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The Diabetes Educator
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Adherence to 1997 Diabetes Screening Guidelines in a Large Ambulatory Clinic

Elizabeth Koll, MS, RN, CS-FNP

Diabetes Management Center, All Saints Healthcare System, Racine, Wisconsin; Ganz Allergy and Asthma Center, Racine, Wisconsin; 5525 Norman Street, Racine, WI 53406

Jeanne Beauchamp Hewitt, PhD, RN

Department of Health Restoration, University of Wisconsin-Milwaukee, School of Nursing, Milwaukee

PURPOSE

the purpose of this study was to evaluate whether the 1997 American Diabetes Association screening guidelines were being implemented by primary care providers.

METHODS

A retrospective health record review was undertaken in a large midwestern ambulatory care clinic. A master list was developed of clients aged 45 to 54 years who had been given a physical examination between January 1, 1998, and June 30, 1998. A total of 310 records were systematically selected and abstracted. Data were anaylzed using descriptive statistics.

RESULTS

Although all subjects met the age criterion by design, and a high percent were high risk, only 57.7% were screened for diabetes.

CONCLUSIONS

Adherence to the 1997 screening guidelines was inadequate in this practice setting; therefore the authors suggest replicating this study in other practice settings. Diabetes educators should continue to promote the practice of screening high-risk individuals of all ages.

The Diabetes Educator, Vol. 27, No. 3, 387-392 (2001)
DOI: 10.1177/014572170102700308
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