DiabetesModifications to Objectives and Subobjectives Progress Toward Healthy People 2010 Targets Progress Toward Elimination of Health Disparities Disparities Table (See below) Gender, Education, Location, and Disability Objectives and Subobjectives |
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Objectives and Subobjectives
Goal: Through prevention programs, reduce the disease and economic burden of diabetes, and improve the quality of life for all persons who have or are at risk for diabetes.
As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:
- Changes in the wording of an objective to more accurately describe what is being measured.
- Changes to reflect a different data source or new science.
- Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
- Deletion of an objective or subobjective that lacked a data source.
- Correction of errors and omissions in Healthy People 2010.
Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.1
When changes were made to an objective, three sections are displayed:
- In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
- In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
- In the Revised Objective section, the objective appears as revised as a result of the midcourse review.
Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.
1See Technical Appendix for more information on baseline and target revisions.
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NO CHANGE IN OBJECTIVE |
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| 5-1. |
Increase
the proportion of persons with diabetes who receive formal diabetes education.
Target: 60 percent. Baseline: 45 percent of persons aged 18 years and older with diabetes received formal diabetes education in 1998 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health Interview Survey (NHIS), CDC, NCHS. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-2. |
Prevent
diabetes. Target: 3.81 new cases per 1,000 population per year. Baseline: 5.52 new cases of diabetes per 1,000 population aged 18 to 84 years (3-year average) occurred in 1997–992 (age adjusted to the year 2000 standard population). Target setting method: Better than the best (retain year 2000 target). Data source: National Health Interview Survey (NHIS), CDC, NCHS. 1 Target revised from 2.5 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 3.5 and 1994–96 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE |
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| 5-3. |
Reduce
the overall rate of diabetes that is clinically diagnosed. Target: 25 overall cases per 1,000 population. Baseline: 40 overall cases (including new and existing cases) of diabetes per 1,000 population occurred in 1997 (age adjusted to the year 2000 standard population). Target setting method: Better than the best (retain year 2000 target). Data source: National Health Interview Survey (NHIS), CDC, NCHS. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-4. |
Increase
the proportion of adults with diabetes whose condition has been diagnosed. Target: 781 percent. Baseline: 642 percent of adults aged 20 years and older with diabetes had been diagnosed in 1988–94 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. 1 Target revised from 80 because of baseline revision after November 2000 publication. 2 Baseline revised from 68 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-5. |
Reduce
the diabetes death rate. Target: 461 deaths per 100,000 population. Baseline: 772 deaths per 100,000 population were related to diabetes in 19992 (age adjusted to the year 2000 standard population). Target setting method: 43 percent improvement. Data source: National Vital Statistics System (NVSS), CDC, NCHS. 1 Target revised from 45 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 75 and 1997 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-6. |
Reduce
diabetes-related deaths among persons with diabetes. Target: 7.8 deaths per 1,000 persons with diabetes. Baseline: 8.8 deaths per 1,000 persons with diabetes listed anywhere on the death certificate occurred in 19991 (age adjusted to the year 2000 standard population). Target setting method: 11 percent improvement. Data sources: National Vital Statistics System (NVSS), CDC, NCHS; National Health Interview Survey (NHIS), CDC, NCHS. 1 Baseline year revised from 1997 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-7. |
Reduce
deaths from cardiovascular disease in persons with diabetes. Target: 2991 deaths per 100,000 persons with diabetes. Baseline: 3322 deaths from cardiovascular disease per 100,000 persons with diabetes occurred in 19992 (age adjusted to the year 2000 standard population). Target setting method: 10 percent improvement. Data sources: National Vital Statistics System (NVSS), CDC, NCHS; National Health Interview Survey (NHIS), CDC, NCHS. 1 Target revised from 309 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 343 and 1997 after November 2000 publication. |
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OBJECTIVE DELETED |
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| 5-8. |
(Objective deleted due to lack of
data source) (Developmental) Decrease the proportion of
pregnant women with gestational diabetes.
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OBJECTIVE DELETED |
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| 5-9. |
(Objective deleted due to lack of
data source) (Developmental) Reduce the frequency of foot
ulcers in persons with diabetes.
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-10. |
Reduce
the rate of lower extremity amputations in persons with diabetes. Target: 2.91 lower extremity amputations per 1,000 persons with diabetes per year. Baseline: 6.62 lower extremity amputations per 1,000 persons with diabetes occurred in 1997–992 (age adjusted to the year 2000 standard population). Target setting method: 55 percent improvement. Data sources: National Hospital Discharge Survey (NHDS), CDC, NCHS; National Health Interview Survey (NHIS), CDC, NCHS. 1 Target revised from 1.8 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 4.1 and 1997 after November 2000 publication. |
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ORIGINAL OBJECTIVE |
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| 5-11. |
(Developmental)
Increase the proportion of persons with diabetes who obtain an annual urinary
microalbumin measurement.
Potential data source: Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP. |
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OBJECTIVE WITH REVISIONS |
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| 5-11. |
Target: 14 percent. Baseline: 12 percent of adults aged 65 years and older with diabetes obtained an annual urinary microalbumin measurement in 2000. Target setting method: Better than the best. |
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REVISED OBJECTIVE |
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| 5-11. |
Increase
the proportion of adults with diabetes who obtain an annual urinary
microalbumin measurement. Target: 14 percent. Baseline: 12 percent of adults aged 65 years and older with diabetes obtained an annual urinary microalbumin measurement in 2000. Target setting method: Better than the best. Data source: U.S. Renal Data System (USRDS), NIH, NIDDK. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-12. |
Increase
the proportion of adults with diabetes who have a glycosylated hemoglobin
measurement at least once a year. Target: 651 percent. Baseline: 592 percent of adults aged 18 years and older with diabetes had a glycosylated hemoglobin measurement at least once a year (mean of data from 39 States in 20002; age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP. 1 Target revised from 50 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 24 and 1998 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-13. |
Increase
the proportion of adults with diabetes who have an annual dilated eye
examination. Target: 761 percent. Baseline: 492 percent of adults aged 18 years and older with diabetes had an annual dilated eye examination in 1998 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health Interview Survey (NHIS), CDC, NCHS. 1 Target revised from 75 because of baseline revision after November 2000 publication. 2 Baseline revised from 47 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-14. |
Increase
the proportion of adults with diabetes who have at least an annual foot
examination. Target: 911 percent. Baseline: 682 percent of adults aged 18 years and older with diabetes had at least one annual foot examination (mean value of data from 39 States in 1998; age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP. 1 Target revised from 75 because of baseline revision after November 2000 publication. 2 Baseline revised from 55 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-15. |
Increase
the proportion of persons with diabetes who have at least an annual dental
examination. Target: 711 percent. Baseline: 562 percent of persons aged 2 years and older with diagnosed diabetes saw a dentist at least once within the preceding 12 months in 1997 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health Interview Survey (NHIS), CDC, NCHS. 1 Target revised from 75 because of baseline revision after November 2000 publication. 2 Baseline revised from 58 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE |
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| 5-16. |
Increase
the proportion of adults with diabetes who take aspirin at least 15 times per
month. Target: 30 percent. Baseline: 20 percent of adults aged 40 years and older with diabetes took aspirin at least 15 times per month in 1988–94 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 5-17. |
Increase
the proportion of adults with diabetes who perform
self-blood-glucose-monitoring at least once daily. Target: 611 percent. Baseline: 432 percent of adults aged 18 years and older with diabetes performed self-blood-glucose-monitoring at least once daily (mean of data from 39 States in 1998; age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP. 1 Target revised from 60 because of baseline revision after November 2000 publication. 2 Baseline revised from 42 after November 2000 publication. |
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