Percentage of patients 5-17 years of age with diabetes with an HbA1c test during the measurement period

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Diabetes mellitus (diabetes) is a group of diseases characterized by high blood glucose levels caused by the body's inability to correctly produce or utilize the hormone insulin. It is recognized as a leading cause of death and disability in the U.S. and is highly underreported as a cause of death. Diabetes may cause life-threatening, life-ending or life-altering complications, including poor circulation, nerve damage or neuropathy in the feet and eventual amputation. Nearly 60-70 percent of diabetics suffer from mild or severe nervous system damage (American Diabetes Association 2009).

Even though most target recommendations for glycemic control have been based on data obtained from studies of adult patients with diabetes, the ideal goal of near-normalization of blood glucose levels in children and adolescents is generally the same as that for adults. However, special consideration must be given to the unique risks of hypoglycemia in young children (Silverstein et al. 2005).

1. American Association of Clinical Endocrinologists (2002): 
Recommends that a glycosylated hemoglobin be performed during an initial assessment and during follow-up assessments, which should occur at no longer than three-month intervals.

2. American Diabetes Association (2006): 
Recommends obtaining a glycosylated hemoglobin during an initial assessment and then routinely as part of continuing care. In the absence of well-controlled studies that suggest a definite testing protocol, expert opinion recommends glycosylated hemoglobin be obtained at least twice a year in patients who are meeting treatment goals and who have stable glycemic control and more frequently (quarterly assessment) in patients whose therapy was changed or who are not meeting glycemic goals.

Higher scores indicate better quality

American Diabetes Association. 2009. “Standards of Medical Care in Diabetes-2009.” Diabetes Care 2009 32(Suppl 1):S6-S12.

American Diabetes Association. 2006. "Standards of medical care in Diabetes-2006." Diabetes Care 29(suppl1):S4-42.

American Association of Clinical Endocrinologists. 2002. "Medical Guidelines for the Management of Diabetes Mellitus: The AACE System of Intensive Diabetes Self-Management—2002 Update." Endocr Pract 8(suppl 1):40-82.

Silverstein, J., G. Klingensmith, K. Copeland, L. Plotnick, F. Kaufman, L. Laffel, L. Deeb, M. Grey, B. Anderson, L. Holzmeister, N. Clark, 2005. “Care of Children and Adolescents With Type 1 Diabetes. A statement of the American Diabetes Association.” Diabetes Care, 28(1), 186-212. http://care.diabetesjournals.org/content/28/1/186.long

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Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included.

TBD

Patients 5 to 17 years of age with a diagnosis of diabetes and a face-to-face visit between the physician and the patient that predates the most recent visit by at least 12 months

Equals Initial Patient Population

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Patients with documentation of date and result for a HbA1c test during the measurement period

Not Applicable

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Not Applicable

Not Applicable

For every patient evaluated by this measure also identify payer, race, ethnicity and sex.