Diabetes Projects
Guide to Community Preventive Services
Introduction
The Task Force on Community Preventive Services is a 15-member non-Federal
Task force supported by the Centers for Disease Control and Prevention
(CDC). CDC scientists review the effectiveness of health care interventions
for the Task Force that then makes recommendations to the public health
community and health care delivery organizations.
The recommendations generated by the Task Force are combined to form
the Guide to Community Preventive Services, which includes a section
on diabetes. To improve the health of people with diabetes, the Task Force
reviewed the evidence of the effectiveness of diabetes disease and case
management and self-management education.
Disease and case management
The Task Force strongly recommends the following:
Disease management
- identify everyone with diagnosed diabetes in the community or health
care delivery organization
- implement care plans proven to be effective
- track, measure, and manage health outcomes
Disease management improves
- glycemic control (blood sugar levels)
- screening rates for diabetic retinopathy (eye disease); foot lesions
and nerve damage; and protein in the urine (a sign of possible kidney
damage)
- physician monitoring rates for glycemic control and cholesterol levels
Case management
- assign a case manager to plan, coordinate, and integrate care for
people with diabetes
Case management improves
- glycemic control (blood sugar levels)
- physician monitoring rates for glycemic control
Self-Management education
The Task Force
recommends the following:
Diabetes self-management education in community gathering places
- for adults with type 2 diabetes
- provides diabetes educational information in community centers, libraries,
and places of worship
- improves glycemic control (blood sugar levels)
Diabetes self-management education in the home
- educates children and adolescents with type 1 diabetes
- improves glycemic control (blood sugar levels)
Related publications
Details of this review were published in CDC's Morbidity and Mortality
Weekly Reports / Recommendations and Reviews (MMWR/RR) on September
28, 2001. The article briefly describes how the reviews were conducted,
the effects on other outcomes, and other information. The MMWR/RR
is available on-line from CDC at http://www.cdc.gov/MMWR
or from the Task Force at http://www.thecommunityguide.org.*
A full report on the findings of the Task Force on diabetes, including
a comprehensive evidence review, was published in a special supplement
to the American Journal of Preventive Medicine 2002;22(1). This
supplement also includes a review of physical activity interventions. To
see the reports, visit the
Guide
to Community Preventive Services* and select Diabetes, Physical
Activity, and Commentaries: A summary statement with links to articles.
Task Force on Community Preventive Services. Diabetes Recommendations for
healthcare system and self-management education interventions to reduce
morbidity and mortality from diabetes. Am J Prev Med 2002 May;
22(4 Suppl):10-14.
Norris SL, Nichols PJ, Caspersen CJ, Task Force on Community Preventive
Services, et al. The effectiveness of disease and case management for people
with diabetes: a systematic review. Am J Prev Med. 2002 May;22(4
Suppl):15-38.
Norris SL, Nichols PJ, Caspersen CJ, Task Force on Community Preventive
Services, et al. Increasing diabetes self-management education in community
settings: a systematic review. Am J Prev Med. 2002 May;22(4 Suppl):39-66.
For more information
For more information on the diabetes chapter, call toll-free
1-800-CDC-INFO
1-888-232-6348 TTY or E-mail cdcinfo@cdc.gov
. On the Internet, you can visit
Guide
to Community Preventive Services*.
* Links to non-Federal organizations are provided solely
as a service to our users. Links do not constitute an endorsement of any
organization by CDC or the Federal Government, and none should be inferred.
The CDC is not responsible for the content of the individual organization
Web pages found at this link.
Historical
Page last modified: December 12, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me