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PI: Lowering A1c Levels in Diabetic Clients 

Goal: 70% of eligible clients' most recent HgbA1c level will be 9.0% or less 


What's a Hgb!1c level? Good question. It's an individual's average blood glucose level, and serves as an indicator of diabetes control. We check these levels with a test every three months for clients with levels greater than 7% and every six months for clients with levels below 7%.

Why does it need to come down? Any diabetic client with an HgbA1c level above 9% is considered too high. When not properly managed, diabetes can cause serious complications—heart disease, nerve damage, vision loss and more.

How are we going to make this happen? Targeted efforts to help reduce the percentage of clients with HgbA1c levels above 9% began in late January 2017. Since then, our clinical staff has taken an “all-hands-on-deck” approach to achieving this goal.

  • We are double-checking the charts of diabetic clients to ensure that those with HgbA1c levels over 9% are being referred to a nurse for education.
  • Placing more point-of-care machines in our clinics so our clinical staff can complete the necessary testing in a timely fashion
  • Calling diabetic clients within 24 hours of  any missed appointment to reschedule
  • Calling diabetic clients who are past due for a HgbA1c test

The latest: In an effort to help our clients with type II diabetes get the disease under control, our nurses are working with a volunteer endocronologist on best practices for medication decisions.