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U.S. Department of Health and Human Services
Special Diabetes Program for Indians (SDPI)

Glycemic Control

Importance

Good glycemic control, as measured by A1C, reduces the risk of diabetes complications.

IMPORTANT NOTICE

For most people with diabetes, the A1C goal should be <7%. However, it is important to individualize A1C goals when needed. For example, tighter goals for younger and healthier people may be appropriate. Less stringent goals may be necessary for people who are older and/or have multiple comorbidities.

Required Key Measure

Must be reported by grantees that select this Best Practice.

Number and percent of individuals in your Target Group with most recent A1C <8.0%.

  • Improvement: Increasing the number and percent of individuals in your Target Group who achieve this measure shows improvement.
  • Timeframe: The timeframe for collecting data on the Required Key Measure will be January 1st to December 31st.
  • Data Collection: For more information on data collection and reporting, see the SDPI Outcomes System (SOS).

Target Group Guidance

Select your Target Group* from adults and/or youth with diabetes.
* Exclude pregnant individuals.

You are required to report Required Key Measure data for one Target Group for your selected Best Practice. A Target Group is the largest number of patients/participants that your grant program can realistically serve. The following should be considered in selecting your Target Group:
  1. The size and characteristics (e.g., ages, health status, settings) of the community or patient population that you are going to draw your Target Group from
  2. Intensity of the activities/services you plan to do
  3. SDPI funding and other resources available to provide activities/services
For information and examples on selecting a Target Group, see the SDPI Diabetes Best Practice and Target Group recorded webinar.

Resources and Tools

Below are selected resources and tools specific to this Best Practice. Additional resources that may be useful for all Best Practices can be found in the SDPI Best Practice Resources.

IHS Division of Diabetes Treatment and Prevention

American Diabetes Association

Association of Diabetes Care & Education Specialists