Adequacy of Glycemic, Lipid, and Blood Pressure Management for Patients With Diabetes in a Managed Care Setting

Beaton, Sarah J.; Nag, Soma S.; Gunter, Margaret J.; Gleeson, Jeremy M.; Sajjan, Shiva S.; Alexander, Charles M.
March 2004
Diabetes Care;Mar2004, Vol. 27 Issue 3, p694
Academic Journal
We conducted a retrospective study to evaluate the adequacy of glycemic, lipid, and blood pressure (BP) management for diabetic patients in a managed care organization (MCO). Testing rates for A1C, LDL cholesterol, and BP were 77, 54, and 95%. respectively. The percentage of patients tested who were at goal were 37% for A1C, 23% for LD cholesterol, and 41% for systolic BP. Of the patients in our sample, 72% were treated for glycemi control, 64% were treated for BP control, and only 28% were treated for lipid control. Of the patients who received medication treatment, less than one-third were at goal for A 1C (29%) an, LDL cholesterol (32%), whereas 40% were at goal for systolic BP. We found that although a large percentage of diabetic patients were tested for A1C, LDL cholesterol, and systolic BP, a much smaller percentage had reached their respective goals. More aggressive glycemic, lipid, and BP management appears to be needed t, improve care for these patients.


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