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Diabetes - Cholesterol control


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Diabetes: Cholesterol control

Persons with diabetes are at increased risk for coronary heart disease (CHD). Lowering cholesterol levels can reduce the risk for heart attacks in all patients - especially in patients with diabetes.

There are two types of cholesterol: good and bad. "Bad cholesterol" can build up and block the flow of blood through your body. This can cause a heart attack or stroke. The medical term for "bad cholesterol" is "LDL." The bad cholesterol (LDL) goal for most patients with diabetes is less than 100.

To have excellent control of your cholesterol, you must pay close attention to your diet, control your portion sizes, and get regular exercise. In addition to this, your doctor may prescribe medication that you must take regularly.

You can work with your doctor to understand your diabetes, cholesterol, and to stay healthy. This will help you feel better and lower your chances of having heart disease, a stroke, or other problems.

If you have diabetes, make sure you get regular check-ups that include the following tests:

  • Blood pressure check
  • Blood test for A1c. This test shows the average blood sugar level for 2 to 3 months.
  • Blood test for cholesterol level. This test shows the level of cholesterol, a fat, waxy-like substance, in your blood.
  • Eye exam
  • Blood and urine tests to check how the kidneys are working


There are two types of diabetes. Type 1 diabetes is when the body does not produce enough insulin. Type 1 diabetes usually is first diagnosed during childhood. Type 2 diabetes is when the body does not respond as it should to insulin. Both adults and children can get type 2 diabetes.

Who is at risk for diabetes?
Almost everyone knows someone who has diabetes. Risk factors for type 2 diabetes include:

  • Older age
  • Being overweight or obese
  • Family history of diabetes
  • Having diabetes during a pregnancy. This is called gestational diabetes.
  • Higher than normal levels of blood sugar. This is called impaired glucose tolerance or pre-diabetes.
  • Not exercising enough


Risk factors for type 1 diabetes are less clear than they are for type 2 diabetes. Family history, genetics, and problems with the body’s system for fighting infection give a higher risk for type 1 diabetes.

This measure shows the percent of patients with diabetes in each practice who had "bad cholesterol" or "LDL" in the controlled range. A higher score for this measure is better. Controlled cholesterol is generally considered as an LDL less than 100.

If your doctor's office is not listed it means there was not enough information available to report this measure.

Why it is important:
The results of your blood test lets you and your doctor know if your "bad cholesterol" is too high. If it is too high, talk with your doctor about what you can do to lower it. Patients and physicians need to work together to develop a plan of care that will work well in controlling your LDL levels. This may include using a medicine to lowering your cholesterol in addition to diet and exercise.

What you and your doctor should do:
Good control of your cholesterol requires a partnership. Your doctor cannot do it alone. Your doctor should order the blood test to check your LDL level and talk with you about the results. It is your responsibility to follow up and get the test done. You should also pay close attention to your diet, control your portion sizes, and get regular exercise between visits to your doctor.

How does diabetes affect our community?

  • The Center for Disease Control and Prevention estimates that 8.6% of adults have diabetes in the Kansas City region.
  • In 2003, Kansas City (MO) hospital admissions with diabetes as the principal diagnosis resulted in 5,440 days of care provided with hospital charges over $17 million.

 

Find information and tools to help you manage your diabetes

Greater Kansas City Area Average: 61.5%

National Average: N/A



Information for the 2008 report was provided by six commercial health plans which also included two managed Medicaid health plans. Information for the 2009 and 2010 reports were provided by five commercial health plans and did not include any Medicaid information. The 2011 and 2012 report reflect information provided by four commercial health plans and also did not include any Medicaid information.


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If your doctor's office is not listed it means there was not enough information available to report this measure.

Practice Name
#
Score
ALVAREZ CLINIC ALVAREZ CLINIC 48 52.1%
0.521
ASSOCIATES IN FAMILY CARE ASSOCIATES IN FAMILY CARE 35 71.4%
0.714
BARRY POINTE FAMILY CARE BARRY POINTE FAMILY CARE 39 74.4%
0.744
BLUE RIDGE FAMILY PHYSICIANS BLUE RIDGE FAMILY PHYSICIANS 72 55.6%
0.556
BLUE SPRINGS FAMILY CARE CENTER BLUE SPRINGS FAMILY CARE CENTER 163 54.6%
0.546
BLUE SPRINGS INTERNAL MEDICINE BLUE SPRINGS INTERNAL MEDICINE 47 42.6%
0.426
BRIARCLIFF MEDICAL ASSOCIATES BRIARCLIFF MEDICAL ASSOCIATES 140 60%
0.6
CARONDELET PHYSICIANS SERVICES CARONDELET PHYSICIANS SERVICES 55 65.5%
0.655
CENTERPOINT FAMILY PRACTICE CENTERPOINT FAMILY PRACTICE 49 67.3%
0.673
CENTERPOINT INTERNAL MEDICINE CENTERPOINT INTERNAL MEDICINE 36 72.2%
0.722
CENTRAL FAMILY MEDICINE CENTRAL FAMILY MEDICINE 32 56.3%
0.563
CLAY PLATTE FAMILY MEDICINE CLINIC CLAY PLATTE FAMILY MEDICINE CLINIC 186 66.1%
0.661
COLLEGE PARK FAMILY CARE COLLEGE PARK FAMILY CARE 428 76.4%
0.764
CORNERSTONE FAMILY CARE CORNERSTONE FAMILY CARE 44 75%
0.75
CREEKWOOD FAMILY CARE CREEKWOOD FAMILY CARE 157 56.1%
0.561
CREEKWOOD INTERNAL MEDICINE CREEKWOOD INTERNAL MEDICINE 60 55%
0.55
DELPHIA FAMILY PRACTICE DELPHIA FAMILY PRACTICE 42 78.6%
0.786
Dr. Charles E McGrath DR. CHARLES E MCGRATH 42 42.9%
0.429
ENCOMPASS MEDICAL GROUP ENCOMPASS MEDICAL GROUP 1248 53%
0.53
FAMILY CARE OF EASTERN JACKSON COUNTY FAMILY CARE OF EASTERN JACKSON COUNTY 47 59.6%
0.596
FAMILY CARE OF INDEPENDENCE FAMILY CARE OF INDEPENDENCE 63 69.8%
0.698
FAMILY HEALTH GROUP FAMILY HEALTH GROUP 55 52.7%
0.527
FAMILY MEDICAL GROUP FAMILY MEDICAL GROUP 190 63.2%
0.632
FAMILY MEDICINE FAMILY MEDICINE 78 74.4%
0.744
FAMILY PRACTICE ASSOCIATES FAMILY PRACTICE ASSOCIATES 64 60.9%
0.609
FOXWOOD FAMILY MEDICINE FOXWOOD FAMILY MEDICINE 51 72.5%
0.725
GASHLAND CLINIC GASHLAND CLINIC 102 66.7%
0.667
GOPPERT-TRINITY FAMILY CARE GOPPERT-TRINITY FAMILY CARE 122 67.2%
0.672
HEARTLAND PRIMARY CARE HEARTLAND PRIMARY CARE 50 50%
0.5
HERITAGE PHYSICIANS GROUP HERITAGE PHYSICIANS GROUP 64 64.1%
0.641
INTERNAL MEDICINE ASSOCIATES INTERNAL MEDICINE ASSOCIATES 41 63.4%
0.634
INTERNAL MEDICINE ASSOCIATES OF OLATHE INTERNAL MEDICINE ASSOCIATES OF OLATHE 34 67.6%
0.676
JACKSON COUNTY MEDICAL GROUP JACKSON COUNTY MEDICAL GROUP 137 70.8%
0.708
KANSAS CITY FAMILY MEDICAL KANSAS CITY FAMILY MEDICAL 55 69.1%
0.691
KANSAS CITY INTERNAL MEDICINE KANSAS CITY INTERNAL MEDICINE 127 62.2%
0.622
LEAWOOD FAMILY CARE LEAWOOD FAMILY CARE 83 63.9%
0.639
LEE'S SUMMIT CLINIC LEE'S SUMMIT CLINIC 38 73.7%
0.737
LEE'S SUMMIT PHYSICIANS GROUP LEE'S SUMMIT PHYSICIANS GROUP 41 56.1%
0.561
LIBERTY FAMILY PHYSICIANS LIBERTY FAMILY PHYSICIANS 85 64.7%
0.647
MEDICAL GROUP OF KANSAS CITY MEDICAL GROUP OF KANSAS CITY 158 51.9%
0.519
MERITAS HEALTH PARK PLAZA MERITAS HEALTH PARK PLAZA 37 59.5%
0.595
MID-AMERICA INTERNAL MEDICINE MID-AMERICA INTERNAL MEDICINE 45 62.2%
0.622
MISSION FAMILY HEALTH CARE MISSION FAMILY HEALTH CARE 59 55.9%
0.559
NKC INTERNAL MEDICINE NKC INTERNAL MEDICINE 137 59.9%
0.599
NORTHLAND FAMILY CARE NORTHLAND FAMILY CARE 40 65%
0.65
OAK GROVE MEDICAL CLINIC OAK GROVE MEDICAL CLINIC 67 61.2%
0.612
OLATHE FAMILY PHYSICIANS OLATHE FAMILY PHYSICIANS 30 66.7%
0.667
OLATHE FAMILY PRACTICE OLATHE FAMILY PRACTICE 31 58.1%
0.581
POWERS FAMILY MEDICINE POWERS FAMILY MEDICINE 42 73.8%
0.738
PROVIDENCE CARE PROVIDENCE CARE 55 45.5%
0.455
REGINALD HALL MD REGINALD HALL MD 124 44.4%
0.444
ROBINE MEDICAL ASSOCIATES ROBINE MEDICAL ASSOCIATES 38 47.4%
0.474
SHAWNEE FAMILY CARE SHAWNEE FAMILY CARE 37 54.1%
0.541
SHAWNEE MISSION PHYSICIANS GROUP SHAWNEE MISSION PHYSICIANS GROUP 366 69.1%
0.691
ST. LUKE'S INTERNAL MEDICINE ST. LUKE'S INTERNAL MEDICINE 49 71.4%
0.714
ST. LUKE'S MEDICAL LEE'S SUMMIT ST. LUKE'S MEDICAL LEE'S SUMMIT 58 62.1%
0.621
ST. LUKE'S PRIMARY CARE SOUTH ST. LUKE'S PRIMARY CARE SOUTH 60 65%
0.65
STASTNY MEDICAL ASSOCIATES STASTNY MEDICAL ASSOCIATES 33 66.7%
0.667
STATLAND CLINIC STATLAND CLINIC 55 69.1%
0.691
SUNFLOWER MEDICAL GROUP SUNFLOWER MEDICAL GROUP 56 60.7%
0.607
THE LIBERTY CLINIC THE LIBERTY CLINIC 115 84.3%
0.843
TOWN CENTER MEDICAL GROUP TOWN CENTER MEDICAL GROUP 33 54.5%
0.545
WASHINGTON MEDICAL GROUP WASHINGTON MEDICAL GROUP 48 41.7%
0.417