Jinan B. Saaddine, MD; Michael M. Engelgau, MD; Gloria L. Beckles, MD; Edward W. Gregg, PhD; Theodore J. Thompson, MS; K.M. Venkat Narayan, MD
There are no recent national evaluations of diabetes care in the United States.
Using data from two national surveys, this study documents a substantial gap between the recommended and actual care of diabetes in the United States between 1988 and 1995. Many participants had hemoglobin A1c levels greater than 9.5% (18.0%), poorly controlled blood pressure (34.3%), and elevated cholesterol levels (58.0%).
As a nation, the United States is falling short in caring for patients with diabetes. A periodic national “report card” may help us to gauge the success of future efforts to improve.
Data are taken from the Third U.S. National Health and Nutrition Examination Survey (NHANES III), 1988–1994. To convert mmol/L to mg/dL, divide by 0.0259. LDL = low-density lipoprotein.
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Saaddine JB, Engelgau MM, Beckles GL, Gregg EW, Thompson TJ, Narayan KV. A Diabetes Report Card for the United States: Quality of Care in the 1990s. Ann Intern Med. 2002;136:565-574. doi: 10.7326/0003-4819-136-8-200204160-00005
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Published: Ann Intern Med. 2002;136(8):565-574.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Healthcare Delivery and Policy.
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