Table 2—

Diabetes-related risk factor control and other quality-of-care measures

General medicineDiabetes/ endocrinologyP value
Risk factor control*
HbA1c
    Measured in prior year1,136 (96.7)583 (98.8)0.01
    Patients at goal34.0%34.0%0.7
    Mean value (%)8.1 ± 2.17.9 ± 1.80.01
Blood pressure
    Measured in prior year1,142 (97.2)563 (95.4)0.08
    Patients at goal30.4%38.2%0.01
    Mean value (mmHg)
        Systolic136.0 ± 19.9132.1 ± 20.50.01
        Diastolic75.7 ± 11.773.3 ± 11.1<0.01
Total cholesterol
    Measured in prior year1,029 (87.6)513 (86.9)0.9
    Patients at goal64.2%66.9%0.2
    Mean value (mg/dl)189.7 ± 47.5187.1 ± 62.40.2
LDL cholesterol
    Measured in prior year963 (82.0)490 (83.0)0.4
    Patients at goal45.8%52.9%<0.01
    Mean value (mg/dl)108.9 ± 38.8102.1 ± 38.0<0.01
Other quality measures
    Documented foot examination, prior year415 (35.2)375 (63.6)<0.01
    Documented retinal examination, prior year489 (41.6)327 (55.4)<0.01
    Urine albumin screening, prior year464 (39.5)384 (65.1)<0.01
    Self-glucose monitoring641 (54.6)520 (88.1)<0.01
    Smoking assessment, prior year464 (39.5)246 (41.7)0.4
    Antiplatelet therapy/patients with coronary artery disease311/967 (32.1)166/463 (35.9)0.2
  • Data are means ± SD, n (%), or percentages.

  • *

    * All risk factor control P values adjusted for age. Goals are as follows: HbA1c <7.0%, blood pressure <130/80 mmHg, total cholesterol <200 mg/dl, and LDL cholesterol <100 mg/dl. Patients at goal = among patients with measured risk factors.