Heart Disease, Stroke and Diabetes

Diabetes


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Screening for risk factors is an important step in identifying and treating individuals at risk for diabetes. Primary risk factors for diabetes include overweight and obesity, improper diet, and physical inactivity (see Nutrition and Physical Activity). Obesity, a health problem affecting an increasing number of youth and adults, will contribute to the future burden of diabetes and heart disease if current trends are not reversed.

Objective: 
Increase the percentage of adults with diabetes who report having had a glycosolated hemoglobin measurement in the last 12 months.
  NH Baseline 1996-1998 19%23
  US Baseline 1998 24%6
  NH Target 2010 50%

Control of blood sugar (glycemic control) can significantly reduce the risk of complications due to diabetes. The American Diabetes Association recommends that glycosolated hemoglobin, an indicator of glycemic control, be measured twice per year if treatment is stable. Testing should be done more frequently if treatment changes or if levels are elevated. 

Objective: 
Increase the percentage of adults with diabetes who report having had a dilated eye exam in the last 12 months.
  NH Baseline 1996-1998 71%23
  US Baseline 1998  56%6
  NH Target 2010 80%

Early detection of subtle complications from diabetes is essential for the prevention of serious disabilities. Diabetes is the leading cause of kidney failure, lower extremity amputation, and new cases of blindness among adults ages 20 to 74 years. The American Diabetes Association recommends a yearly dilated eye examination to prevent diabetes-related blindness.

 

Long-term Consequences of Uncontrolled Diabetes

Blindness

Amputation

Kidney failure 

Cardiovascular disease

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