Alphabet Strategy for diabetes care: A multi-professional, evidence-based, outcome-directed approach to management

Table 5 Change in care process performance following implementation of the alphabet strategy in a low-resource diabetes clinic

	Elements	Pre implementation	Post implementation	P value
A	Body mass index	99%	99%	NS
	Smoking status	99%	99%	NS
	Smoking cessation	100%	100%	NS
B	Blood pressure	99%	99%	NS
C	Total cholesterol	60%	99%	< 0.001
	Lipid profile	10%	64%	< 0.001
	Creatinine	5%	49%	< 0.001
	Proteinuria	48%	93%	< 0.001
D	Fasting and postprandial glucose	41%	97%	< 0.001
E	Eye examination	98%	100%	NS
F	Feet examination	95%	100%	NS
G	Aspirin therapy	6%	71%	< 0.001
	ACEI/ARB therapy	7%	57%	< 0.001
	Statin therapy	5%	38%	< 0.001
	All three	2%	20%	< 0.001

NS: Not significant.