[acb-diabetics] questin of the week

[Patricia LaFrance-Wolf]

Question fo the week:

What percentage of diabetics have goo control?

A.	7%
B.	B. 14%
C.	C. 43%
D.	D. 63%

 

 

Answer and Critique (Correct Answer =A)

 

Diabetes is the seventh leading cause of death in the United States. The
high death rate is due  in part to the many barriers to care, including
socioeconomic

factors. According to the National Health and Nutritional Examination Survey
(NHANES), only 7% of adults in the United States who have diabetes achieve

desired goals for glycemic control, blood pressure, and lipid levels. NHANES
also shows that only 37% of adults with diabetes achieve a hemoglobin A1c

value of less than 7%. These data underscore the important task that
physicians face in managing this complex illness. Physicians generally favor
the recommendations

of the American Diabetes Association and the American Association of
Clinical Endocrinologists, which call for tight glycemic control based on
hemoglobin

A1c measurements, with a goal of 6.5% or less in most cases. This goal must,
of course, be modified for elderly patients and for patients who have
problems

with or are at high risk of hypoglycemia. Also favored are achieving LDL
cholesterol levels less than 100 mg/dL (2.59 mmol/L) and blood pressures
less

than 130/80 mm Hg. Further recommendations are annual eye examinations and
tests for microalbuminuria in addition to biannual tests of the hemoglobin
A1c

level.

 

Key Point:

 

list of 1 items

. In most American patients who have diabetes, the disease is poorly
controlled. More than 63% of patients who have diabetes have hemoglobin A1c
levels

exceeding 7%, and only 7% of adult patients who have diabetes in the United
States achieve the desired combined goals for glycemic control, blood
pressure,

and lipid levels. 

list end

Bibliography

list of 3 items

1. National Health Examination Survey (NHANES), 1999-2000. Available at: 

www.cdc.gov/nchs/about/major/nhanes/nhanes99_00.htm

. Accessed 3 October 2006. 

2. Saaddine JB, Engelgau MM, Beckles GL, Gregg EW, Thompson TJ, Narayan KM.
A diabetes report card for the United States: quality of care in the 1990s.

Ann Intern Med. 2002;136:565-74. [PMID: 11955024] [

PubMed] 

3. Saydah SH, Fradkin J, Cowie CC. Poor control of risk factors for vascular
disease among adults with previously diagnosed diabetes. JAMA.
2004;291:335-42.

[PMID: 14734596] [

PubMed] 

list end

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