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D-13 Data Details

D-13 Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
percent (age adjusted—see Comments)
Baseline (Year)
64.0 (2008)
Target-Setting Method
10 percent improvement
Number of persons aged 18 years and over with diabetes who report that they check their blood for glucose or sugar by themselves or by a family member or friend (excludes health professional) at least once a day
Number of persons aged 18 years and over who report that they have ever been told they have diabetes
Questions Used to Obtain the National Baseline Data

From the 2008 Behavioral Risk Factor Surveillance System:


About how often do you check your blood for glucose or sugar? Include times when checked by a family member or friend, but do not include times when checked by a health professional.

  1. ____Times per day
  2. ____Times per week
  3. ____Times per month
  4. ____Times per year


Have you ever been told by a doctor that you have diabetes? [If "Yes" and respondent is female, ask:] Was this only when you were pregnant? [If respondent says pre-diabetes or borderline diabetes, use response code 4.]

  1. Yes
  2. Yes, but female told only during pregnancy
  3. No
  4. No, pre-diabetes or borderline diabetes
  5. Don't know/Not stated
  6. Refused
Data Collection Frequency
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Persons are considered to have diabetes if they have ever been told by a doctor or health professional that they have diabetes or sugar diabetes. Women who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes) are excluded. Persons who reported borderline or prediabetes are also excluded.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-44, 45-64, 65+
  • Sex: 18-44, 45-64, 65+
  • Race/Ethnicity: 18-44, 45-64, 65+
  • Educational Attainment: 25-44, 45-64, 65+
  • Household Income: 18-44, 45-64, 65+
  • Disability Status: 18-44, 45-64, 65+
  • Geographic Location: 18-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65+
  • Obesity Status: 18-44, 45-64, 65+
Caveats and Limitations
The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.
Trend Issues
Data for this objective are collected using the core component and an optional module of the BRFSS, which is made available to States for administration annually. The number of States that select the diabetes module varies every year. In 2008, 38 States including DC used the optional diabetes module excluding: AR, CA, CO, IL, KS, LA, MD, MA, NE, NJ, NY, OH, and RI. In 2009, 37 States including DC used the optional diabetes module, excluding: AR, CA, HI, ID, KS, ME, MD, MI, MS, NE, NY, OK, RI, and SD. In 2010, 36 States including DC used the optional diabetes module, excluding: AR, CA, CO, KS, ME, MD, MI, MO, NE, NJ, NY, OK, RI, TX, and WA. The measure is the mean of data for the reporting States.