Diabetes is a condition in which a person has a high blood sugar (glucose) level, either because the body doesn’t produce enough insulin, or because body cells don’t properly respond to the insulin that is produced. Insulin is a hormone produced in the pancreas that enables body cells to absorb glucose, to turn into energy. If the body cells do not absorb the glucose, the glucose accumulates in the blood, leading to vascular, nerve, and other complications.

In type 1 diabetes, the body does not produce insulin.

In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin.

In gestational diabetes, pregnant women are affected when their bodies are not able to make and use all the insulin needed for pregnancy.

Effective therapy can prevent or delay diabetic complications. Diabetes lowers life expectancy by up to 15 years, increases the risk of heart disease by 2 to 4 times, and is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness.


  At or better than the Healthy People 2020 goal
  Near the Healthy People 2020 goal
  Room for Improvement
qua_award   Ribbon = best possible value


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NuHealth Ambulatory Services: January 1, 2015 to December 31, 2015
  Ambulatory Quality Measures
NUMC Clinics
Healthy People 2020 Goal
Improve glycemic control among the population with diagnosed diabetes
Reduce the proportion of diabetic patients whose A1c value is greater than 9%

The A1C test gives you a picture of your average blood glucose control for the past 2 to 3 months. Specifically, the A1C test measures what percentage of your hemoglobin — a protein in red blood cells that carries oxygen — is coated with sugar (glycated). The higher your A1C level, the poorer your blood sugar control. An A1c result of greater than 9% would indicate poor control.

Lower is better

  Reduce pts with A1C value >9%
Increase the percent of diabetic patients who had an LDL cholesterol value

People with diabetes tend to have LDL (bad)cholesterol particles that stick to arteries and damage blood vessel walls more easily. This buildup of cholesterol in the arteries increases your risk for cardiovascular disease. Maintaining a LDL target of < 100 mg/dl is the most effective way to protect your heart and blood vessels.

Higher is better

  Increase pts with LDL <100 mg/dl <7%