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    Diabetes diagnosis and management among insured adults across metropolitan areas in the U.S.

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    Author
    Yang, W.
    Dall, T.M.
    Tan, E.
    Date
    2018
    Journal
    Preventive Medicine Reports
    Publisher
    Elsevier Inc.
    Type
    Article
    
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    See at
    https://dx.doi.org/10.1016/j.pmedr.2018.03.014
    Abstract
    This study provides diabetes-related metrics for the 50 largest metropolitan areas in the U.S. in 2012 - including prevalence of diagnosed and undiagnosed diabetes, insurance status of the population with diabetes, diabetes medication use, and prevalence of poorly controlled diabetes. Diabetes prevalence estimates were calculated using cross-sectional data combining the Behavioral Risk Factor Surveillance System, American Community Survey, National Nursing Home Survey, Census population files, and National Health and Nutrition Examination Survey. Analysis of medical claims files (2012 de-identified Normative Health Information database, 2011 Medicare Standard Analytical Files, and 2008 Medicaid Analytic eXtract) produced information on treatment and poorly controlled diabetes by geographic location, insurance type, sex, and age group. Among insured adults with diagnosed type 2 diabetes in 2012, the proportion receiving diabetes medications ranged from 83% in Oklahoma City, Oklahoma, to 65% in West Palm Beach, Florida. The proportion of treated patients with medical claims indicating poorly controlled diabetes was lowest in Minneapolis, Minnesota (36%) and highest in Texas metropolitan areas of Austin (51%), San Antonio (51%), and Houston (50%). Estimates of diabetes detection and management across metropolitan areas often differ from state and national estimates. Local metrics of diabetes management can be helpful for tracking improvements in communities over time. Copyright 2018
    Sponsors
    Funding for this study was provided by Novo Nordisk Inc.
    Keyword
    Diabetes
    Management
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044947289&doi=10.1016%2fj.pmedr.2018.03.014&partnerID=40&md5=2ae90d939e7f32563839bc3b6e9ce927; http://hdl.handle.net/10713/9237
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.pmedr.2018.03.014
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