1. diabetes.ca | 1-800-BANTING (226-8464) An Economic Tsunami – The cost of diabetes in Canada Presentation to the First Canadian Summit on Metabolic Surgery for Type 2 Diabetes Thursday, May 6 th, 2010 Margaret Beatty, RN, MHSc, CHE Vice-President, Research, Professional Education & Government Affairs Robin Somerville Director, The Centre for Spatial Economics

2. 1 A member-driven charitable association A presence across Canada Supported by a volunteer network Who we are

3. What we do Programs and services Research Education and information Advocacy

4. Objectives of the Report Define the cost/burden of diabetes Create a forecasting model Efficacy of interventions 3

5. Expert Advisory Committee Dr. Jeff Johnson, University of Alberta Dr. Paula Stewart, Public Health Agency of Canada Glenn Robbins, Public Health Agency of Canada Chris Cameron, Canadian Agency for Drugs and Technologies in Health Denis Bélanger, Canadian Agency for Drugs and Technologies in Health David Whiting, International Diabetes Federation Ole Henrikson, Novo Nordisk Nik Nikolav, Novo Nordisk Tanya Wymer, Novo Nordisk Robyn Tamblyn, McGill University Michael Wolfson, Statistics Canada Mike McCracken, Informetrica Paul Jacobson, Informetrica Robin Somerville, Centre for Spatial Economics

6. Key Findings Cost of Diabetes in Canada: $12.2 billion today $16.9 billion by 2020

7. Key Findings Prevalence of Diabetes in Canada: 2.5 million have been diagnosed with diabetes (3 million have diabetes) 1.2 million more will be diagnosed over next decade Population with diabetes is 7.3% increasing to 9.9% by 2020 1 in 4 in four Canadians either has diabetes or prediabetes 6

8. An Ounce of Prevention Interventions = reduce costs 2% reduction = 9% (direct) & 7% (indirect) cost savings 7

9. Need for Action Key areas should include: Canadian Diabetes Strategy/ Aboriginal Diabetes Initiative Tax strategies Research 8

10. The Canadian Diabetes Cost Model The Model Can: Project the costs, incidence and prevalence of diabetes Determine the cost benefit of initiatives designed to delay or prevent the onset of type 2 diabetes Be developed further to provide province-specific data 9

11. The Canadian Diabetes Cost Model Why it is unique? It is independent It uses Canadian data It includes indirect costs

12. The Canadian Diabetes Cost Model Key Assumptions: Population growth Incidence rates Mortality rates Occurrence rates (hospitalization, doctor visits, medication, etc.) Per unit costs (2005 dollars) 11

13. Key Drivers: Prevalence Main drivers: 1. Population increases 2. Aging population 3. Rising incidence rates 4. Demographics (changes in ethnic mix), obesity rates & sedentary lifestyles 12

14. Key Drivers: Costs Direct: Direct hospitalization CVD-related costs General practitioner visit costs Specialist visit costs Diabetes medication costs 13 Indirect: Mortality costs Long-term disability costs

15. Next Steps  Update the Model (April – October 2010)  Provincial Models (NB in May 2010, ON in June 2010)  Regional & Community Models (November 2010)  Impact Studies (2011)  Detailed Treatment of Co-morbidities (2011-2012) 14

16. diabetes.ca | 1-800-BANTING (226-8464) Thank you Thank you for helping us lead the fight against diabetes by helping people with diabetes live healthy lives while we work to find a cure. Our report, An Economic Tsunami: the cost of diabetes in Canada, is available in English and French at diabetes.ca/economicreport