Half Of Americans Have Diabetes Or A High Risk For It — And Many Of Them Are Unaware
That’s right. The metabolic condition is about as American as you can get, according to a new national report card on diabetes released Tuesday by the Centers for Disease Control and Prevention. The report shows that nearly half of Americans have diabetes or prediabetes, which puts them at high risk for the condition. A good number of these folks haven’t been diagnosed and don’t even realize their predicament. People with diabetes have too much sugar in their blood. If the disease isn’t controlled, they can wind up with heart disease, nerve damage, kidney problems, eye damage and other serious health problems. The new report combines data from the CDC, the Agency for Healthcare Research and Quality, the Indian Health Service and the Census Bureau. Here’s a numerical look at what they reveal about diabetes in America. 30.3 million The number of people in the U.S. who had diabetes in 2015. The percentage of the U.S. population that has diabetes. That’s nearly 1 in 10. 1.5 million The number of newly diagnosed cases of diabetes among U.S. adults in 2015. That works out to 6.7 new cases per 1,000 people. 24% The percentage of Americans with diabetes who don’t even know they have it. That’s 7.2 million people. 7 Where diabetes ranked on the list of leading causes of death in the U.S. in 2015. Diabetes was listed as a cause of death on 252,806 death certificates that year, including 79,535 that identified diabetes as the primary cause of death. There were two kinds of diabetes included in the study. Type 1 diabetes (formerly known as juvenile diabetes) occurs when the immune system prevents the body from making insulin, and type 2 diabetes (formerly known as adult-onset diabetes) occurs when the body can’t make enough insulin or can’t use it well. About 95 Continue reading >>
The Contribution Of Rising Adiposity To The Increasing Prevalence Of Diabetes In The United States
Highlights • The prevalence of diabetes has risen rapidly over the past several decades. • Clinical and biological evidence suggests obesity is causally linked to diabetes. • We used national data to examine the trend in diabetes and its relation to obesity. • The odds of having diabetes rose at a rate of 2.6%/yr between 1988 and 2014. • The rise in obesity over this period accounted for 72% of the increase in diabetes. Abstract We assessed the contribution of increasing adiposity to the rising prevalence of diabetes in the United States over the period 1988–2014. Data from NHANES III (1988–1994) and continuous waves (1999–2014) were pooled for the current study. Diabetes status was assessed using data on Hemoglobin A1c. We estimated a multivariable logistic regression model that predicted the odds of having diabetes as a function of age, sex, racial/ethnic group, educational attainment, and period of observation. At a second stage, we introduced measures of general and abdominal adiposity into the model. Changes in coefficients pertaining to period of observation between the first and second models were interpreted as indicating the extent to which adiposity can account for trends in the prevalence of diabetes. Sensitivity analyses were conducted to investigate how alternative definitions of adiposity and diabetes status would affect results. The predicted prevalence of diabetes rose by 2.59%/yr between 1988 and 2014 after adjusting for changes in population composition. Increasing adiposity explained 72% of the rise in diabetes. Results were consistent for men and women. Rising levels of adiposity explained the large majority of the rise in diabetes prevalence between 1988 and 2014. Fig. 2. Odds ratios associated with survey period in models adjusted a Continue reading >>
- Relative contribution of type 1 and type 2 diabetes loci to the genetic etiology of adult-onset, non-insulin-requiring autoimmune diabetes
- Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study
- Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014
Risk Factors For Type 2 Diabetes Mellitus
INTRODUCTION Type 2 diabetes mellitus is characterized by hyperglycemia, insulin resistance, and relative impairment in insulin secretion. Its pathogenesis is poorly understood, but is heterogeneous and both genetic factors affecting insulin release and responsiveness and environmental factors, such as obesity, are important. The prevalence of and risk factors for type 2 diabetes will be reviewed here. The pathogenesis, including genetic susceptibility, and the diagnostic criteria for diabetes are discussed elsewhere. (See "Pathogenesis of type 2 diabetes mellitus" and "Clinical presentation and diagnosis of diabetes mellitus in adults".) LIFETIME RISK/PREVALENCE It is estimated that diabetes affects 387 million people worldwide [1]. Among adults in the United States, the estimated overall prevalence of diabetes ranges from 12 to 14 percent, depending on the criteria used [2]. An analysis of data from the National Health Interview Survey found a doubling in the prevalence of type 2 diabetes from 1990 to 2008, with no significant change during 2008 to 2012 [3]. Other national databases, such as the National Health and Nutrition Examination Survey (NHANES), have reported an increase in the prevalence of diabetes over two decades (from 9.8 to 12.4 percent), but have confirmed the relatively stable (approximately 12 percent) prevalence between 2008 and 2012 [2,4]. Given the marked increase in childhood obesity, there is concern that the prevalence of diabetes will continue to increase substantially. (See "Definition; epidemiology; and etiology of obesity in children and adolescents", section on 'Epidemiology'.) The prevalence of diabetes is higher in certain populations. Using data from a national survey for people aged 20 years or older, the prevalence of type 2 diabetes i Continue reading >>
Prevalence Of Undiagnosed Diabetes In Us
Diabetes affects up to 14 percent of the U.S. population - an increase from nearly 10 percent in the early 1990s - yet over a third of cases still go undiagnosed, according to a new analysis. Screening seems to be catching more cases, accounting for the general rise over two decades, the study authors say, but mainly whites have benefited; for Hispanic and Asian people in particular, more than half of cases go undetected. "We need to better educate people on the risk factors for diabetes - including older age, family history and obesity - and improve screening for those at high risk," lead study author Andy Menke, an epidemiologist at Social and Scientific Systems in Silver Spring, Maryland, said by email. Globally, about one in nine adults has diagnosed diabetes, and the disease will be the seventh leading cause of death by 2030, according to the World Health Organization. Most of these people have Type 2, or adult-onset, diabetes, which happens when the body can't properly use or make enough of the hormone insulin to convert blood sugar into energy. Left untreated, diabetes can lead to nerve damage, amputations, blindness, heart disease and strokes. Average blood sugar levels over the course of several months can be estimated by measuring changes to the hemoglobin molecule in red blood cells. The hemoglobin A1c test measures the percentage of hemoglobin - the protein in red blood cells that carries oxygen - that is coated with sugar, with readings of 6.5 percent or above signaling diabetes. People with A1c levels between 5.7 percent and 6.4 percent aren't diabetic, but because this is considered elevated it is sometimes called "pre-diabetes" and considered a risk factor for going on to develop full-blown diabetes. Menke and colleagues estimated the prevalence of diabe Continue reading >>
Secular Changes In U.s. Prediabetes Prevalence Defined By Hemoglobin A1c And Fasting Plasma Glucose
OBJECTIVE Using a nationally representative sample of the civilian noninstitutionalized U.S. population, we estimated prediabetes prevalence and its changes during 1999–2010. RESEARCH DESIGN AND METHODS Data were from 19,182 nonpregnant individuals aged ≥12 years who participated in the 1999–2010 National Health and Nutrition Examination Surveys. We defined prediabetes as hemoglobin A1c (A1C) 5.7 to <6.5% (39 to <48 mmol/mol, A1C5.7) or fasting plasma glucose (FPG) 100 to <126 mg/dL (impaired fasting glucose [IFG]). We estimated the prevalence of prediabetes, A1C5.7, and IFG for 1999–2002, 2003–2006, and 2007–2010. We calculated estimates age-standardized to the 2000 U.S. census population and used logistic regression to compute estimates adjusted for age, sex, race/ethnicity, poverty-to-income ratio, and BMI. Participants with self-reported diabetes, A1C ≥6.5% (≥48 mmol/mol), or FPG ≥126 mg/dL were included. RESULTS Among those aged ≥12 years, age-adjusted prediabetes prevalence increased from 27.4% (95% CI 25.1–29.7) in 1999–2002 to 34.1% (32.5–35.8) in 2007–2010. Among adults aged ≥18 years, the prevalence increased from 29.2% (26.8–31.8) to 36.2% (34.5–38.0). As single measures among individuals aged ≥12 years, A1C5.7 prevalence increased from 9.5% (8.4–10.8) to 17.8% (16.6–19.0), a relative increase of 87%, whereas IFG remained stable. These prevalence changes were similar among the total population, across subgroups, and after controlling for covariates. CONCLUSIONS During 1999–2010, U.S. prediabetes prevalence increased because of increases in A1C5.7. Continuous monitoring of prediabetes is needed to identify, quantify, and characterize the population of high-risk individuals targeted for ongoing diabetes primary preventi Continue reading >>
- Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
Changes In Diagnosed Diabetes, Obesity, And Physical Inactivity Prevalence In Us Counties, 2004-2012
Abstract Recent studies suggest that prevalence of diagnosed diabetes in the United States reached a plateau or slowed around 2008, and that this change coincided with obesity plateaus and increases in physical activity. However, national estimates can obscure important variations in geographic subgroups. We examine whether a slowing or leveling off in diagnosed diabetes, obesity, and leisure time physical inactivity prevalence is also evident across the 3143 counties of the United States. We used publicly available county estimates of the age-adjusted prevalence of diagnosed diabetes, obesity, and leisure-time physical inactivity, which were generated by the Centers for Disease Control and Prevention (CDC). Using a Bayesian multilevel regression that included random effects by county and year and applied cubic splines to smooth these estimates over time, we estimated the average annual percentage point change (APPC) from 2004 to 2008 and from 2008 to 2012 for diabetes, obesity, and physical inactivity prevalence in each county. Compared to 2004–2008, the median APPCs for diabetes, obesity, and physical inactivity were lower in 2008–2012 (diabetes APPC difference = 0.16, 95%CI 0.14, 0.18; obesity APPC difference = 0.65, 95%CI 0.59, 0.70; physical inactivity APPC difference = 0.43, 95%CI 0.37, 0.48). APPCs and APPC differences between time periods varied among counties and U.S. regions. Despite improvements, levels of these risk factors remained high with most counties merely slowing rather than reversing, which suggests that all counties would likely benefit from reductions in these risk factors. The diversity of trajectories in the prevalence of these risk factors across counties underscores the continued need to identify high risk areas and populations for prevent Continue reading >>
- Prevalence of and Risk Factors for Diabetic Peripheral Neuropathy in Youth With Type 1 and Type 2 Diabetes: SEARCH for Diabetes in Youth Study
- Our Diabetes Story: My 11 Year old Son Went Into Diabetic Ketoacidosis and Was Diagnosed with Type 1 Diabetes
- Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014
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 >>
New Cdc Report: More Than 100 Million Americans Have Diabetes Or Prediabetes
More than 100 million U.S. adults are now living with diabetes or prediabetes, according to a new report released today by the Centers for Disease Control and Prevention (CDC). The report finds that as of 2015, 30.3 million Americans – 9.4 percent of the U.S. population –have diabetes. Another 84.1 million have prediabetes, a condition that if not treated often leads to type 2 diabetes within five years. The report confirms that the rate of new diabetes diagnoses remains steady. However, the disease continues to represent a growing health problem: Diabetes was the seventh leading cause of death in the U.S. in 2015. The report also includes county-level data for the first time, and shows that some areas of the country bear a heavier diabetes burden than others. “Although these findings reveal some progress in diabetes management and prevention, there are still too many Americans with diabetes and prediabetes,” said CDC Director Brenda Fitzgerald, M.D. “More than a third of U.S. adults have prediabetes, and the majority don’t know it. Now, more than ever, we must step up our efforts to reduce the burden of this serious disease.” Diabetes is a serious disease that can often be managed through physical activity, diet, and the appropriate use of insulin and other medications to control blood sugar levels. People with diabetes are at increased risk of serious health complications including premature death, vision loss, heart disease, stroke, kidney failure, and amputation of toes, feet, or legs. The National Diabetes Statistics Report, released approximately every two years, provides information on diabetes prevalence and incidence, prediabetes, risk factors for complications, acute and long-term complications, mortality, and costs in the U.S. Key findings from Continue reading >>
Physical Activity Levels And Differences In The Prevalence Of Diabetes Between The United States And Canada☆
Abstract To examine the American–Canadian difference in physical activity and its association with diabetes prevalence. We used cross-sectional data from nationally representative samples of adults (8688 persons aged ≥ 18 years) participating in the 2004 Joint Canada/U.S. Survey of Health. Using data on up to 22 activities in the past 3 months, we defined 3 physical activity groups (in metabolic equivalents-hours/day) as low (< 1.5), moderate (1.5–2.9), and high (≥ 3.0). We employed logistic regression models in our analyses. Results. Self-reported diabetes prevalence was 7.6% in the U.S. and 5.4% in Canada. The prevalence of low physical activity was considerably higher in the U.S. (70.9%) than in Canada (52.3%), while levels of moderate and high physical activity were higher in Canada (24.6% and 23.1%, respectively) than in the U.S. (14.3% and 14.8%, respectively). Using nationality (Canada as reference) to predict diabetes status, the adjusted odds ratio was 1.48 (95%CI, 1.22–1.79), and became 1.38 (95%CI, 1.15–1.66) when additionally adjusting for physical activity level. We estimate that 20.8% of the U.S.-Canada difference in diabetes prevalence is associated with physical activity. Conclusions. The difference in the prevalence of diabetes between U.S. and Canadian adults may be partially explained by differences in physical activity between the two countries. Continue reading >>
one In Two Asian Americans Develop Diabetes Or Pre-diabetes In Their Lifetime
Despite having a lower body weight, Asian Americans are more likely than Caucasians to have diabetes. Diabetes is a rapidly growing health challenge among Asians and Pacific Islanders who have immigrated to the United States, affecting about 20 percent of Asian Americans; about 90 to 95 percent of Asians with diabetes have type 2 diabetes. In addition, 32 percent of Asian Americans have pre-diabetes, which means that one in two Asian Americans you meet may have diabetes or at risk of having diabetes. The higher rate of type 2 diabetes in Asian descents results from a combination of genetic and environmental influences. Interestingly, the rate of diabetes in Chinese Americans is notably higher than the rate in the Chinese population living in rural China. Likewise, studies show that rates of diabetes are higher in Japanese Americans living in the U.S. compared to Japanese living in Japan, pointing to environment as an important contributing factor. On the other hand, second and third generation Japanese Americans, who are well acculturated in the mainstream American lifestyle, still have higher diabetes rates compared with Caucasians, suggesting genetics to also be an important factor. About Diabetes $322 billion: the cost for diabetes and pre-diabetes care in the United States per year. Over 14.3% of the population in the United States has diabetes, 38.0% is pre-diabetic and at least 36.4% remains undiagnosed. About Asian Americans Between 2000 and 2010, the Asian population grew by 46 %, which was faster than any other ethnic group. In 2012, this population continued to be the fastest-growing ethnic group. Currently, the Asian population represents 5.6 % of the total population in the country. In the United States, the Chinese (4.0 million) were the largest detailed As Continue reading >>
Health Indicator Report Of Diabetes (diagnosed) Prevalence
Diabetes and its frequent precursor, prediabetes, are conditions on a continuum marked by high levels of blood glucose (blood sugar) due to defects in insulin production, insulin action, or both. Insulin is a hormone needed to absorb and use glucose as fuel for the body's cells. Diabetes can lower life expectancy and increase the risk of heart disease. It is the leading cause of kidney failure, lower limb amputation, and adult-onset blindness. People with prediabetes have blood glucose levels higher than normal, but not high enough to be diagnosed as diabetes. They're more likely to develop diabetes, heart disease, and stroke. The Centers for Disease Control and Prevention estimate that 1 of 3 U.S. adults had prediabetes in 2012. Diabetes and its complications can often be prevented or delayed. People who are diagnosed with diabetes or prediabetes need to learn about their condition and build the skills and confidence necessary to successfully take care of themselves, with the help of their health care team and community resources. About one-quarter of people with diabetes don't know they have it, and most people with prediabetes don't know they have it. Unfortunately, people who are undiagnosed can't take steps to manage their condition. Data in this Profile are only about diagnosed diabetes prevalence. Race/EthnicityAmerican Indian/Alaska NativeAsian/Pacific IslanderBlack/African AmericanHispanicWhiteNew MexicoUnited States0.05.010.015.020.025.030.0Percentage Diagnosed with DiabetesDiagnosed Diabetes Age-Adjusted Prevalence by Race/Ethnicity, New Mexico, 2013-2016 Disparities by race/ethnicity remain. The American Indian/Alaska Native rate was highest and was 2.5 times the White rate; the Hispanic rates was twice the White rate. This has been a long-term pattern. Whil Continue reading >>
Who: Diabetes Rates Skyrocketing Worldwide
Diabetes rates nearly doubled in the past three decades, largely due to increases in obesity and sugary diets, according to a report released Wednesday by the World Health Organization. The percentage of adults living with diabetes worldwide grew from 4.7% in 1980 to 8.5% in 2014. Overall, there was a nearly four-fold increase in worldwide cases: An estimated 422 million adults were living with diabetes in 2014, up from 108 million in 1980. The WHO describes diabetes as a serious, chronic disease that occurs either when the pancreas does not produce enough insulin, a hormone that regulates blood sugar, or when the body cannot effectively use the insulin it produces. In 2012, 29.1 million Americans, or 9.3% of the population, had diabetes, according to the American Diabetes Association. About 1.4 million Americans are diagnosed with diabetes every year, according to the organization. More than 8.1 million Americans with diabetes don't know it, putting them at greater risk of complications. The disease can develop slowly over time. In 2012, 86 million Americans age 20 and older had prediabetes, a condition in which blood sugar is higher than normal but doesn't yet qualify as diabetes. Diabetes is the 7th leading cause of death in the United States, killing about 69,000 Americans a year. The disease contributes to an additional 234,000 deaths each year, according to the American Diabetes Association. Worldwide, diabetes killed 1.5 million people in 2012, according to the WHO report. High blood sugar caused an additional 2.2 million deaths by increasing the risks of heart disease and other chronic conditions. About 43% of these deaths occur before the age of 70. The percentage of deaths attributable to high blood glucose or diabetes that occur prior to age 70 is higher in l Continue reading >>
Overview
The importance of both diabetes and these comorbidities will continue to increase as the population ages. Therapies that have proven to reduce microvascular and macrovascular complications will need to be assessed in light of the newly identified comorbidities. Lifestyle change has been proven effective in preventing or delaying the onset of type 2 diabetes in high-risk individuals. Based on this, new public health approaches are emerging that may deserve monitoring at the national level. For example, the Diabetes Prevention Program research trial demonstrated that lifestyle intervention had its greatest impact in older adults and was effective in all racial and ethnic groups. Translational studies of this work have also shown that delivery of the lifestyle intervention in group settings at the community level are also effective at reducing type 2 diabetes risk. The National Diabetes Prevention Program has now been established to implement the lifestyle intervention nationwide. Another emerging issue is the effect on public health of new laboratory based criteria, such as introducing the use of A1c for diagnosis of type 2 diabetes or for recognizing high risk for type 2 diabetes. These changes may impact the number of individuals with undiagnosed diabetes and facilitate the introduction of type 2 diabetes prevention at a public health level. Several studies have suggested that process indicators such as foot exams, eye exams, and measurement of A1c may not be sensitive enough to capture all aspects of quality of care that ultimately result in reduced morbidity. New diabetes quality-of-care indicators are currently under development and may help determine whether appropriate, timely, evidence-based care is linked to risk factor reduction. In addition, the scientific evid Continue reading >>
Data Shows Growing Prevalence Of Diabetes Among U.s. Pets
FLORHAM PARK, N.J., Nov. 18, 2015 /PRNewswire/ -- November is National Diabetes Month, and while this month was originally designed to increase awareness of this common endocrine disease in humans, it also is recognized as Pet Diabetes Month based on the growing prevalence of diabetes in our families' pets. Since 2011, diabetes diagnoses in pets have increased by 32 percent in canines and 16 percent in felines1 and just like humans, cats can be diagnosed with type 2 diabetes. Understanding diabetic symptoms for your pets is critical – especially since diabetes left untreated can be fatal in dogs and cats. Diabetes affects one in 308 dogs and one in 230 cats 2,3 yet pet diabetes is often underdiagnosed. Just as important as knowing the symptoms is understanding how to care for a diabetic pet at home. The treatment plan should include checking your dog's or cat's blood sugar on a regular basis with at-home monitoring meters specifically calibrated for pets. You can help your pet by learning more about the condition from your veterinarian. Identifying Diabetic Symptoms in Dogs Knowing the signs of pet diabetes is essential in protecting a dog's health. Consult your veterinarian about the possibility of diabetes if your dog shows any of the following symptoms: Drinks more water than usual (polydipsia) Urinates more frequently, produces more urine per day, or has "accidents" in the house (polyuria) Always acts hungry (polyphagia) but maintains or loses weight Has cloudy eyes Identifying Diabetic Symptoms in Cats Diabetes is even more common in cats. The disease is more typically diagnosed in older cats and neutered male cats, but diabetes has been diagnosed in cats of all ages, both sexes (intact and neutered) and all breeds. A cat with diabetes will display the following Continue reading >>
Prevalence Of Diabetes Tops 20 Percent Among U.s. Veterans
Preventing Chronic Disease. Ying Liu, Ph.D., from East Tennessee State University in Johnson City, and colleagues used data from the U.S. National Health and Nutrition Examination Survey from 2005 to 2014 to examine the prevalence of and trends in diabetes among U.S. veterans. The researchers found that the overall prevalence of diabetes was 20.5 percent, and the prevalence of undiagnosed diabetes was 3.4 percent for 2013 to 2014. There was an increase in prevalence from 15.5 percent in 2005 to 2006 to 20.5 percent in 2013 to 2014 (P = 0.04). "Effective prevention and intervention approaches are needed to lower diabetes prevalence among U.S. veterans and ultimately improve their health status," the authors write. Continue reading >>
