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2005 National Healthcare Quality Report

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Diabetes (continued)

Management: State Variation in Hemoglobin A1c Testing

HbA1c test results reflect the percentage of glycosylated hemoglobin in the bloodstream, which reflects a patient's glucose control. Persons without diabetes typically have an HbA1c level of 5% or lower. As noted above, studies have shown that persons with diabetes that are able to keep their HbA1c level at 7% or less can reduce their risk for complications of the disease.

Figure 2.6. State variation in rates of adult receipt of annual HbA1c test, 2001-2003

Figure 2.6. State variation in rates of adult receipt of annual HbA1c test, 2001-2003. Select [D] Text Description for details.

[D] Select for Text Description.

Source: Centers for Disease Control and Prevention,Behavioral Risk Factor Surveillance System, 2001-2003.

Key: Above average = HbA1c testing is significantly above the all-States average in 2 of last 3 years (2001-2003).

Note: "All-States average" is the average of all responding States, which is a separate figure from the national average.

  • Ten Statesvi were significantly above the all-States average in 2 of the last 3 years (2001-2003), with a combined average rate of 92.1% in 2003 (Figure 2.6).
  • Although the HbA1c testing rates for most reporting States did not change significantly between 2001 and 2003, New Jersey, Tennessee, and Wyoming each showed significant improvement over this time period.

vi The 10 States are Hawaii, Washington, North Dakota, South Dakota, Minnesota, Iowa, Wisconsin, Pennsylvania, Maryland, and Vermont.

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Importance and Measures Management: Controlled Hemoglobin, Cholesterol, and Blood Pressure

 

 

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