Diabetes: Microvascular National Center for Complications Health - - PowerPoint PPT Presentation
Diabetes: Microvascular National Center for Complications Health in Public Housing Diabetes in PHPC Settings Percentage of Patients with Diabetes served by PHPCs 9.2 9.1 9.2 8.83 8.64 8.72 9 8.66 8.67 8.8 8.42 8.6 8.4 8.2 8
National Center for Health in Public Housing
8 8.2 8.4 8.6 8.8 9 9.2 2012 2013 2015 2016
8.42 8.66 8.72 8.83 8.64 8.67 9.1 9.2
All Health Center Programs Public Housing Primary Care
Percentage of Patiens with Uncontrolled Diabetes in PHPC Settings HbA1c>9 HbA1c<9
*psychosocial *environmental *interpersonal *socioeconomic *treatment-related
Diabetes Self- Management Education and Support
At least once a year assess urinary albumin and eCGR in patients with type 1 diabetes with duration of >5years, in all patients with type 2 diabetes, and in all patients with comorbid hypertension
have an initial dilated and comprehensive eye examination within 5 years after the onset of diabetes
should hae an initial dilated and comprehensive eye examination at the time of diagnosis
examinations should be repeated at least annually
All patients should be assessed for diabetic peripheral neuropathy starting at diagnosis
after diagnosis of type 1 diabetes and at least annually thereafter
evaluation at least annually to identify riks factors for ulcers and amputations
have their feet inspected at every visit
claudication or decreased or absent pedal pulses should be referred for ankle-brachial index and for further vascular assessment as appropriate