Clinical Evidence Review: Best Practices Diabetes Mellitus Update

Clinical Evidence Review: Best Practices Diabetes Mellitus Update


Michelle Wong, MPH, MPP; R James Dudl, MD

Fall 2006 - Volume 10 Number 3


Patients with diabetes mellitus comprise over 10% of Kaiser Permanente (KP) nationwide membership.1 Because complications accompany the disease, patients with diabetes account for a disproportionately increased share of medical expenditures. In the KP Northern California Region, patients with diabetes use 2.4 times more medical resources than patients without diabetes.2 Cardiovascular complications of diabetes are particularly excessive and devastating. In the KP Northwest Region, macrovascular complications account for 62% to 89% of the cost associated with inpatient treatment of diabetes-related complications.

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