How Many People Have Diabetes?
Rates of both type 1 and type 2 diabetes are increasing globally. According to the International Diabetes Federation (IDF) Diabetes Atlas, here are the overall rates including both type 1 and type 2: 415 million adults have diabetes (1 in 11 adults) By 2040, 642 million adults (1 in 10 adults) are expected to have diabetes 46.5% of those with diabetes have not been diagnosed 1 in 7 births is affected by gestational diabetes 12% of global health expenditure is spent on diabetes ($673 billion) You can see an interactive map of global diabetes statistics at the IDF website. According to the Centers for Disease Control and Prevention (CDC), the most current data is for 2012 (source): 29 million people in the United States (9.3 percent) have type 1 or type 2 diabetes. 1.7 million people aged 20 years or older were newly diagnosed with type or type 2 diabetes in 2012. Non-Hispanic black, Hispanic, and American Indian/Alaska Native adults are about twice as likely to have diagnosed with some form of diabetes as non-Hispanic white adults. 208,000 people younger than 20 years have been diagnosed with type 1 or type 2 diabetes. 86 million adults aged 20 years and older have prediabetes. The percentage of U.S. adults with prediabetes is similar for non-Hispanic whites (35 percent), non-Hispanic blacks (39 percent), and Hispanics (38 percent). Similar data is available from a study called Prevalence and Incidence Trends for Diagnosed Diabetes Among Adults Aged 20 to 79 Years, United States, 1980-2012 published in Journal of the American Medical Association (JAMA). This study found that 49% to 52% of the adult population had either diabetes or prediabetes. Then came the most stunning number: 83% of adults over 65 have either diabetes or prediabetes! Thankfully, the authors of this s Continue reading >>
Diabetes Statistics In Canada
Key Statistics 2015 2025 Estimated diabetes prevalence (n/%) 3.4 million/9.3% 5 million/12.1% Estimated prediabetes prevalence in Canada (n/%) (age 20+) 5.7 million/22.1% 6.4 million/23.2% Estimated diabetes prevalence increase (%) 44% from 2015-2025 Estimated diabetes cost increase (%) 25% from 2015-2025 Impact of diabetes Diabetes complications are associated with premature death. It is estimated that one of ten deaths in Canadian adults was attributable to diabetes in 2008/09. People with diabetes are over three times more likely to be hospitalized with cardiovascular disease, 12 times more likely to be hospitalized with end-stage renal disease and over 20 times more likely to be hospitalized for a non-traumatic lower limb amputation compared to the general population. Thirty per cent of people with diabetes have clinically relevant depressive symptoms; individuals with depression have an approximately 60% increased risk of developing type 2 diabetes.3 Foot ulceration affects an estimated 15-25% of people with diabetes. One-third of amputations in 2011-2012 were performed on people reporting a diabetic foot wound. Some populations are at higher risk of type 2 diabetes, such as those of South Asian, Asian, African, Hispanic or Aboriginal descent, those who are overweight, older or have low income. Diabetes rates are 3-5 times higher in First Nations, a situation compounded by barriers to care for Aboriginal people.3 Fifty-seven percent of Canadians with diabetes reported they cannot adhere to prescribed treatment due to the high out-of-pocket cost of needed medications, devices and supplies. The average cost for these supports is >3% of income or >$1,500. As a result of stigma or fear of stigma, 37% of Canadians with type 2 diabetes surveyed by the Cana Continue reading >>
Up To 24,000 Diabetics Dying Each Year Because Of Lack Of Education
Up to 24,000 diabetics are dying needlessly each year because the NHS is failing to educate them in how to manage their condition effectively. Since 2003, the National Institute of Health and Care Excellence (Nice) has recommended that all diabetics be offered programmes which teach them how to monitor blood glucose and insulin, lower weight, increase exercise, understand food labels and spot complications. Yet just two per cent of people newly diagnosed with Type 1 diabetes and six per cent of people with Type 2 diabetes have attended the courses, either because they were not offered or nobody checked they were showing up. The charity Diabetes UK estimates that the majority of the 24,000 early deaths annually from diabetes and 7,000 amputations could be avoided if people managed their condition properly. Theresa May suffers from Type 1 diabetes but is diligent about looking after her health. Previous studies have shown that a life expectancy of a man diagnosed with diabetes at 55 differs by nearly eight years depending on healthy he stays. While those looking after themselves could expect to live until at least 76, those who manage their condition badly are likely to die by 68, 13 years earlier than average life expectancy of a British man. Diabetes UK, who have released their ‘State of the Nation’ report looking into diabetes care said the figures are a ‘huge cause for concern.’ Chris Askew, Diabetes UK Chief Executive, said: “Diabetes is a very serious and complex health condition that requires constant self-management. “This can be extremely overwhelming, yet people with diabetes may only see their GPs and nurses a few times year, and if they fail to manage their diabetes effectively the results can be devastating. “This is why it is essential that eve Continue reading >>
Given That Smoking Tobacco Causes More Deaths Per Year Than Any Other Drug, Should It Be Made Illegal? Why?
No. Smoking is perhaps the cheapest way to become temporarily cooler. Most other ways to become cool either involve a large time investment, or more serious and immediate risk of death or injury. Smoking is an important part of our culture. Smokers have an automatic bond between one another, and they have one more reason to talk to one another. Social isolation has negative health effects, and in our increasingly atomized society, it's important to mitigate that. Nicotine "...may be the most successful weight-loss drug in history..." according to science reporter Gary Taubes, in Good Calories, Bad Calories. Diabetes also kills lots of people, and they suffer longer, too. Life expectancy is not the only variable we should focus on. There's no reason to think that if Americans lived as long as the Japanese, we'd be happier. (Incidentally, Japanese smoking rates are higher than ours. Greece, which has the highest smoking rates in the world, has a higher life expectancy than the US. So it isn't even clear that smoking is a major determinant, here. Cigarettes reduce stress. This is one of the confouding variables in the life expectancy data. It's very hard to track how many heart attacks and strokes have been prevented by someone lighting up instead of freaking out, but surely the number is non-zero. And an astonishing number of smokers get heart attacks because they give up on smoking. America makes excellent cigarettes. We should not give up an export market simply because puritans at home are worried that other people might derive some joy from a bad habit. Cigarettes produce tax revenues. Smoking is one of the most budget-positive ways for stupid people to be stupid. Pro-cigarette agitation is a great outlet for natural contrarians, who might otherwise advocate more dama Continue reading >>
Death Rates Due To Diabetes
You asked Please could I obtain the death rates due to diabetes related causes within the UK during 2012, 2013, 2014, 2015. We said Thank you for your query on deaths related to diabetes. The number of deaths registered in England and Wales each year by sex, age and underlying cause are available from the Office for National Statistics (ONS) Mortality Statistics: Deaths Registered in England and Wales (Series DR) release. This is available on the ONS website: Special extracts and tabulations of mortality data, including the calculation of mortality rates for specific causes, are available to order (subject to legal frameworks, disclosure control, resources and agreements of costs, where appropriate). Such enquiries should be made to: [email protected]. We recommend that you contact the Mortality Analysis team directly in order to discuss your data requirements in more detail. As this information is already available to you via this route ONS considers that S21(1) applies to this request and the information does not have to be supplied under the terms of the Freedom of Information Act. S21(1) is an absolute exemption and no consideration of the public interest test needs to be applied. Continue reading >>
Tb, Diabetes Leading Causes Of Natural Deaths In 2015 - Stats Sa
Johannesburg - The leading underlying natural causes of death among South Africans in 2015 were tuberculosis and diabetes, Statistics South Africa said on Tuesday. Tuberculosis was responsible for 8.3% of deaths among males, while among women diabetes was the leading underlying natural cause of death responsible for 7.1% of their deaths, StatsSA said in a statement. The institution analysed 10 leading underlying natural causes of death, and results showed that six of the top ten causes were non-communicable diseases, while the other four were communicable diseases. Tuberculosis was the leading underlying natural cause of death in 2015, accounting for 7.2% of deaths. It was followed by diabetes which accounted for 5.4% of the deaths. "Although tuberculosis has maintained its position as the number one leading underlying natural cause of death, the proportions over time have been declining, whilst proportions for diabetes mellitus, hypertensive diseases, other viral diseases and chronic lower respiratory diseases have been increasing," it said. 460 236 deaths in 2015 Notably, influenza and pneumonia moved from second place in 2013 to sixth in 2015, while diabetes climbed from fifth position in 2013 to second position in 2015, it said. The rise in non-communicable diseases was notable in males and females aged 65 and above. According to data collected, non-communicable diseases accounted for 62.5% of the top 10 leading causes of death among females aged 65 and above, whereas among males in the same age group the diseases constituted 48.0%. There were 460 236 deaths in 2015, with the highest number of deaths recorded among those aged 60–64 years at 7.8%. The lowest number of deaths was among those aged 5–9 and 10–14 years. There were also more male deaths than female Continue reading >>
Type 1 Diabetes Facts
Type 1 diabetes (T1D) is an autoimmune disease that occurs when a person’s pancreas stops producing insulin, the hormone that controls blood-sugar levels. T1D develops when the insulin-producing pancreatic beta cells are mistakenly destroyed by the body’s immune system. The cause of this attack is still being researched, however scientists believe the cause may have genetic and environmental components. There is nothing anyone can do to prevent T1D. Presently, there is no known cure. Who T1D affects Type 1 diabetes (sometimes known as juvenile diabetes) affects children and adults, though people can be diagnosed at any age. With a typically quick onset, T1D must be managed with the use of insulin—either via injection or insulin pump. Soon, people who are insulin dependent may also be able to use artificial pancreas systems to automatically administer their insulin. How T1D is managed Type 1 diabetes is a 24/7 disease that requires constant management. People with T1D continuously and carefully balance insulin intake with eating, exercise and other activities. They also measure blood-sugar levels through finger pricks, ideally at least six times a day, or by wearing a continuous glucose monitor. Even with a strict regimen, people with T1D may still experience dangerously high or low blood-glucose levels that can, in extreme cases, be life threatening. Every person with T1D becomes actively involved in managing his or her disease. Insulin is not a cure While insulin therapy keeps people with T1D alive and can help keep blood-glucose levels within recommended range, it is not a cure, nor does it prevent the possibility of T1D’s serious effects. The outlook for treatments and a cure Although T1D is a serious and challenging disease, long-term management options cont Continue reading >>
Do We Know How Sugar Affects Our Health?
Sugar overconsumption is the problem. A 2015 study showed that worldwide 184,000 deaths per year are attributable to sugar-sweetened beverage consumption; among those there are 133,000 deaths from diabetes, 45,000 deaths from cardiovascular disease and 6,450 deaths from cancers. Estimated Global, Regional, and National Disease Burdens Related to Sugar-Sweetened Beverage Consumption in 2010. Those people who developed disabilities from strokes, heart attacks, osteoporosis and severe arthritis measured 8.5 million disability-adjusted life years throughout the world and were related to sugar-sweetened beverages. 4.5% of these were from diabetes that was related to sugar-sweetened beverages. Even cancer can be caused from sugar overconsumption: Sugar As A Cause Of Cancer. Advanced glycation end products (AGEs) form when food is cooked at high temperatures. Sugar molecules react with proteins crosslinking them and changing how they function. It prevents proteins from doing their job. Glycation also causes inflammation, which damages mitochondria, the power packages inside cells that provide the body with energy. Overall AGEs lead to premature aging, which comes from the toxic protein reactions. Advanced glycation end products accumulate as glycated proteins in the tissues of the body. This leads to mitochondrial dysfunction. More info here: advanced glycation end products (AGEs). The bottom line is that mitochondrial loss in body cells leads to shorter life expectancy due to more heart attacks, strokes, diabetes and Alzheimer’s. Sugar consumption has skyrocketed over the past 100 years: CHART OF THE DAY: American Per-Capita Sugar Consumption Hits 100 Pounds Per Year. An entirely new recommendation of the FDA is that sugar should be reduced in anybody’s diet. The FDA expl 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 >>
Quick Facts Diabetes In Minnesota
How many adults in Minnesota have diabetes? 2015, 7.6% of Minnesota adults (about 320,000)1 had been diagnosed with diabetes (type 1 or 2). Around 18,000 new cases are diagnosed in Minnesota each year (2010)1 Around 1 in 4 people with diabetes do not know that they have the disease2. For information about diabetes in the US, please read the National Diabetes Statistics Report 2017. Are there disparities in diabetes rates in Minnesota? Disparities happen when the health of a group of people are negatively affected by factors like how much money they earn, their race or ethnicity, or where they live. In Minnesota, we currently collect data specific to two of these factors. Education: In 2015, about 5.4 percent1* of adults who have a college degree report having diabetes compared with 8.5 percent1* of adults who do not. Income: Health survey data from 2013 through 2015 show that self-reported diabetes rates are higher for people living in households that earn lower incomes1*. How is Minnesota monitoring diabetes management? Healthcare providers measure five diabetes goals to monitor how well a patient’s diabetes is controlled. These goals are influenced by a number of different factors: individual factors, community-level factors, and healthcare-related factors. This information is reported as the Optimal Diabetes Care measure. Overall in Minnesota, 53 percent of adults met all five diabetes goals3. There are disparities in the percentage of people who meet all five diabetes goals. We show some of the disparities observed in 2014 below: Race: 31 percent of American Indian or Alaska Native meet the Optimal Diabetes Care measure as compared to 59 percent of Asian adults3. Ethnicity: 46 percent of Hispanic or Latino adults meet the Optimal Diabetes Care measure as compared Continue reading >>
Sugary Drinks Kill 184,000 A Year Through Diabetes, Heart Disease And Cancer
Sugary soft drinks kill 184,000 adults every year, scientists claim. And there could be a ticking time bomb because those under 45 consume more artificially sweetened drinks and are more at risk of diabetes and obesity. The worldwide study is the first to estimate deaths and disability from diabetes, heart disease, and cancers caused by the drinks. It said 133,000 deaths from diabetes, 45,000 deaths from cardiovascular disease and 6,450 deaths from cancer were caused by fizzy drinks, fruit drinks, energy drinks and sweetened ice teas in 2010. • How much sugar is in your soft drinks? • Sweet poison: why sugar is ruining our health The study did not include pure fruit juices and all drinks had at least 50 kcal per eight US ounces serving or just over two thirds of a standard pop can. Dr Dariush Mozaffarian, Dean of the Friedman School of Nutrition Science and Policy at Tufts University in Boston said: "Many countries in the world have a significant number of deaths occurring from a single dietary factor, sugar-sweetened beverages. "It should be a global priority to substantially reduce or eliminate sugar-sweetened beverages from the diet. "There are no health benefits from sugar-sweetened beverages, and the potential impact of reducing consumption is saving tens of thousands of deaths each year." The study based its estimates of consumption from 62 dietary surveys including 611,971 individuals conducted between 1980 and 2010 across 51 countries, along with data on national availability of sugar in 187 countries and other information. Based on meta-analyses of other published evidence on health harms of sugar-sweetened beverages, it calculated the direct impact on diabetes and the obesity-related effects on cardiovascular disease, diabetes and cancer. It found sugar dr Continue reading >>
Diabetes: The Facts
Introduction Diabetes is a chronic disease of impaired glucose metabolism resulting from a deficiency in the action of the hormone insulin. There may be a quantitative deficiency of insulin, production of an abnormal insulin, peripheral resistance to its action or a combination of deficits. The elucidation of insulin's role in the pathogenesis of diabetes and the eventual use of purified, and now biologically synthesized, insulin in the treatment of diabetes is a major accomplishment of modern medicine. Prior to the introduction of insulin in the 1920s, most patients with insulin-dependent diabetes died within two years of onset. There are two major forms of diabetes. Insulin-dependent diabetes mellitus (IDDM) occurs in those 10% of diabetics who depend on insulin for prevention of ketoacidosis. IDDM most often develops in persons under 20 years of age and is also called juvenile onset, type I, and ketosis or acidosis-prone diabetes. Noninsulin-dependent diabetes mellitus (NIDDM) usually has its onset in adulthood and constitutes 90-95% of all cases. Although some persons with NIDDM may take insulin, most do not require insulin to prevent ketoacidosis. Other names for NIDDM are maturity onset type II, and ketosis- or acidosis-resistant diabetes. Although there is some overlap in the use of insulin among those with insulin-dependent and noninsulin-dependent diabetes, the disease processes are pathological and genetically distinct. IDDM probably results from the destruction of the insulin-producing beta cells of the pancreas by an auto-immune process that may be precipitated by a viral infection. NIDDM, which in over 75% of cases occurs to overweight persons, is characterized by a gradual decline in beta cell function and varying degrees of peripheral resistance to insuli 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 >>
What Is Diabetes
Diabetes is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells. Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues. Continue reading >>
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Understanding Diabetes Mortality In Australia
WHAT IS DIABETES? Diabetes mellitus is a chronic metabolic condition where glucose levels are too high within the bloodstream. This is due to insulin, a hormone that controls blood glucose levels, no longer being produced or not being produced in sufficient amounts by the body (Diabetes Australia). According to the National Health Survey 2014-15, 5.1% of the Australian population (1.2 million people) had some type of diabetes (excluding persons with gestational diabetes). Type I diabetes affects approximately 0.7% of the population and is an autoimmune disease. Type II diabetes affects around 4.4% of the population and has links to both genetic and lifestyle factors (Diabetes Australia). Currently there is no cure for diabetes, but it can be managed successfully. Despite this, diabetes can lead to many complications which cause or contribute to a person's death. It is referenced on many death certificates, and depending on a range of factors can be assigned either as an underlying or associated cause of death. Understanding mortality associated with diabetes is therefore quite complex and can be examined in a number of different ways. This article presents two different ways of tabulating information on diabetes mortality that both give an insight into the impact of this disease. Information is also provided on diabetes deaths of Aboriginal and Torres Strait Islander people. DIABETES AS AN UNDERLYING CAUSE OF DEATH The traditional way of tabulating causes of death is by underlying cause. Underlying causes of death are based on the single disease or condition that starts the morbid train of events leading to death. Tabulating causes of death by underlying cause ensures that each death is assigned a single cause and is counted only once in tabulations. However, it does no Continue reading >>