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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of people with diabetes who get formal diabetes education — D‑06 Data Methodology and Measurement

On this page:  About the National Data  |  Methodology  |  History

About the National Data

Data

Data Source:  Behavioral Risk Factor Surveillance System (BRFSS), CDC/NCCDPHP

Baseline: 51.7 percent of adults aged 18 years and over with diagnosed diabetes ever had received formal diabetes self-management education and support (DSME) in 2017

Target: 55.2 percent

Numerator
Number of adults aged 18 years and over who report that they have ever been diagnosed with diabetes and have taken a course or class in diabetes self-management.
Denominator
Number of adults aged 18 years and over who report that they have ever been diagnosed with diabetes.
Target-setting method
Minimal statistical significance
Target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
Target-setting method justification
Trend data were evaluated for this objective but it was not possible to project a target because targets were not a statistically significant improvement from the baseline. The standard error was used to calculate a target based on minimal statistical significance assuming the same standard error for the target as for the baseline. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

From the 2017 Behavioral Risk Factor Surveillance System Diabetes Module:

Numerator:
Have you ever taken a course or class in how to manage your diabetes yourself?
  1. Yes
  2. No
  3. Don't know / Not sure
  4. Refused

From the 2022 Behavioral Risk Factor Surveillance System Diabetes Module:

Numerator:
When was the last time you took a course or class in how to manage your diabetes yourself?
  1. Within the past year (anytime less than 12 months ago)
  2. Within the last 2 years (1 year but less than 2 years ago)
  3. Within the last 3 years (2 years but less than 3 years ago)
  4. Within the last 5 years (3 to 4 years but less than 5 years ago)
  5. Within the last 10 years (5 to 9 years but less than 10 years ago)
  6. 10 years ago or more
  7. Never
  8. Don’t know / Not sure
  9. Refused

From the 2017 Behavioral Risk Factor Surveillance System:

Numerator and Denominator:
Have you ever been told by a doctor that you have diabetes?
[If "Yes" and respondent is female, ask:] Was this only when you were pregnant?
[If respondent says pre-diabetes or borderline diabetes, use response code 4.]
  1. Yes
  2. Yes, but female told only during pregnancy
  3. No
  4. No, pre-diabetes or borderline diabetes
  5. Don't know/Not stated
  6. Refused

Methodology notes

Persons are considered to have diabetes if they respond "yes" to the question "have you ever been told by a doctor that you have diabetes". Women who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes) are excluded. Persons who report that they have pre-diabetes or borderline diabetes are also excluded.

The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.

Age-adjustment notes

This Indicator uses Age-Adjustment Groups:

  • Total: 18-44, 45-64, 65+
  • Sex: 18-44, 45-64, 65+
  • Race/Ethnicity: 18-44, 45-64, 65+
  • Educational Attainment: 25-44, 45-64, 65+
  • Household Income (percent poverty threshold): 18-44, 45-64, 65+
  • Disability Status: 18-44, 45-64, 65+
  • Geographic Location: 18-44, 45-64, 65+
  • Health Insurance Status: 18-44, 45-64
  • Marital Status: 18-44, 45-64, 65+
  • Obesity Status: 18-44, 45-64, 65+
  • Veteran Status: 20-44, 45-64, 65+

History

Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.
Trend issues

Data for this objective are collected using the core component and an optional module of the BRFSS, which is made available to States for administration annually. The number of States that select the diabetes module varies every year. The measure is the mean of data for the reporting States. In 2017, 39 States including DC used the optional module excluding: AR, CT, HI, ID, IL, ME, MA, MS, OR, SD, TN, and WV. In 2018, 19 States (including DC) used the optional module including, AL, AZ, DE, DC, GA, IA, ME, MA, MS, NJ, ND, OH, OK, SC, SD, TN, TX, VA, and WI. In 2019, 31 States (including DC) used the optional module excluding AZ, AR, CO, FL, GA, HI, ID, MA, MS, NV, NJ, NY, OR, RI, SC, SD, TN, VT, WA, and WV. In 2020, 14 states (including DC) used the optional module including DE, DC, FL, GA, IN, ME, MS, MO, ND, SD, VA, WI, MA, and OH. In 2021 28 states (including DC) used the optional module excluding: AL, CA, CO, CT, FL, HI, ID, LA, MD, MA, MO, NV, NJ, NY, OR, RI, SC, SD, UT, VT, WA, and WV. In 2022 17 states used the optional module including: CA, DE, GA, IN, MA, ME, MD, MS, MO, NV, ND, NY, OH, SC, SD, VT, and WI. In 2023, 22 states used the optional module including AK, CA, DE, GA, IL, IN, IA, ME, MI, MN, MO, MT, NH, NJ, NM, NC, ND, OH, TN, TX, WI, and WY. In 2022, the question, "Have you ever taken a course or class in how to manage your diabetes yourself?" was revised to, "When was the last time you took a course or class in how to manage your diabetes yourself?"