health Survey data.

Table 3. Percentage of U.S. Adults Aged >18 Years with Diabetes Who Report Receiving Preventive Care Practices, by State, 2009–2010a

State Annual Foot
Exam 		Annual
Eye
Exam 		A1c Checked >2 Times
a Year 		Daily Self-Monitor of
Blood Glucose 		Ever Attended Diabetes Self-Management Class Annual
Flu
Vaccine
Alabama 71.5 66.2 72.3 68.5 58.1 52.0
Alaska 71.3 58.3 72.0 65.9 59.1 62.0
Arizona 68.2 67.2 66.5 60.4 52.9 50.2
Arkansas NAb NA NA NA NA 57.8
California 64.9 65.4 75.8 58.6 59.5 51.8
Colorado 73.1c 60.4c 69.0c 62.2c 68.9c 61.5
Connecticut 72.7 69.4 74.6 58.1 51.3 58.6
Delaware 75.1 71.3 66.9 61.4 50.5 57.2
District of Columbia 81.9 74.9 77.3 68.8 65.0 54.4
Florida 71.1 68.5 71.8 60.1 56.8 47.1
Georgia 70.7 67.4 74.4 68.9 59.7 50.0
Hawaii 74.0 68.2 75.0 58.0 52.5 69.3
Idaho 69.3d 61.9d 60.9d 59.3d 57.2d 58.1
Illinois 72.8 61.3 70.9 62.7 60.2 49.7
Indiana 72.9 62.6 68.5 66.3 61.7 55.2
Iowa 78.0 76.5 78.9 63.9 64.3 63.2
Kansas 69.0 68.5 70.8 62.2 59.8 55.6
Kentucky 67.5 60.2 73.7 68.8 51.7 54.8
Louisiana 72.1 67.0 71.3 66.6 56.0 52.8
Maine 85.8 73.1 78.8 58.5 62.6 66.5
Maryland 75.8 68.1 75.2 61.9 51.2 57.5
Massachusetts 77.8 75.7 74.6 62.0 50.3 66.4
Michigan 70.7 68.1 70.5 59.0 53.0 55.4
Minnesota 80.9 72.6 73.7 60.8 77.1 71.4
Mississippi 67.7d 60.1d 72.3d 71.9d 46.0d 50.8
Missouri 74.2c 64.6c 74.5c 60.3c 58.2c 61.8
Montana 73.5 60.6 68.3 57.0 63.2 61.0
Nebraska 74.5 65.1 74.3 65.0 62.7 64.0
Nevada 60.3 63.9 63.0 58.3 55.6 48.6
New Hampshire 80.5 72.0 76.7 61.3 63.3 65.4
New Jersey 67.5 69.7 71.5 59.7 43.7 52.0
New Mexico 74.8 65.7 73.3 68.4 60.1 63.7
New York 75.9 67.0 71.4 66.9 40.9 57.6
North Carolina 75.9 67.2 73.0 63.3 56.1 58.4
North Dakota 78.1 65.6 67.2 60.5 58.8 63.1
Ohio 70.5 65.2 68.0 62.7 56.0 51.9
Oklahoma 69.5d 56.2d 70.2d 60.6d 60.7d 59.2
Oregon 72.5 61.4 68.4 64.5 67.8 54.2
Pennsylvania 73.4 67.2 78.1 63.2 57.3 62.0
Rhode Island 76.8c 76.1c 72.9c 58.7c 47.3c 62.5
South Carolina 73.0 62.8 73.6 65.3 57.1 50.9
South Dakota 74.9d 66.5d 73.8d 55.0d 62.3d 67.1
Tennessee 70.9 68.6 72.6 73.2 52.1 55.8
Texas 68.0 61.5 67.5 62.4 59.8 54.2
Utah 71.3 62.2 68.7 61.6 62.0 62.4
Vermont 81.6 67.2 79.3 60.0 55.2 68.4
Virginia 74.4 70.9 72.4 60.1 60.9 58.4
Washington 74.2c 66.3c 72.1c 63.6c 65.5c 59.8
West Virginia 67.5 66.9 69.7 67.9 44.6 59.1
Wisconsin 77.4 72.4 73.5 60.1 59.4 62.4
Wyoming 64.7 59.4 66.0 59.3 57.7 54.5
Puerto Rico 45.5 57.2 71.9 44.1 32.9 16.8
Virgin Islands 65.5 63.2 57.8 49.4 34.1 37.2

a Data were age-adjusted. See Technical Notes for more details.
b Data not available for 2009 or 2010.
c Only 2009 estimates available.
d Only 2010 estimates available.
Source: National Diabetes Surveillance System, Behavioral Risk Factor Surveillance System data.

 

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