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Prevention Of Preventing Complications From Diabetes

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Ann Nguyen November 7, 2014 D5 Initiative in Preventing Complications from Diabetes: A Pharmacist’s Role to Improve Diabetes Outcomes Table of Contents: Abstract I. Introduction: According to a 2012 statistic from the American Diabetes Association, diabetes is a prevalent disease in the United States with more than 29.1 million Americans diagnosed or approximately 9.3% of the population. In 2012, the incidence of diabetes was 1.7 million new diagnoses per year. It also remains the seventh leading cause of death in the United States. According to the Centers for Disease Control and Prevention (CDC), the risk of death is around …show more content…

The CDC also reports that management of persons with diabetes cost $69 billion in indirect costs as a result of disability, work loss, and personal days. 2 Proper management of this condition, especially blood glucose levels, is essential in preventing the complications from diabetes such as neuropathy, retinopathy, nephropathy, heart disease, and stroke. In managing this chronic disease state, it is vital that all providers on a patient’s healthcare team work synergistically to provide optimal patient-centered care in the management of diabetes. Under the Minnesota Department of Health, the Minnesota Diabetes Program established the D5 initiative to define five clinical measures of diabetes management that encourages collaboration between members on a patient’s healthcare team and as well as individuals diagnosed with diabetes to achieve optimal health outcomes. The five goals of the D5 include managing blood pressure below 140/90mmHg, low density lipoprotein (LDL) cholesterol below 100mg/dl, blood glucose (as measured by A1C) below 8%, being tobacco free, and the usage of aspirin (as appropriate). In meeting these five goals as established by the D5 initiative aimed to lower the risk of developing complications in patients with diabetes. Although these goals of therapy of the D5 initiative may be in place, the clinics and hospital systems across the state of Minnesota are have yet to achieve these optimal health outcomes for a majority of

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