5029.0: Wednesday, October 24, 2001 - 9:00 AM

Abstract #20934

Assessing changes in diabetes management and complications in Utah

Brenda L. Ralls, PhD1, Barbara Larsen, MPH, RD1, William F. Stinner, PhD2, Ladene Larsen, RN3, and Sandra Assasnik, MA1. (1) Utah Diabetes Control Program, Utah State Department of Health, PO Box 142107, Salt Lake City, UT 84114-2107, (2) Office of Health Care Statistics, Utah State Department of Health, (3) Bureau of Health Promotion, Utah State Department of Health, , llarsen@doh.state.ut.us

Learning Objective: Participants should be able to describe the trends in diabetes self-management, provider care, insurance coverage, and increased reporting of diabetes complications among Utahns with diabetes.

Effective program management calls for information on changes in prevalence rates over time. The Utah Diabetes Control Program has data on Utahns with diabetes since 1987. Methods: Data are drawn from three statewide cross-sectional mail surveys conducted in Utah, in 1987, 1991, and 1997. Over 200 individuals with self-reported diabetes responded at each point in time. Changes in quality of provider care, patient self-management, insurance coverage, and complications are examined across time. Results: There have been substantial changes in diabetes management among people with diabetes in Utah. Data indicate the increased use of insulin and oral medications by patients. The percentage of people with diabetes having health insurance coverage increased steadily, from 83.9% in 1987 to 91.2% in 1997. Concurrently, however, the percentage of people with serious diabetes complications increased markedly. Conclusions: There was an overall improvement in diabetes management and access to care over the ten-year period 1987 to 1997. Nevertheless, the increasing prevalence of serious complications among patients with diabetes points to the seriousness and pervasiveness of the condition and the need for more concerted efforts.

Learning Objectives: Participants should be able to describe the trends in diabetes self-management, provider care, insurance coverage, and increased reporting of diabetes complications

Keywords: Disease Data, Management

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Utah Diabetes Control Program (Utah State Health Department)
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Handout (.ppt format, 347.0 kb)

The 129th Annual Meeting of APHA