New analysis shows that the average care-goal for achieving targets among adults with diabetes has not improved over the past 12 to 15 years. The research, Evaluation of the Cascade of Diabetes Care in the United States, 2005-2016, features in August 12 edition of JAMA Internal Medicine. The study concludes that less than a quarter of people with diabetes (23%) achieved all four diabetes targets (HbA1c, blood pressure, cholesterol and smoking cessation).
The investigation used data from the 2005-2008, 2009-2012, and 2013-2016 cycles of the National Health and Nutrition Examinations Survey (NHANES) to assess care and treatment from diagnosis to combined achievement of cardiometabolic targets. Findings of the study saw 1/4 undiagnosed American adults with fasting glucose-defined and HbA1c defined diabetes. Among those with diagnosed diabetes, 64% achieved individualized HbA1c targets (7.0%-8.5%, depending on age and complications), 70% met blood pressure targets (<140/90 mm Hg), 57% met low-density lipoprotein targets (cholesterol <100 mg/dL), and 85% smoking cessation targets. Only 23% met all composite targets. Of note, are the young adults (18-44), women, non-Hispanic blacks, and uninsured respondents who fared worse than their counterparts. Having health insurance was the strongest predictor of linkage to diabetes care.