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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: 76.8%

National Average: 80%



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 72 91.7%
0.917
ANTIOCH FAMILY CARE ANTIOCH FAMILY CARE 45 68.9%
0.689
ASSOCIATES IN FAMILY CARE ASSOCIATES IN FAMILY CARE 88 60.2%
0.602
ASSOCIATES IN FAMILY MEDICINE ASSOCIATES IN FAMILY MEDICINE 33 39.4%
0.394
ASSOCIATES IN INTERNAL MEDICINE ASSOCIATES IN INTERNAL MEDICINE 46 67.4%
0.674
BARRY POINTE FAMILY CARE BARRY POINTE FAMILY CARE 54 83.3%
0.833
BARTLETT FAMILY HEALTHCARE BARTLETT FAMILY HEALTHCARE 32 87.5%
0.875
BLUE RIDGE FAMILY PHYSICIANS BLUE RIDGE FAMILY PHYSICIANS 97 86.6%
0.866
BLUE SPRINGS FAMILY CARE CENTER BLUE SPRINGS FAMILY CARE CENTER 261 80.1%
0.801
BLUE SPRINGS INTERNAL MEDICINE BLUE SPRINGS INTERNAL MEDICINE 78 80.8%
0.808
BRIARCLIFF MEDICAL ASSOCIATES BRIARCLIFF MEDICAL ASSOCIATES 213 75.6%
0.756
CARONDELET PHYSICIANS SERVICES CARONDELET PHYSICIANS SERVICES 114 68.4%
0.684
CENTERPOINT FAMILY PRACTICE CENTERPOINT FAMILY PRACTICE 85 83.5%
0.835
CENTERPOINT INTERNAL MEDICINE CENTERPOINT INTERNAL MEDICINE 58 74.1%
0.741
CENTRAL FAMILY MEDICINE CENTRAL FAMILY MEDICINE 39 64.1%
0.641
CLAY PLATTE FAMILY MEDICINE CLINIC CLAY PLATTE FAMILY MEDICINE CLINIC 325 87.7%
0.877
COLLEGE PARK FAMILY CARE COLLEGE PARK FAMILY CARE 634 73.5%
0.735
COLLEGE POINT PRIMARY CARE COLLEGE POINT PRIMARY CARE 33 87.9%
0.879
CORNERSTONE FAMILY CARE CORNERSTONE FAMILY CARE 54 90.7%
0.907
CREEKWOOD FAMILY CARE CREEKWOOD FAMILY CARE 203 81.3%
0.813
CREEKWOOD INTERNAL MEDICINE CREEKWOOD INTERNAL MEDICINE 102 72.5%
0.725
DELPHIA FAMILY PRACTICE DELPHIA FAMILY PRACTICE 76 69.7%
0.697
Dr. Charles E McGrath DR. CHARLES E MCGRATH 55 83.6%
0.836
ENCOMPASS MEDICAL GROUP ENCOMPASS MEDICAL GROUP 1526 90.9%
0.909
FAMILY CARE OF EASTERN JACKSON COUNTY FAMILY CARE OF EASTERN JACKSON COUNTY 51 82.4%
0.824
FAMILY CARE OF INDEPENDENCE FAMILY CARE OF INDEPENDENCE 76 78.9%
0.789
FAMILY CARE OF LEES SUMMIT FAMILY CARE OF LEES SUMMIT 43 72.1%
0.721
FAMILY HEALTH GROUP FAMILY HEALTH GROUP 62 62.9%
0.629
FAMILY MEDICAL GROUP FAMILY MEDICAL GROUP 250 69.6%
0.696
FAMILY MEDICINE FAMILY MEDICINE 102 90.2%
0.902
FAMILY PRACTICE ASSOCIATES FAMILY PRACTICE ASSOCIATES 150 74%
0.74
FOXWOOD FAMILY MEDICINE FOXWOOD FAMILY MEDICINE 67 59.7%
0.597
GARDNER FAMILY CARE GARDNER FAMILY CARE 45 71.1%
0.711
GASHLAND CLINIC GASHLAND CLINIC 196 84.2%
0.842
GOPPERT-TRINITY FAMILY CARE GOPPERT-TRINITY FAMILY CARE 165 90.3%
0.903
GRANDVIEW HEALTH CARE CLINIC GRANDVIEW HEALTH CARE CLINIC 36 83.3%
0.833
HEARTLAND PRIMARY CARE HEARTLAND PRIMARY CARE 73 68.5%
0.685
HERITAGE PHYSICIANS GROUP HERITAGE PHYSICIANS GROUP 93 87.1%
0.871
INTERNAL MEDICINE AND RHEUMATOLOGY INTERNAL MEDICINE AND RHEUMATOLOGY 34 82.4%
0.824
INTERNAL MEDICINE ASSOCIATES INTERNAL MEDICINE ASSOCIATES 59 74.6%
0.746
INTERNAL MEDICINE ASSOCIATES OF OLATHE INTERNAL MEDICINE ASSOCIATES OF OLATHE 65 61.5%
0.615
IRICK FAMILY MEDICINE IRICK FAMILY MEDICINE 32 75%
0.75
JACKSON COUNTY MEDICAL GROUP JACKSON COUNTY MEDICAL GROUP 193 88.1%
0.881
KANSAS CITY FAMILY MEDICAL KANSAS CITY FAMILY MEDICAL 109 70.6%
0.706
KANSAS CITY INTERNAL MEDICINE KANSAS CITY INTERNAL MEDICINE 287 86.1%
0.861
KANSAS CITY UNIVERSITY MEDICINE AND BIOSCIENCE KANSAS CITY UNIVERSITY MEDICINE AND BIOSCIENCE 32 65.6%
0.656
KU MEDWEST KU MEDWEST 69 65.2%
0.652
KUPI DEPT OF FAMILY MEDICINE KUPI DEPT OF FAMILY MEDICINE 82 75.6%
0.756
KUPI DEPT OF INTERNAL MEDICINE KUPI DEPT OF INTERNAL MEDICINE 34 82.4%
0.824
LANDMARK MEDICAL CENTER LANDMARK MEDICAL CENTER 33 81.8%
0.818
LEAWOOD FAMILY CARE LEAWOOD FAMILY CARE 105 60%
0.6
LEE'S SUMMIT CLINIC LEE'S SUMMIT CLINIC 122 85.2%
0.852
LEE'S SUMMIT PHYSICIANS GROUP LEE'S SUMMIT PHYSICIANS GROUP 71 78.9%
0.789
LIBERTY FAMILY PHYSICIANS LIBERTY FAMILY PHYSICIANS 114 82.5%
0.825
MANNING FAMILY CARE MANNING FAMILY CARE 33 84.8%
0.848
MEDICAL ARTS CENTER MEDICAL ARTS CENTER 36 80.6%
0.806
MEDICAL GROUP OF KANSAS CITY MEDICAL GROUP OF KANSAS CITY 208 73.1%
0.731
MEDICAL PLAZA CONSULTANTS MEDICAL PLAZA CONSULTANTS 39 76.9%
0.769
MERITAS HEALTH PARK PLAZA MERITAS HEALTH PARK PLAZA 49 81.6%
0.816
MID-AMERICA INTERNAL MEDICINE MID-AMERICA INTERNAL MEDICINE 61 86.9%
0.869
MISSION FAMILY HEALTH CARE MISSION FAMILY HEALTH CARE 69 68.1%
0.681
NKC INTERNAL MEDICINE NKC INTERNAL MEDICINE 193 78.2%
0.782
NORTHLAND FAMILY CARE NORTHLAND FAMILY CARE 66 87.9%
0.879
NORTHLAND INTERNAL MEDICINE NORTHLAND INTERNAL MEDICINE 31 67.7%
0.677
OAK GROVE MEDICAL CLINIC OAK GROVE MEDICAL CLINIC 107 68.2%
0.682
OLATHE FAMILY PHYSICIANS OLATHE FAMILY PHYSICIANS 52 55.8%
0.558
OLATHE FAMILY PRACTICE OLATHE FAMILY PRACTICE 55 70.9%
0.709
OVERLAND PARK FAMILY HEALTH PARTNERS OVERLAND PARK FAMILY HEALTH PARTNERS 43 37.2%
0.372
PARKVILLE FAMILY PRACTICE PARKVILLE FAMILY PRACTICE 37 78.4%
0.784
POWERS FAMILY MEDICINE POWERS FAMILY MEDICINE 55 87.3%
0.873
PROVIDENCE CARE PROVIDENCE CARE 120 53.3%
0.533
PROVIDENCE CARE LIVING WATER PROVIDENCE CARE LIVING WATER 39 66.7%
0.667
QUIVIRA INTERNAL MEDICINE QUIVIRA INTERNAL MEDICINE 49 36.7%
0.367
REGINALD HALL MD REGINALD HALL MD 199 75.4%
0.754
ROBINE MEDICAL ASSOCIATES ROBINE MEDICAL ASSOCIATES 83 81.9%
0.819
SHAWNEE FAMILY CARE SHAWNEE FAMILY CARE 43 76.7%
0.767
SHAWNEE MISSION PHYSICIANS GROUP SHAWNEE MISSION PHYSICIANS GROUP 518 63.9%
0.639
ST. LUKE'S INTERNAL MEDICINE ST. LUKE'S INTERNAL MEDICINE 181 77.9%
0.779
ST. LUKE'S MEDICAL GROUP ST. LUKE'S MEDICAL GROUP 30 66.7%
0.667
ST. LUKE'S MEDICAL GROUP-BARRY RD ST. LUKE'S MEDICAL GROUP-BARRY RD 51 94.1%
0.941
ST. LUKE'S MEDICAL LEE'S SUMMIT ST. LUKE'S MEDICAL LEE'S SUMMIT 174 70.7%
0.707
ST. LUKE'S PRIMARY CARE SOUTH ST. LUKE'S PRIMARY CARE SOUTH 186 47.3%
0.473
STASTNY MEDICAL ASSOCIATES STASTNY MEDICAL ASSOCIATES 56 76.8%
0.768
STATLAND CLINIC STATLAND CLINIC 73 72.6%
0.726
SUNFLOWER MEDICAL GROUP SUNFLOWER MEDICAL GROUP 98 70.4%
0.704
SWOPE HEALTH SERVICES SWOPE HEALTH SERVICES 35 77.1%
0.771
THE LIBERTY CLINIC THE LIBERTY CLINIC 271 74.9%
0.749
TOWN CENTER MEDICAL GROUP TOWN CENTER MEDICAL GROUP 54 77.8%
0.778
UNITED MEDICAL GROUP UNITED MEDICAL GROUP 81 43.2%
0.432
UNIVERSITY OF KANSAS HOSPITAL UNIVERSITY OF KANSAS HOSPITAL 79 74.7%
0.747
WASHINGTON MEDICAL GROUP WASHINGTON MEDICAL GROUP 77 67.5%
0.675
WEST GLEN PRIMARY CARE WEST GLEN PRIMARY CARE 43 37.2%
0.372
WOODS CHAPEL MEDICAL GROUP WOODS CHAPEL MEDICAL GROUP 47 74.5%
0.745