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Paula M. Trief, PhD; Richard A. Ellison, JD

Arch Intern Med. 2008;168(8):799-802.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

This past year, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has embarked on a radical new approach to improving the care of patients with diabetes. Following the lead of a similar program in Vermont,¹ they have established a mandatory registry of diabetic patients and their hemoglobin A_1c (HbA_1c) values. Hemoglobin A_1c is a reliable measure of blood glucose control over the preceding 2 to 3 months.² Good glycemic control (ie, HbA_1c level <7.0%) is the goal patients and physicians work toward, since it has been convincingly demonstrated that good glycemic control can forestall and prevent diabetes-related complications.^3-4 Diabetes registries have been used for many years to track and research the disease. However, this registry is different from those commonly used. In the NYC and Vermont registries, information is gathered about the patient without their explicit informed . . . [Full Text of this Article]

WILL IT WORK?

POTENTIAL RISKS

CONCLUSIONS

AUTHOR INFORMATION

Author Affiliations: Departments of Psychiatry and Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse (Dr Trief); and College of Law, Syracuse University, Syracuse (Dr Ellison).

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RELATED LETTERS

Population Health for the Patient With Diabetes
Bradley Flansbaum
Arch Intern Med. 2008;168(22):2498.
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Population Health for the Patient With Diabetes—Reply
Paula M. Trief
Arch Intern Med. 2008;168(22):2498.
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Mandated Diabetes Registries Will Benefit Persons With Diabetes
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Arch Intern Med. 2008;168(8):797-799.
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Arch Intern Med. 2008;168(8):802-803.
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Arch Intern Med. 2008;168(8):803.
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Population Health for the Patient With Diabetes
Flansbaum
Arch Intern Med 2008;168:2498-2498.
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