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Diabetes

Baseline: 8.0 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months, as reported in 2006–08 (age adjusted to the year 2000 standard population)
Target: 7.2 new cases per 1,000 population aged 18 to 84 years
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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D-2     (Developmental) Reduce the death rate among persons with diabetes
Baseline: 73.1 deaths per 100,000 population were related to diabetes in 2007 (age adjusted to the year 2000 standard population)
Target: 65.8 deaths per 100,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS
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Baseline: 3.5 lower extremity amputations per 1,000 persons with diagnosed diabetes occurred in 2005–07 (age adjusted to the year 2000 standard population)
Target: Not applicable
Target-Setting Method: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Data Sources: National Health Interview Survey (NHIS), CDC/NCHS; National Hospital Discharge Survey (NHDS), CDC/NCHS
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D-5     Improve glycemic control among persons with diabetes
D-5.1 Reduce the proportion of persons with diabetes with an A1c value greater than 9 percent Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

Baseline: 17.9 percent of adults aged 18 years and older with diagnosed diabetes had an A1c value greater than 9 percent in 2005–08 (age adjusted to the year 2000 standard population)
Target: 16.1 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 53.5 percent of adults aged 18 years and older with diagnosed diabetes had an A1c value less than 7 percent in 2005–08 (age adjusted to the year 2000 standard population)
Target: 58.9 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 53.1 percent of adults aged 18 years and older with doctor diagnosed diabetes had an LDL cholesterol value <100 mg/dl in 2005–08
Target: 58.4 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 51.8 percent of adults aged 18 years and older with diagnosed diabetes had their blood pressure under control in 2005–08 (age adjusted to the year 2000 standard population)
Target: 57.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 55.6 percent of the population aged 2 years and older with diagnosed diabetes had been to the dentist in the past year, as reported in 2008 (age adjusted to the year 2000 standard population)
Target: 61.2 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
Data:
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Baseline: 68.0 percent of adults aged 18 years and older with diagnosed diabetes had at least one foot examination by a health professional in the past 12 months, as reported in 2008 (age adjusted to the year 2000 standard population)
Target: 74.8 percent
Target-Setting Method: 10 percent improvement
Data Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSPO
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Baseline: 53.4 percent of adults aged 18 years and older with diagnosed diabetes had a dilated eye examination in the past year, as reported in 2008 (age adjusted to the year 2000 standard population)
Target: 58.7 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 64.6 percent of adults aged 18 years and older with diagnosed diabetes had a glycosylated hemoglobin measurement at least twice in the past 12 months, as reported in 2008 (age adjusted to the year 2000 standard population)
Target: 71.1 percent
Target-Setting Method: 10 percent improvement
Data Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSPO
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Baseline: 33.6 percent of Medicare beneficiaries with diabetes obtained an annual urinary microalbumin measurement in 2007
Target: 37.0 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 64.0 percent of adults aged 18 years and older with diagnosed diabetes performed self-blood glucose-monitoring at least once daily in 2008 (age adjusted to the year 2000 standard population)
Target: 70.4 percent
Target-Setting Method: 10 percent improvement
Data Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSPO
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Baseline: 56.8 percent of adults aged 18 years and older with diagnosed diabetes reported they ever received formal diabetes education in 2008 (age adjusted to the year 2000 standard population)
Target: 62.5 percent
Target-Setting Method: 10 percent improvement
Data Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC/PHSPO
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Baseline: 72.8 percent of adults aged 20 years and older with diabetes had been diagnosed, as reported in 2005–08 (age adjusted to the year 2000 standard population)
Target: 80.1 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
Data:
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D-16     Increase prevention behaviors in persons at high risk for diabetes with prediabetes
Baseline: 44.6 percent of adults aged 18 years and older who were at high risk for diabetes with prediabetes reported increasing their levels of physical activity in 2005–08 (age adjusted to the year 2000 standard population)
Target: 49.1 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 50.0 percent of adults aged 18 years and older who were at high risk for diabetes with prediabetes reported controlling or trying to lose weight in 2005–08 (age adjusted to the year 2000 standard population)
Target: 55.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 48.5 percent of adults aged 18 years and older who were at high risk for diabetes with prediabetes reported reducing the amount of fat or calories in their diet in 2005–08 (age adjusted to the year 2000 standard population)
Target: 53.4 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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