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Preventive Care Practices Among Michigan Adult Persons with Diabetes (PWD)

10.5% of Michigan adults (18+ years) reported ever being told that they had diabetes in 2012. Among these adults, the proportion who reported that they followed selected preventive care practices.a

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  Healthy People
2020 Target
95% CI

Seen doctor for diabetes in the past year

NA 90.9 (88.0-93.1)

Ever had diabetes education

62.5 61.8 (56.3-67.0)

Self-monitors glucose at least once daily

70.4 79.5 (75.0-83.3)

Self-examines feet at least once daily

NA 68.9 (63.0-74.3)

Two A1C tests in the past year

71.1 73.3 (67.9-78.1)

Dilated eye exam in the past year

58.7 64.2 (58.2-69.7)

Foot exam by a provider in the past year

74.8 77.0 (72.2-81.3)

Two A1C tests and eye and foot exams by provider in the past year

NA 38.9 (33.8-44.3)

Flu vaccination in the past year


NA 47.8 (44.1-51.5)

18 – 64

NA 41.5 (36.5-46.8)


NA 57.4 (52.8-61.8)

Pneumococcal (pneumonia) vaccination in lifetime


NA 57.7 (53.8-61.5)

18 – 64

NA 48.3 (42.8-53.8)


NA 71.6 (67.0-75.8)

Cholesterol tested in the past yearb

NA 88.1 (85.2-90.6)

Currently taking medication for high blood pressure
(among those who were ever told they had HBP)b

NA 92.5 (89.6-94.6)

Dental exam in the past year

61.2 60.9 (57.0-64.6)

Trying to control weight or lose weight in the past year

NA 78.6 (73.5-82.9)

Increased physical activity or exercise in the past year

NA 56.1 (50.4-61.7)

Reduced the amount of fat or calories in your diet in the past year

NA 73.8 (68.0-78.9)

a 2012 MiBRFS data except where noted.
b 2011 MiBRFS; NA - Not available.

Data Sources
Michigan Behavioral Risk Factor Surveillance System. Lifecourse Epidemiology and Genomics Division, Michigan Department of Community Health. (

U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC. Available at Accessed February 11, 2014.

Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Bridged-Race Population Estimates, United States July 1st resident population by state, county, age, sex, bridged-race, and Hispanic origin, on CDC WONDER On-line Database.


The total number of cases in a specified population at a given time.

Confidence Interval (CI)
A range about a measurement that expresses the precision of the measurement. A 95% CI can be interpreted as the following: if we selected 100 random samples from the population and used these samples to calculate 100 different confidence intervals for the true prevalence estimate of the population, approximately 95 of the intervals would cover the true population prevalence estimate and five would not. The wider the interval means the more imprecise the measurement, the narrower the interval the more precise the measurement.

Methods and Limitations
The Michigan Behavioral Risk Factor Surveillance System (MiBRFSS) comprises annual, state-level telephone surveys of the non-institutionalized adult population, 18 years and older. The MiBRFSS provides self-reported information on behavioral risk factors for disease and on preventive health practices within the state. Diabetes affects over one million of the Michigan adult population; however, CDC estimates about one quarter of adults are undiagnosed, which may result in part to an underestimate in the MiBRFSS prevalence.