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Diabetes

Overview

The program provides resources for clinicians as they follow evidence based clinical practice guidelines in the diagnosis and treatment of patients with Diabetes. The 2010 American Diabetes Association Clinical Practice Recommendations are used as the basis of the program. Click here for the Executive Summary of the Recommendations modified for Community Care of North Carolina (CCNC) Quality Measures and Feedback Process. One page version of the recommendation are available for Adults and Children.

Patient Education

Learning about Diabetes

Measures

  • 1 or more measurement of HbA1c per year
  • A1c control (good) – Most recent HbA1c <8% (patients ? 18 yrs)
  • A1c control (poor) – Most recent HbA1c >9% or no test in past year (patients ? 18 yrs)
  • Lipid Management (good) – Most recent LDL-C is < 100mg/dl (patients ? 18 yrs)
  • Lipid Management (poor) – Most recent LDL-C is > 130 mg/dl or no test in past year (all ages)
  • BP control (good) – Most recent BP <130 systolic and <80 diastolic (patients ? 18 yrs)
  • BP control (poor) – Most recent BP > 140 systolic or >90 diastolic (all ages)
  • Foot exam in past year (patients ? 18 yrs)
  • Claim for an eye exam (patients ? 10 yrs)
  • Nephropathy Screen (patients ? 10 yrs)
  • Smoking status addressed and cessation advice given to smokers (patients ? 10 yrs)
  • Among patients who have been dispensed medication for hypertension and diabetes, % who are NOT receiving an ACE inhibitor or ARB