D-14 Increase the proportion of persons with diagnosed diabetes who receive formal diabetes education

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)
56.8 (2008)
Target-Setting Method
10 percent improvement
Number of persons aged 18 years and older who report that they have ever been diagnosed with diabetes and have taken a course or class in diabetes self-management
Number of persons aged 18 years and older who report that they have ever been diagnosed with diabetes
Questions Used to Obtain the National Baseline Data

From the 2008 Behavioral Risk Factor Surveillance System:

[NUMERATOR:] Have you ever taken a course or class in how to manage your diabetes yourself?


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.) Variable Name: DIABETE2

  • (1) Yes
  • (2) Yes, but female told only during pregnancy
  • (3) No
  • (4) No, pre-diabetes or borderline diabetes
  • (7) DK/Ns
  • (9) Refused
Data Collection Frequency
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective


Methodology Notes

Persons are considered to have diabetes if they respond “yes” to the question “have you ever been told by a doctor that you have diabetes”. Women who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes) are excluded. Persons who report that they have pre-diabetes or borderline diabetes are also excluded.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Disability Status: 18-44, 45-64, 65+
  • Educational Attainment: 25-44, 45-64, 65+
  • Race/Ethnicity: 18-44, 45-64, 65+
  • Household Income: 18-44, 45-64, 65+
  • Sex: 18-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65+
  • Geographic Location: 18-44, 45-64, 65+
  • Obesity Status: 18-44, 45-64, 65+
  • Total: 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 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 D.C. used the optional Diabetes module.
Changes Between HP2010 and HP2020
This objective tracks the same measure as HP2010 objective 5-1, however the data source has changed from NHIS for the HP2010 objective to BRFSS for the HP2020 objective.