Number Of Diabetes Deaths Per 100,000 Population
Age-adjusted rates per 100,000 U.S. standard population. Rates for the United States and each state are based on populations enumerated in the 2010 census as of July 1, 2013. Since death rates are affected by the population composition of a given area, age-adjusted death rates should be used for comparisons between areas because they control for differences in population composition. Continue reading >>
Association Between Diabetes And Cause-specific Mortality In Rural And Urban Areas Of China
Question What is the excess mortality risk associated with diabetes in rural and urban areas of China? Findings In this 7-year nationwide prospective study of 512 869 adults, diabetes was more common in urban than rural areas (8.1% vs 4.1%, respectively), and individuals with diabetes had significantly increased risk of mortality from all causes and from a range of cardiovascular and noncardiovascular diseases. Meaning In China, diabetes is more common in urban than rural areas, and is associated with increased mortality. With an increasing adult population and rising prevalence of diabetes among young adults, the burden of diabetes-associated mortality will increase further. Importance In China, diabetes prevalence has increased substantially in recent decades, but there are no reliable estimates of the excess mortality currently associated with diabetes. Objectives To assess the proportional excess mortality associated with diabetes and estimate the diabetes-related absolute excess mortality in rural and urban areas of China. Design, Setting, and Participants A 7-year nationwide prospective study of 512 869 adults aged 30 to 79 years from 10 (5 rural and 5 urban) regions in China, who were recruited between June 2004 and July 2008 and were followed up until January 2014. Exposures Diabetes (previously diagnosed or detected by screening) recorded at baseline. Main Outcomes and Measures All-cause and cause-specific mortality, collected through established death registries. Cox regression was used to estimate adjusted mortality rate ratio (RR) comparing individuals with diabetes vs those without diabetes at baseline. Results Among the 512 869 participants, the mean (SD) age was 51.5 (10.7) years, 59% (n = 302 618) were women, and 5.9% (n = 30 280) had diabetes (4.1% in r Continue reading >>
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National Diabetes Fact Sheet
National estimates and general information on diabetes in Italy were derived from the official statistics. Prevalence estimates of diabetes were derived from the Multipurpose Surveys on Household conducted by ISTAT (National Bureau of Statistics). Hospitalization rates were derived from the National Hospital Discharge Record database held by the Ministry of Health . Mortality rates for diabetes were derived from the National Mortality Database (ISTAT). Prevalence of diabetes in Italy, all ages, 2001-2015 Crude and age-sex standardized percentage of people that reported to have diabetes. Prevalence of diabetes by gender and age, Italy, 2015 Percentage of people that reported to have diabetes. Prevalence of diabetes by area, Italy, 2015 Percentage of people that reported to have diabetes. Prevalence of diabetes by Region, Italy 2015 Percentage of people that reported to have diabetes. Hospitalization rates by gender, Italy, 2000-2010. Age standardized rates per 100.000 residents. Discharges with diabetes as main diagnosis. Source: Ministry of Health data, ISTAT elaboration . Mortality rates for diabetes by gender, Italy, 2000-2009. Age standardized rates per 100.000 residents. Deaths with diabetes as leading cause. Continue reading >>
The Dead In Bed Syndrome
Someone with type 1 diabetes is found dead in the morning in an undisturbed bed after having been observed in apparently good health the day before. No cause of death can be established. This is the typical situation of the "dead in bed" syndrome, a very tragic outcome which leaves the family with many unanswered questions: Why, when, how, could it have been avoided? After the first report from UK1 the observations have been confirmed from other countries.2,3 A number of young people with type 1 diabetes have been found dead in the morning without previous symptoms of illness, hyper- or hypoglycemia. The number of deaths of this kind per 10,000 patient years has been estimated to 2-6.4 For a population of 100,000 persons with diabetes, this represents 20-60 deaths per year or approximately 6% of all deaths in persons with diabetes aged less than 40 years.4 A relationship to human insulin1 or intensive insulin treatment2 has been postulated but does not seem likely.4 Autopsies have not revealed the cause of death. The diagnosis of hypoglycemia is difficult to confirm after death.5 There is however one case report where the person who died was wearing a retrospective (non-real-time) sensor, and the sensor reading demonstrated levels below 30 mg/dl (1.7 mmol/l) around the time of death (restrictions on reading glucose levels <40 mg/dl, 2.2 mmol/l, were removed by sensor manufacturer after the event), with at least 3 hours of severe hypoglycemia below <40 mg/dl, 2.2 mmol/l, before death.6 Another report using sensor tracings has shown a lag time of 2-4 hours before the onset of seizures when having severe hypoglycemia.7 In a recent review, clinical reports strongly suggest that nighttime hypoglycemia is a likely prerequisite of the event, but that the death is sudden and pr Continue reading >>
Diabetes
Key facts The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014 (1). The global prevalence of diabetes* among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014 (1). Diabetes prevalence has been rising more rapidly in middle- and low-income countries. Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation. In 2015, an estimated 1.6 million deaths were directly caused by diabetes. Another 2.2 million deaths were attributable to high blood glucose in 2012**. Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. WHO projects that diabetes will be the seventh leading cause of death in 2030 (1). Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes. Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications. What is diabetes? Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar. Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels. In 2014, 8.5% of adults aged 18 years and older had diabetes. In 2015, diabetes was the direct cause of 1.6 million deaths and in 2012 high blood glucose was the cause of another 2.2 million deaths. Type 1 diabetes Type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) is charact Continue reading >>
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Mortality For People With Diabetes
Age-Adjusted Deaths Rate* 95% Confidence Interval Diabetes-related death in the general population 78.1 (76.5-79.8) Gender Male 95.6 (92.8-98.4) Female 65.7 (63.8-67.7) Race/Ethnicity White, non-Hispanic 71.7 (70.0-73.4) Black, non-Hispanic 112.3 (106.1-118.4) Other, non-Hispanic 71.2 (59.2-83.3) Hispanic 97.2 (82.7-111.6) Age-Adjusted Deaths Rate* 95% Confidence Interval Cardiovascular-related death in the diabetes population 144.8 (139.2-150.5) Gender Male 164.2 (155.4-173.1) Female 125.3 (118.1-132.5) Race/Ethnicity White, non-Hispanic 142.0 (135.7-148.3) Black, non-Hispanic 158.7 (143.3-174.0) Other, non-Hispanic -- -- Hispanic -- -- * Rates are based on age-specific death rates per 100,000 population in specified group. Computed by the direct method, using as the standard population the age distribution of the total population of the United States as projected for the year 2000. -- Unable to calculate. Data Source: 2009 Michigan Mortality Data, Division for Vital Records and Health, Bureau of Epidemiology, Michigan Department of Community Health. Methods and Limitations: The Michigan Mortality Data is based on all deaths that occur to Michigan residents. Diabetes-related deaths were classified using ICD-10 codes E10-E14 for the underlying and contributing causes of death. The denominator for diabetes-related deaths is the resident population of Michigan. Diabetes deaths from cardiovascular disease were classified using ICD-10 codes I00-I09, I11, I13, I20-I51 for the underlying cause and E10-E14 for the contributing cause of death. The denominator for diabetes deaths from cardiovascular disease is the diagnosed diabetes population estimated in Michigan using the estimated prevalence from the Michigan Behavioral Risk Factor Surveillance System and the intercensal pop Continue reading >>
Diabetes Data: Surveillance And Evaluation
Implementation and evaluation of diabetes prevention and control programs depends on reliable data. The following data sources tell us how many people in Texas are estimated to have diabetes and the groups most affected by the disease. They allow for development of culturally appropriate messages and assist in focusing prevention efforts on high-risk populations. The Diabetes Program at DSHS develops epidemiological reports on diabetes incidence, prevalence, morbidity, and mortality in Texas. The program contracts for annual statewide telephone surveys through the Texas Behavioral Risk Factor Surveillance System, participates in statewide and international collaborative data collection projects, and reviews information from the Health Plan Employer Data and Information Set (HEDIS) and the TMF Health Quality Institute, which is the state’s Medicare Quality Improvement Organization. Data from these and other sources are collected and illustrated in the burden report below. The Diabetes Program updates this report periodically as data collection occurs and data is verified for publication. The Texas Diabetes Fact Sheet offers at-a-glance diabetes prevalence and mortality statistics for Texas by race/ethnicity, age, and gender. Requests for specific data will be addressed as time and availability of data permit. To ensure that data requests are fulfilled in a timely manner, please submit your requests at least two weeks before the data is needed. Texas Diabetes and Prediabetes Fact Sheet (Updated September 2017, 178kb, PDF viewing information) Diabetes and prediabetes prevalence, mortality, and cost data for Texas. Diabetes Trend Data, Texas and US, 2011-2015 (Updated March 2017, PDF 923kb, PDF viewing information) Current Diabetes Prevalence Among Adults by Demographic C Continue reading >>
Incidence And Mortality Rates And Clinical Characteristics Of Type 1 Diabetes Among Children And Young Adults In Cochabamba, Bolivia
Incidence and Mortality Rates and Clinical Characteristics of Type 1 Diabetes among Children and Young Adults in Cochabamba, Bolivia 1Centro Vivir con Diabetes, Av. Simn Lpez, No. 375, Cochabamba, Bolivia 2International Diabetes Federation Life for a Child Program, Glebe, NSW 2037, Australia 3NHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW 2006, Australia 4Diabetes NSW, Glebe, NSW 2037, Australia Correspondence should be addressed to Graham David Ogle ; ua.moc.wsnsetebaid@omaharg Received 29 May 2017; Revised 24 July 2017; Accepted 30 July 2017; Published 29 August 2017 Academic Editor: Konstantinos Papatheodorou Copyright 2017 Elizabeth Duarte Gmez et al. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives. To determine incidence, mortality, and clinical status of youth with diabetes at the Centro Vivir con Diabetes, Cochabamba, Bolivia, with support from International Diabetes Federation Life for a Child Program. Methods. Incidence/mortality data analysis of all cases (<25 year (y)) diagnosed January 2005February 2017 and cross-sectional data (December 2015). Results. Over 12.2 years, 144 cases with type 1 diabetes (T1D) were diagnosed; 43.1% were male. Diagnosis age was 0.322.2 y; peak was 11-12 y. 11.1% were <5 y; 29.2%, 5<10 y; 43.1%, 10<15 y; 13.2%, 15<20 y; and 3.5%, 20<25 y. The youngest is being investigated for monogenic diabetes. Measured incidence in Cercado Province (Cochabamba Department) was 2.2/100,000 children < 15 y/y, with 80% ascertainment, giving total incidence of 2.7/100,000 children < 15 y/y. Two had died. Crude mortality rate was 2.3/1000 patient years. Cli Continue reading >>
Diabetic Foot: Facts And Figures
Diabetes affects 30 million people in the US and more than 415 million people worldwide. Diabetesatlas.org/American Diabetes Association The top 10 diabetes nations International Diabetes Federation / Diabetesatlas.org Diabetes kills more people annually than breast cancer and AIDS combined. American Diabetes Association, 2009 Two thirds of all new cases of type 2 diabetes are diagnosed in low- and middle-income countries, such as Mexico, India, China and Egypt. Pharmacoeconomics, 2015 Pharmacoeconomics, 2015 If diabetes were a country, it would be the 3rd largest in the world 80% of people with diabetes are from low and middle income nations The number of people with diabetes is increasing in every single nation Half of people with diabetes don’t know they have it. American Diabetes Association / International Diabetes Federation, 2012 Quiet. Slow. Deadly. Expensive: Chronic Diseases Account for 75% of our Healthcare Costs. 25% of all medical care is consumed by 1% of the population and nearly 50% is consumed by 5%. AHRQ, 2013 1 Day with #Diabetes in USA: 5000 diagnosed, $670M, 280 lives, 200 limbs. We can do better. Today. American Diabetes Association, 2014 Seconds Count: Every 7 seconds someone dies from diabetes. Every 20 seconds someone is amputated. International Diabetes Federation / Diabetesatlas.org Armstrong, et al, Diabetes Care 2013 The cost of diabetic foot ulcers is greater than that of the five most costly forms of cancer The cost to heal a complex diabetic foot ulcer is between 3 months and 6 years’ salary depending on nationality Cavanagh, et al, Diabetes Metab Res Rev, 2012 Diabetic Foot Ulcer patients are twice as costly to US Medicare as those with diabetes alone Rice, et al, Diabetes Care, 2014 Inpatient care constitutes nearly two thirds of in Continue reading >>
3303.0 - Causes Of Death, Australia, 2016
Footnote(s): (a) Standardised death rate. Deaths per 100,000 of estimated mid-year population. See Glossary for further information. (b) All causes of death data from 2006 onward are subject to a revisions process - once data for a reference year are 'final', they are no longer revised. Affected data in this table are: 2007-2013 (final), 2014 (revised), 2015-2016 (preliminary). See Explanatory Notes 55-58. See also Causes of Death Revisions, 2012 and 2013 (Technical Note) in Causes of Death, Australia, 2014 (cat. no. 3303.0). (c) The age-standardised death rates for 2012-2015 presented in this table have been recalculated using 2016-census-based population estimates. As a result, these rates may differ from those previously published. (d) Deaths registered on Norfolk Island from 1 July 2016 are included in this publication for the first time, see Explanatory Notes 12-15. Source(s): Standardised death rates for Diabetes (E10-E14) in Australia, per 100,000, 2007-2016 (a)(b)(c)(d)-Standardised death rates for Diabetes Mellitus (E10-E14) in Australia, per 100,000, 2007-2016 Footnote(s): a) This graph presents deaths for which Diabetes (E10-E14) is the underlying cause of death. The underlying cause of death refers to the disease or injury which initiated the train of morbid events leading directly to death. (b) Associated causes of death are all causes listed on the death certificate other than the underlying cause of death. (c) The associated causes listed are based on the WHO tabulation of leading causes. See Explanatory Notes 35-37 for further information. Groupings of deaths coded to Chapter XVIII: Symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99) are not included in analysis, due to the unspecific nature of these causes. (d) Continue reading >>
Mortality Rates For Type 1 Diabetes Patients Still Too High
Despite major advances in the treatment of type 1 diabetes over the past 30 years, type 1 men are living approximately 11 fewer years than their non-diabetic peers. For women, the years lost is even higher at 13…. Scottish researchers examined data from a prospective cohort of patients in Scotland with type 1 diabetes who were aged 20 years or older from 2008 through 2010 and were in a nationwide register (n=24,691 contributing 67,712 person-years and 1,043 deaths). Life expectancy at an attained age of 20 years was an additional 46.2 years among men with type 1 diabetes and 57.3 years among men without it, an estimated loss in life expectancy with diabetes of 11.1 years (95% CI, 10.1-12.1). Life expectancy from age 20 years was an additional 48.1 years among women with type 1 diabetes and 61.0 years among women without it, an estimated loss with diabetes of 12.9 years (95% CI, 11.7-14.1). Even among those with type 1 diabetes with an estimated glomerular filtration rate of 90 mL/min/1.73 m2 or higher, life expectancy was reduced (49.0 years in men, 53.1 years in women) giving an estimated loss from age 20 years of 8.3 years (95% CI, 6.5-10.1) for men and 7.9 years (95% CI, 5.5-10.3) for women. Overall, the largest percentage of the estimated loss in life expectancy was related to ischemic heart disease (36% in men, 31% in women) but death from diabetic coma or ketoacidosis was associated with the largest percentage of the estimated loss occurring before age 50 years (29.4% in men, 21.7% in women). The researchers concluded that, “Estimated life expectancy for patients with type 1 diabetes in Scotland based on data from 2008 through 2010 indicated an estimated loss of life expectancy at age 20 years of approximately 11 years for men and 13 years for women compared w Continue reading >>
Study: Mortality Rates Declining In Type 1 & 2 Diabetes Patients
According to a large cohort study, mortality rates fell in patients with diabetes (of which 7.3% had type 1 diabetes) between 2000 and 2011. Researchers at Baker IDI Heart and Diabetes Institute in Melbourne, Australia analyzed data from 1,189,049 Australians with diabetes taken from the National Diabetes Service Scheme between 2000 and 2011. This data was tied to the National Death Index to look for changes by age group in “all-cause and cause-specific mortality rates.” Are People with Diabetes Living Longer? “Among participants with type 1 diabetes, the age-standardized mortality rate was 16.2 per 1,000 person-years.” Researchers, led by Jessica L. Harding, a PhD candidate found that all of the age groups had major improvements in CVD (cardiovascular disease) mortality, particularly in the 50-60 year old and 60-70 year old age groups. “Among participants with type 2 diabetes, the age-standardized mortality rate was 8.6 per 1,000 person-years.” Here the 40-60 year old age group had the greatest lowering in mortality rates. The researchers wrote, “All-cause, CVD, and diabetes [age-standardized mortality rates] in type 1 and type 2 diabetes decreased between 2000 and 2011, while cancer [age-standardized mortality rates] remained unchanged. However, younger populations are not benefiting from the same improvements as older populations. In addition, the absence of a decline in cancer mortality warrants urgent attention.” What Causes a Shortened Life Expectancy in People with Diabetes? According to the Center for Disease Control, the current US life expectancy averages 78.8 years. People living with type 1 or type 2 diabetes often suffer from complications such as the following: (Courtesy of the Mayo Clinic) Cardiovascular disease Nerve damage (neuropathy) K Continue reading >>
Type 2 Diabetics Still Face Elevated Death Risk
HealthDay Reporter WEDNESDAY, Oct. 28, 2015 (HealthDay News) -- Medical science has made tremendous progress in prolonging the lives of people with type 2 diabetes. But, the prognosis still remains poor for patients who don't keep their blood sugar levels under control, according to results from a large-scale Swedish study. People with type 2 diabetes carry a 15 percent increased risk of premature death compared to healthy people, the researchers reported in the Oct. 29 issue of the New England Journal of Medicine. Those odds aren't great, but they're much better than they were as recently as 15 years ago, said senior author Dr. Marcus Lind, a physician at the University of Gothenburg in Sweden. "Up to the year 2000, the excess risk of mortality in individuals with type 2 diabetes was generally considered to be doubled compared to the general population, implying a doubled risk to die during the following years," Lind said. Now, the overall death rate for diabetics has "dropped to historical low levels," he added. However, the risk of death is much higher in people younger than 65, those who poorly control their blood sugar levels, and those who've suffered kidney damage from type 2 diabetes, the researchers found. The upshot is this -- type 2 diabetics have to do their part in managing their condition if they want the benefits that medical advances have wrought, said Dr. Robert Ratner, chief scientific and medical officer for the American Diabetes Association. "If you develop diabetes, there is good evidence that attention to glucose [blood sugar] control and other cardiovascular risk factors from the onset can reduce any individual's risk of death," Ratner said. The new study used data from the Swedish National Diabetes Register to compare the death rate among just ov Continue reading >>
Mortality Due To Diabetes
Key Messages Canada receives a “C” and ranks 15th out of 17 peer countries on mortality due to diabetes. Two million Canadians suffer from diabetes, a figure that is expected to increase to three million over the next decade. The prevalence of diabetes in Canada continues to increase. Putting mortality due to diabetes in context Diabetes is a global epidemic and, according to the International Diabetes Federation, “one of the most challenging health problems in the 21st century.” In 2011, diabetes accounted for about 4.6 million deaths worldwide.1 Globally, it is estimated that more than 350 million people suffer from diabetes; this number is expected to jump to over 550 million by 2030, if nothing is done.2 An estimated 280 million people worldwide have an impaired glucose tolerance—a precursor to diabetes. This number is projected to reach 398 million by 2030, or 7 per cent of the adult population.3 Diabetes has also shifted down a generation—from a disease of the elderly to one that affects those of working age or younger. According to the International Diabetes Federation, as a result of decreasing levels of physical activity and increasing obesity rates, type 2 diabetes in children has the potential to become a global public health issue.4 If you enjoyed this research, get regular updates by signing up to our monthly newsletter. Please enter your e-mail. Your e-mail was not in the correct format. It should be in the form [email protected]. What is diabetes? Diabetes is a chronic, often debilitating, and sometimes fatal disease that occurs when there are problems with the production and use of insulin in the body, ultimately leading to high blood sugar levels. Long-term complications from diabetes include kidney disease, diminishing sight, loss of feeling in t Continue reading >>
Diabetes Mellitus (dm) Mortality
Overall Diabetes Mellitus (DM) was listed as the primary cause for 929 deaths in Simcoe Muskoka between 2007 and 2012 and was the sixth leading cause of death during that time period. Mortality figures that are based on diabetes as the primary cause of death underestimate the true impact of diabetes on mortality. This is because the medical complications associated with diabetes put individuals with the disease at increased risk of premature death compared to people without the illness. According to a 2011 report produced by the Public Health Agency of Canada, at least one in ten adult deaths can be attributed to diabetes. However, the DM mortality rate based on primary cause of death remains a commonly used indicator at the provincial, national and international levels. There was no apparent trend in the rates in Simcoe Muskoka over the thirteen year period from 2000 to 2012; however, in Ontario, there was a significant downward trend in DM mortality. The DM mortality experience in Simcoe Muskoka was significantly higher when compared to Ontario during this time period, with a standardized mortality ratio (SMR) of 1.17 (1.12, 1.23). This means that Simcoe Muskoka residents experienced a 17% higher DM mortality rate when compared to the province as a whole. In 2012, the age-standardized mortality rate for DM among Simcoe Muskoka males was 30.2 (23.3, 37.1) per 100,000, which was not significantly different than the female rate of 22.3 (17.3, 27.4) per 100,000. The female rate in 2012 in Simcoe Muskoka was significantly higher than the female provincial age-standardized mortality rate of 16.5 (15.6, 17.4) per 100,000. The male rate in 2012 did not differ significantly from the provincial rate of 25.1 (23.8, 26.4) per 100,000. There were no significant trends in the male Continue reading >>
