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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 78.4 66.2 72.3 68.5 58.1 52.0
Alaska 55.9 58.3 72.0 65.9 59.1 62.0
Arizona 67.1 67.2 66.5 60.4 52.9 50.2
Arkansas NAb NA NA NA NA 57.8
California 58.5 65.4 75.8 58.6 59.5 51.8
Colorado 73.1c 60.4c 69.0c 62.2c 68.9c 61.5
Connecticut 62.7 69.4 74.6 58.1 51.3 58.6
Delaware 64.5 71.3 66.9 61.4 50.5 57.2
District of Columbia 67.1 74.9 77.3 68.8 65.0 54.4
Florida 66.6 68.5 71.8 60.1 56.8 47.1
Georgia 68.8 67.4 74.4 68.9 59.7 50.0
Hawaii 59.1 68.2 75.0 58.0 52.5 69.3
Idaho 69.3d 61.9d 60.9d 59.3d 57.2d 58.1
Illinois 53.2 61.3 70.9 62.7 60.2 49.7
Indiana 62.6 62.6 68.5 66.3 61.7 55.2
Iowa 67.7 76.5 78.9 63.9 64.3 63.2
Kansas 69.1 68.5 70.8 62.2 59.8 55.6
Kentucky 70.3 60.2 73.7 68.8 51.7 54.8
Louisiana 72.3 67.0 71.3 66.6 56.0 52.8
Maine 61.5 73.1 78.8 58.5 62.6 66.5
Maryland 67.5 68.1 75.2 61.9 51.2 57.5
Massachusetts 58.0 75.7 74.6 62.0 50.3 66.4
Michigan 61.5 68.1 70.5 59.0 53.0 55.4
Minnesota 60.0 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 64.8 60.6 68.3 57.0 63.2 61.0
Nebraska 66.7 65.1 74.3 65.0 62.7 64.0
Nevada 64.9 63.9 63.0 58.3 55.6 48.6
New Hampshire 59.5 72.0 76.7 61.3 63.3 65.4
New Jersey 59.6 69.7 71.5 59.7 43.7 52.0
New Mexico 66.6 65.7 73.3 68.4 60.1 63.7
New York 64.9 67.0 71.4 66.9 40.9 57.6
North Carolina 76.0 67.2 73.0 63.3 56.1 58.4
North Dakota 58.0 65.6 67.2 60.5 58.8 63.1
Ohio 62.9 65.2 68.0 62.7 56.0 51.9
Oklahoma 69.5d 56.2d 70.2d 60.6d 60.7d 59.2
Oregon 66.2 61.4 68.4 64.5 67.8 54.2
Pennsylvania 62.5 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 67.6 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 75.4 68.6 72.6 73.2 52.1 55.8
Texas 61.1 61.5 67.5 62.4 59.8 54.2
Utah 53.8 62.2 68.7 61.6 62.0 62.4
Vermont 61.2 67.2 79.3 60.0 55.2 68.4
Virginia 70.1 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 79.4 66.9 69.7 67.9 44.6 59.1
Wisconsin 51.0 72.4 73.5 60.1 59.4 62.4
Wyoming 66.7 59.4 66.0 59.3 57.7 54.5

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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