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Diabetes - Kidney Problems


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Diabetes: Kidney problems

Patients with diabetes who have high levels of blood sugars and/or high blood pressure are at increased risk for kidney damage. When you have diabetes, the process of changing food into energy doesn't work well. Sugar builds up in your blood and damages the tiny blood vessels in the kidney. If you have diabetes, you need to get a urine test at least once a year to check for protein in your urine, which is one of the early signs of kidney damage.

To have excellent control of your diabetes, 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. Some patients must check their blood sugars at home and bring a record of these to each doctor's visit to help monitor how well they are controlling blood sugars between visits.

You can work with your doctor to understand your diabetes and 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 a urine protein test or were diagnosed/treated for kidney disease. A higher number is better.

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

Why it is important:
Diabetes can cause your kidneys to stop working, and may eventually require dialysis. If protein is found in your urine, medication may help to delay or prevent kidney damage. This test can let you and your doctor know if you need to take steps to keep your kidneys working.

What you and your doctor should do:
Good health requires a partnership. Your doctor cannot do it alone. Your doctor should give you a urine test to check for protein in your urine and talk to you about the results.

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: 83.9%

National Average: 79%



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 report reflects 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 76 86.8%
0.868
ANTIOCH FAMILY CARE ANTIOCH FAMILY CARE 38 76.3%
0.763
ASSOCIATES IN FAMILY CARE ASSOCIATES IN FAMILY CARE 116 78.4%
0.784
ASSOCIATES IN FAMILY MEDICINE ASSOCIATES IN FAMILY MEDICINE 49 61.2%
0.612
ASSOCIATES IN INTERNAL MEDICINE ASSOCIATES IN INTERNAL MEDICINE 56 91.1%
0.911
BARRY POINTE FAMILY CARE BARRY POINTE FAMILY CARE 82 86.6%
0.866
BARTLETT FAMILY HEALTHCARE BARTLETT FAMILY HEALTHCARE 40 90%
0.9
BLUE RIDGE FAMILY PHYSICIANS BLUE RIDGE FAMILY PHYSICIANS 109 80.7%
0.807
BLUE SPRINGS FAMILY CARE CENTER BLUE SPRINGS FAMILY CARE CENTER 261 78.2%
0.782
BLUE SPRINGS INTERNAL MEDICINE BLUE SPRINGS INTERNAL MEDICINE 99 78.8%
0.788
BRIARCLIFF MEDICAL ASSOCIATES BRIARCLIFF MEDICAL ASSOCIATES 266 77.8%
0.778
CARONDELET PHYSICIANS SERVICES CARONDELET PHYSICIANS SERVICES 113 81.4%
0.814
CENTERPOINT FAMILY PRACTICE CENTERPOINT FAMILY PRACTICE 145 86.9%
0.869
CENTERPOINT INTERNAL MEDICINE CENTERPOINT INTERNAL MEDICINE 99 74.7%
0.747
CENTRAL FAMILY MEDICINE CENTRAL FAMILY MEDICINE 46 67.4%
0.674
CHARTRAND CLINIC CHARTRAND CLINIC 47 80.9%
0.809
CLAY PLATTE FAMILY MEDICINE CLINIC CLAY PLATTE FAMILY MEDICINE CLINIC 378 92.6%
0.926
COLLEGE PARK FAMILY CARE COLLEGE PARK FAMILY CARE 754 91.2%
0.912
COLLEGE POINT PRIMARY CARE COLLEGE POINT PRIMARY CARE 31 87.1%
0.871
CORNERSTONE FAMILY CARE CORNERSTONE FAMILY CARE 54 85.2%
0.852
CREEKWOOD FAMILY CARE CREEKWOOD FAMILY CARE 228 77.6%
0.776
CREEKWOOD INTERNAL MEDICINE CREEKWOOD INTERNAL MEDICINE 85 74.1%
0.741
DELPHIA FAMILY PRACTICE DELPHIA FAMILY PRACTICE 103 74.8%
0.748
Dr. Charles E McGrath DR. CHARLES E MCGRATH 41 95.1%
0.951
Dr. Herbert E Hall DR. HERBERT E HALL 31 67.7%
0.677
Dr. Stephanie M Revels DR. STEPHANIE M REVELS 32 62.5%
0.625
ENCOMPASS MEDICAL GROUP ENCOMPASS MEDICAL GROUP 1687 90.5%
0.905
FAMILY CARE OF EASTERN JACKSON COUNTY FAMILY CARE OF EASTERN JACKSON COUNTY 85 88.2%
0.882
FAMILY CARE OF INDEPENDENCE FAMILY CARE OF INDEPENDENCE 113 78.8%
0.788
FAMILY CARE OF LEES SUMMIT FAMILY CARE OF LEES SUMMIT 61 75.4%
0.754
FAMILY HEALTH GROUP FAMILY HEALTH GROUP 84 76.2%
0.762
FAMILY MEDICAL GROUP FAMILY MEDICAL GROUP 237 71.3%
0.713
FAMILY MEDICINE FAMILY MEDICINE 98 88.8%
0.888
FAMILY PRACTICE ASSOCIATES FAMILY PRACTICE ASSOCIATES 146 82.9%
0.829
FOXHILL MEDICAL GROUP FOXHILL MEDICAL GROUP 30 90%
0.9
FOXWOOD FAMILY MEDICINE FOXWOOD FAMILY MEDICINE 64 67.2%
0.672
GARDNER FAMILY CARE GARDNER FAMILY CARE 73 84.9%
0.849
GASHLAND CLINIC GASHLAND CLINIC 272 80.9%
0.809
GOPPERT-TRINITY FAMILY CARE GOPPERT-TRINITY FAMILY CARE 207 86.5%
0.865
GRANDVIEW HEALTH CARE CLINIC GRANDVIEW HEALTH CARE CLINIC 65 80%
0.8
HEARTLAND PRIMARY CARE HEARTLAND PRIMARY CARE 136 88.2%
0.882
HERITAGE PHYSICIANS GROUP HERITAGE PHYSICIANS GROUP 94 78.7%
0.787
INTERNAL MEDICINE AND RHEUMATOLOGY INTERNAL MEDICINE AND RHEUMATOLOGY 46 91.3%
0.913
INTERNAL MEDICINE ASSOCIATES INTERNAL MEDICINE ASSOCIATES 69 85.5%
0.855
INTERNAL MEDICINE ASSOCIATES OF OLATHE INTERNAL MEDICINE ASSOCIATES OF OLATHE 69 78.3%
0.783
IRICK FAMILY MEDICINE IRICK FAMILY MEDICINE 43 83.7%
0.837
JACKSON COUNTY MEDICAL GROUP JACKSON COUNTY MEDICAL GROUP 250 86%
0.86
KANSAS CITY FAMILY MEDICAL KANSAS CITY FAMILY MEDICAL 120 84.2%
0.842
KANSAS CITY INTERNAL MEDICINE KANSAS CITY INTERNAL MEDICINE 350 91.1%
0.911
KANZA MULTISPECIALTY GROUP KANZA MULTISPECIALTY GROUP 77 87%
0.87
KEARNEY FAMILY MEDICINE KEARNEY FAMILY MEDICINE 57 71.9%
0.719
KIMBALL, SCOTT, KIMBALL, COOPER MD KIMBALL, SCOTT, KIMBALL, COOPER MD 42 78.6%
0.786
KU MEDWEST KU MEDWEST 114 83.3%
0.833
KUPI DEPT OF FAMILY MEDICINE KUPI DEPT OF FAMILY MEDICINE 123 73.2%
0.732
KUPI DEPT OF INTERNAL MEDICINE KUPI DEPT OF INTERNAL MEDICINE 51 84.3%
0.843
LANDMARK MEDICAL CENTER LANDMARK MEDICAL CENTER 48 93.8%
0.938
LEAWOOD FAMILY CARE LEAWOOD FAMILY CARE 130 82.3%
0.823
LEAWOOD FAMILY PHYSICIANS LEAWOOD FAMILY PHYSICIANS 31 74.2%
0.742
LEE'S SUMMIT CLINIC LEE'S SUMMIT CLINIC 68 86.8%
0.868
LEE'S SUMMIT PHYSICIANS GROUP LEE'S SUMMIT PHYSICIANS GROUP 109 78.9%
0.789
LEES SUMMIT FAMILY MEDICINE LEES SUMMIT FAMILY MEDICINE 37 89.2%
0.892
LIBERTY FAMILY PHYSICIANS LIBERTY FAMILY PHYSICIANS 115 92.2%
0.922
LIBERTY MEDICINE SPECIALISTS LIBERTY MEDICINE SPECIALISTS 33 84.8%
0.848
MANNING FAMILY CARE MANNING FAMILY CARE 45 86.7%
0.867
MEDICAL ARTS CENTER MEDICAL ARTS CENTER 34 79.4%
0.794
MEDICAL GROUP OF KANSAS CITY MEDICAL GROUP OF KANSAS CITY 300 74.7%
0.747
MEDICAL PLAZA CONSULTANTS MEDICAL PLAZA CONSULTANTS 36 83.3%
0.833
MID-AMERICA INTERNAL MEDICINE MID-AMERICA INTERNAL MEDICINE 57 84.2%
0.842
MISSION FAMILY HEALTH CARE MISSION FAMILY HEALTH CARE 83 95.2%
0.952
NKC INTERNAL MEDICINE NKC INTERNAL MEDICINE 197 83.2%
0.832
NORTHLAND FAMILY CARE NORTHLAND FAMILY CARE 177 85.3%
0.853
NORTHTOWN MEDICAL GROUP NORTHTOWN MEDICAL GROUP 33 93.9%
0.939
OAK GROVE MEDICAL CLINIC OAK GROVE MEDICAL CLINIC 102 67.6%
0.676
OLATHE FAMILY PHYSICIANS OLATHE FAMILY PHYSICIANS 49 67.3%
0.673
OLATHE FAMILY PRACTICE OLATHE FAMILY PRACTICE 53 92.5%
0.925
OVERLAND PARK FAMILY HEALTH PARTNERS OVERLAND PARK FAMILY HEALTH PARTNERS 48 87.5%
0.875
PARKVILLE FAMILY PRACTICE PARKVILLE FAMILY PRACTICE 34 76.5%
0.765
PAVILLION MEDICAL OFFICE PAVILLION MEDICAL OFFICE 32 81.3%
0.813
PLATTE MEDICAL CLINIC PLATTE MEDICAL CLINIC 40 87.5%
0.875
POWERS FAMILY MEDICINE POWERS FAMILY MEDICINE 62 79%
0.79
PROVIDENCE CARE PROVIDENCE CARE 61 85.2%
0.852
QUIVIRA INTERNAL MEDICINE QUIVIRA INTERNAL MEDICINE 76 85.5%
0.855
REGINALD HALL MD REGINALD HALL MD 218 75.7%
0.757
RESEARCH FAMILY PHYSICIANS RESEARCH FAMILY PHYSICIANS 37 86.5%
0.865
ROBINE MEDICAL ASSOCIATES ROBINE MEDICAL ASSOCIATES 77 77.9%
0.779
SHAWNEE FAMILY CARE SHAWNEE FAMILY CARE 54 87%
0.87
SHAWNEE MISSION PHYSICIANS GROUP SHAWNEE MISSION PHYSICIANS GROUP 552 85.3%
0.853
ST. LUKE'S INTERNAL MEDICINE ST. LUKE'S INTERNAL MEDICINE 219 86.8%
0.868
ST. LUKE'S MEDICAL GROUP ST. LUKE'S MEDICAL GROUP 37 75.7%
0.757
ST. LUKE'S MEDICAL GROUP-BARRY RD ST. LUKE'S MEDICAL GROUP-BARRY RD 50 92%
0.92
ST. LUKE'S MEDICAL LEE'S SUMMIT ST. LUKE'S MEDICAL LEE'S SUMMIT 253 70.8%
0.708
ST. LUKE'S PRIMARY CARE SOUTH ST. LUKE'S PRIMARY CARE SOUTH 268 86.2%
0.862
STASTNY MEDICAL ASSOCIATES STASTNY MEDICAL ASSOCIATES 67 76.1%
0.761
STATLAND CLINIC STATLAND CLINIC 81 87.7%
0.877
SUNFLOWER MEDICAL GROUP SUNFLOWER MEDICAL GROUP 205 86.8%
0.868
SWOPE HEALTH SERVICES SWOPE HEALTH SERVICES 45 95.6%
0.956
THE LIBERTY CLINIC THE LIBERTY CLINIC 257 81.7%
0.817
TOWN CENTER MEDICAL GROUP TOWN CENTER MEDICAL GROUP 56 92.9%
0.929
UNITED MEDICAL GROUP UNITED MEDICAL GROUP 167 92.2%
0.922
UNIVERSITY OF KANSAS HOSPITAL UNIVERSITY OF KANSAS HOSPITAL 157 78.3%
0.783
WASHINGTON MEDICAL GROUP WASHINGTON MEDICAL GROUP 72 79.2%
0.792
WEST GLEN PRIMARY CARE WEST GLEN PRIMARY CARE 90 83.3%
0.833
WOODS CHAPEL MEDICAL GROUP WOODS CHAPEL MEDICAL GROUP 46 87%
0.87