Alphabet strategy for diabetes care: A checklist approach in the time of COVID-19 and beyond

Table 2 Change in care process performance following implementation of the alphabet strategy in a low-resource diabetes clinic[10]

		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; ACEI: Angiotensin converting enzyme inhibitors; ARB: Angiotensin receptor blockers.