Tuesday, August 26, 2008

Diabetes Maps for Public Health

Here is an example of what you can do once you have the registry up and running. These data are a few years old, but they show the variation in average A1C across a large swath of New England and upstate New York.

Many of us were surprised that the best control is in a county with major social and economic challenges, while some of the worst control is in some of the wealthiest and best-served areas. One possibility is that the care is not so good near the big academic medical center, but another is that folks with worse diabetes aren't even getting measured at all!

What do you think?


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