Patient Registry Proposal for Pre-Diabetes
Pre-Diabetes Patient Registry
Clinical Problem
Pre-diabetes is a state in which blood glucose levels are higher than normal, but not within the range of being diagnosed with diabetes. The diagnosis of pre-diabetes has increased by 22 million Americans over the last two years totaling more than 79 million people in the United States (U.S.) over the age of 20 (American Association of Clinical Endocrinologists [AACE], 2011). Unfortunately, the diagnosis of pre-diabetes is often missed and it is estimated that one in four adults in the U.S. has the condition. Providers have the ability to intervene at the pre-diabetic stage to possibly avoid a future diagnosis of type 2 diabetes along with the numerous medical complications that are closely associated, such as hypertension (HTN), coronary artery disease (CAD), retinopathy, neuropathy, and nephropathy. Early intervention would also prevent the ever increasing costs of the medical care associated with diabetes. The clinical quality concerns of pre-diabetes are that patients are not being diagnosed or those who are, go without intervention and are at risk for becoming diabetic and having complications related to the disease.
Planned Purpose
The planned purpose of the Pre-Diabetic Registry is to assist primary care providers in identification and early intervention of pre-diabetics through education and monitoring of those with this reversible disease. “Studies show that people with high risk of diabetes can prevent or delay the onset of the disease by losing 5-7% of their weight, if they are overweight,” (National Diabetes Education Program [NDEP], 2008). The registry will provide a single source of data to allow tracking of these at risk patients and ensure early interventions, reduce medical costs, and examine long-term outcomes of this patient population.
Scope
The Pre-Diabetes Patient Registry will contain clinical information on adults who have pre-diabetes from 3 internal medicine
Clinical Problem
Pre-diabetes is a state in which blood glucose levels are higher than normal, but not within the range of being diagnosed with diabetes. The diagnosis of pre-diabetes has increased by 22 million Americans over the last two years totaling more than 79 million people in the United States (U.S.) over the age of 20 (American Association of Clinical Endocrinologists [AACE], 2011). Unfortunately, the diagnosis of pre-diabetes is often missed and it is estimated that one in four adults in the U.S. has the condition. Providers have the ability to intervene at the pre-diabetic stage to possibly avoid a future diagnosis of type 2 diabetes along with the numerous medical complications that are closely associated, such as hypertension (HTN), coronary artery disease (CAD), retinopathy, neuropathy, and nephropathy. Early intervention would also prevent the ever increasing costs of the medical care associated with diabetes. The clinical quality concerns of pre-diabetes are that patients are not being diagnosed or those who are, go without intervention and are at risk for becoming diabetic and having complications related to the disease.
Planned Purpose
The planned purpose of the Pre-Diabetic Registry is to assist primary care providers in identification and early intervention of pre-diabetics through education and monitoring of those with this reversible disease. “Studies show that people with high risk of diabetes can prevent or delay the onset of the disease by losing 5-7% of their weight, if they are overweight,” (National Diabetes Education Program [NDEP], 2008). The registry will provide a single source of data to allow tracking of these at risk patients and ensure early interventions, reduce medical costs, and examine long-term outcomes of this patient population.
Scope
The Pre-Diabetes Patient Registry will contain clinical information on adults who have pre-diabetes from 3 internal medicine
References: American Diabetes Association (ADA). Retrieved February 1, 2012 from http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/pre-diabetes-faqs.html American Association of Clinical Endocrinologists [AACE], (2011). 2011 diabetes initiative fact sheet. Retrieved February 1, 2012 from https://www.aace.com/sites/default/files/DistrictVisitKit.pdf National Diabetes Education Program [NDEP], (2008). Type 2 diabetes is preventable. Retrieved February 1, 2012 from http://ndep.nih.gov/am-i-at-risk/DiabetesIsPreventable.aspx