> Introduction

Performance Improvement Module – Type 2 Diabetes

Welcome to the CU e-Learning Modules Performance Improvement Activity (PIA).  You will be able to complete the Practice Transformation e-Learning Modules under MOC Part II, and this module to receive PIA credit.  Completion of this module is worth 20 credits.

Please note: this module includes the use of pre-intervention and post-intervention patient data.  There are also references to content in the Practice Transformation e-Learning Modules that you can refer to that will assist you with successfully completing this PIA activity.

Diabetes Mellitus

An estimated 1 in 12 US adults has diabetes.1,2   Diabetes is a complicated chronic disease affecting many organ systems.   Because of its microvascular and macrovascular complications, diabetes accounts for 14% of healthcare expenditures in the U.S.3  This does not account for the impact that comorbid depression, which is frequently seen in patients with diabetes, has on employment, absenteeism, and work productivity.4  Developing a comprehensive care plan for a patient with diabetes must recognize the need for care that addresses achieving glycemic control while minimizing the risk of micro- and macrovascular complications, in a patient-centered, team-based way.  Please note that PCMH MOC Part II Module 3, Patient SMS, provides specific information and patient-centered counseling techniques.


  1. Li C, Balluz LS, Okoro CA, Strine TW, Lin JM, Town M, Garvin W, Murphy W, Bartoli W, Valluru B, Centers for Disease Control and Prevention (CDC).  Surveillance of certain health behaviors and conditions among states and selected local areas — Behavioral Risk Factor Surveillance System, United States, 2009.  MMWR Surveill Summ. 2011 Aug;60(9):1-250.
  2. Centers for Disease Control and Prevention. 2011 National Diabetes Fact Sheet https://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf (Accessed on June 20, 2013).
  3. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001.JAMA. 2003;289(1):76.
  4. Tunceli K, Bradley CJ, Nerenz D, Williams LK, Pladevall M, Elston Lafata J. The impact of diabetes on employment and work productivity.