Five global diabetes targets have been developed to strengthen the prevention and control of diabetes. There are different approaches and data sources that can be used to measure progress against these targets within the WHO European Region. In Germany, diabetes surveillance is performed by the Diabetes Surveillance Project, with primary data on 40 diabetes indicators and indicator groups, collected based on different data sources. Routine health-care data are accessible to a limited extent due to strict data protection. The current German diabetes surveillance system enables four of the five global diabetes targets to be explicitly measured through health examination surveys, providing trends over time and for different population subgroups.
Authors
- Citation
- World Health Organization. Regional Office for Europe . (2024). Measuring the global diabetes targets in the WHO European Region: Germany case study. World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/379523 . License: CC BY-NC-SA 3.0 IGO
- Pages
- 9
- Published in
- Switzerland
- Rights
- CC BY-NC-SA 3.0 IGO
- Rights Holder
- World Health Organization
- Rights URI
- https://creativecommons.org/licenses/by-nc-sa/3.0/igo
Table of Contents
- Summary 1
- Key messages 1
- Background 2
- Diabetes data context 2
- 80 of people with diabetes are diagnosed 2
- 80 of people with diagnosed diabetes have good control of glycaemia 2
- 80 of people with diagnosed diabetes have good control of blood pressure 2
- 60 of people with diabetes of 40 years or older receive statins 2
- 100 of people with type 1 diabetes have access to affordable insulin and blood glucose self-monitoring 2
- Measuring the targets 3
- Germany using health examination data Table 1. Data to measure the targets from other possible 3
- Surveillance Project. However it is assumed that all people have access to affordable treatment 4
- Current progress against the first four targets based on the most recent 2010 health examination 4
- 14090 mmHg and statin usage were below the recommended target levels. Primary estimates 4
- Target 4
- Measurable 4
- Preliminary estimate 4
- Population 4
- Data sources andor approach 4
- 60 respectively. 5
- Additional features of the approach 5
- Fig 2. Time trends for global diabetes targets 14 1998 to 2010 5
- Strengths and limitations of the approach 6
- Lessons learned 6
- In Germany health examination surveys can be used to effectively assess progress against many of the global diabetes targets. 6
- Fig. 3. Global diabetes target 1 stratified by sex and education level 6
- There are key limitations of using health examination surveys to measure the global diabetes targets. 7
- The wider legislative environment for data protection affects public health surveillance. 7
- The use of clear target definitions can facilitate meaningful comparisons. 7
- Using data for improvement 7
- References 8
- Acknowledgements 9