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
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
Download citation file:
Published: Ann Intern Med. 2002;136(8):565-574.
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.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Cardiology, Endocrine and Metabolism, Diabetes, Healthcare Delivery and Policy, Coronary Risk Factors.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only