Healthy Trends: Diabetes

National Data

Healthy People 2010 identifies national health objectives for the year 2010.

Data 2010 finds the latest data for each objective. Search Data 2010 by objective number: e.g., 14-04 or 27-13, where the first number refers to one of 28 chapters or “focus areas” and the second refers to the objective number within the focus area.

Examples of diabetes-related data from these sources:

Measure Population Recent Data (year)† Goal for 2010‡ Obj #
New cases diabetes-3-year average (age-adjusted per 1,000 standard population, aged 18-84 years) All 6.4
(1999-2001)
2.5 05-02
Asian 7.8
(1999-2001)
Black/African Am. 9.5
(1999-2001)
Hispanic/Latino 9.8
(1999-2001)
Prevalence of diabetes (age-adjusted per 1,000 standard population) All 48
(2001)
25 05-03
Am. Indian/Alaskan Native 106
(2001)
Asian 37
(2001)
Black/African Am. 77
(2001)
Hispanic/Latino 69
(2001)
Diabetes-related deaths (age-adjusted per 1,000 standard population) Persons with diabetes 7.9
(2001)
7.8 05-06
Lower extremity amputations-3-year average (age-adjusted per 1,000 standard population) Persons with diabetes 6.0
(1998-2000)
1.8 05-14
Annual foot exams Persons with diabetes aged 18+ 65%
(2001)
75% 05-14
Self-glucose-monitoring at least once per day Persons with diabetes 18+ 57%
(2001)
60% 05-17

†2001 data taken from Data 2010.
‡2010 goals taken from Healthy People 2010.

State Data

CDC’s Diabetes Surveillance System compiles and translates data from multiple sources, including the Behavioral Risk Factor Surveillance System, the National Hospital Discharge Survey, the U.S. Bureau of the Census, and several others.

Example of Diabetes Surveillance System data:

In twenty-three states (AL, AZ, FL, GA, HI, KY, MN, MD, MI, MT, NY, NJ, NC, ND, OK, OH, OR, SC, SD, TN, WA, WY, and WV), the age-adjusted prevalence of diabetes was at least 50% higher in 2002 than in 1994. In 2002, the crude prevalence of diagnosed diabetes ranged from a high of 10.2 percent in Puerto Rico to a low of 3.8 percent in Alaska.

Health Plan Data

HEDIS or the Health Plan Employer Data and Information Set measures the performance of more than 500 commercial, Medicaid and Medicare managed care organizations (MCOs) to allow consumers to compare MCOs. The National Committee for Quality Assurance’s annual State of Health Care Quality report provides an overview of MCOs’ performance. Diabetes data from this report is provided below.

Comprehensive Diabetes Care: Commercial Rates, 1999-2002
Measure 1999 2000 2001 2002
Eye Exams 45.5 48.1 52.1 51.7
Hemoglobin
A1c Testing
75.0 78.4 81.4 82.6
Lipid Control 36.7 44.3 49.8 54.8
Lipid Profile 69.0 76.5 81.4 85.1
Monitoring Diabetic
Nephropathy
36.0 41.4 46.3 51.8
Poor Hemoglobin A1c
Control*
44.9 42.5 36.9 33.9

 

Comprehensive Diabetes Care: Medicaid & Medicare Rates, 2000-2002
Measure Medicaid Medicare
  2000 2001 2002 2000 2001 2002
Eye Exams 43.1 46.4 47.1 62.8 66.0 68.4
Hemoglobin A1c Testing 68.5 71.7 74.0 82.5 85.7 85.0
Lipid Control 32.0 38.9 43.9 50.9 57.5 62.6
Lipid Profile 59.6 66.6 71.7 80.5 85.7 87.9
Monitoring Diabetic
Nephropathy
38.9 42.3 47.8 45.0 51.9 57.3
Poor Hemoglobin A1c
Control*
54.9 48.3 48.2 33.4 26.8 24.5

*Lower rates are better than higher ones for this measure.

Measure Definition: Percentage of health plan members with Type 1 and Type 2 diabetes that were ages 18-75 and, during the measurement year, had: 1) a hemoglobin A1c test, 2) poorly controlled hemoglobin A1c (level greater than 9.5 percent), 3) a serum cholesterol level screening, 4) their cholesterol level (LDL-C) controlled to less than 130 mg/dL, 5) an eye exam, and 6) screening for kidney disease (microalbuminuria test).