Presentation on theme: "Albertas Diabetes Landscape Jeffrey A. Johnson School of Public Health University of Alberta."— Presentation transcript:
Albertas Diabetes Landscape Jeffrey A. Johnson School of Public Health University of Alberta
Diabetes in Alberta By the numbers…. Almost 193,000 people were living with diabetes in Alberta in Over 17,000 new cases were identified in Diabetes rates have almost doubled over the past decade. Each year, adults with diabetes see physicians 2-3 times more often and spend almost 3 more days in hospital compared to their non-diabetic counterparts. People with diabetes are 2 times as likely to die than people without diabetes.
Diabetes – what is it? Body has difficulty making insulin and/or using the insulin that they produce. Problematic because insulin is required to move glucose into cells so that it can be used by body tissues and organs.
When glucose remains in the blood, blood glucose levels can rise to dangerously high levels and result in acute complications. Higher than normal blood glucose levels also can result in long- term organ damage and affect the eyes, kidneys and cardiovascular system. Diabetic Eye Disease Kidney Disease Cardiovascular Disease Diabetes – what is it?
Type 1 Diabetes Usually occurs early in life during childhood or adolescence and requires insulin injections. One of the most common chronic conditions in children Accounts for about 5% of all diabetes cases in the entire population.
Historically associated with onset after 40 years of age; however during the past decade, it has become much more common in younger individuals. Strongly associated with lifestyle factors, including physical inactivity, overweight and obesity. Accounts for about 95% of all diabetes cases in the entire population. Associated with many complications such as heart problems, kidney problems, eye disease etc. Type 2 Diabetes
Diabetes, Its Complicated, …
Is a chronic disease affecting more than 6% of adult Canadians. Healthcare costs of patients with diabetes are projected to be in excess of $800 million in Alberta. As people are getting diabetes earlier in life, they are also getting complications earlier in life. Diabetes - Big Picture, Big Burden
Alberta Diabetes Atlas Background and Methods 2. Epidemiological Trends 3. Children and Adolescents 4. Health Care Utilization 5. Cardiovascular Disease 6. Foot Disease and Lower Limb Amputations 7. Kidney Disease 8. Eye Disease 9. Mental Health Disorders 10. Status Aboriginal Population 11. Key Findings and Policy Options
Number of Albertans Living with Diabetes
Newly Identified Cases of Diabetes
Rate of Diabetes in Alberta,
Age-Specific Diabetes Rates, 2007
Alberta Diabetes Prevalence Provincial rate = 5.5%
Death Rates in Alberta
Diabetes and Special Populations
Diabetes in Children and Adolescents by Zone
Diabetes Prevalence, Children and Adolescents 30% 45% 52% 64%
Diabetes in Alberta Almost 193,000 Albertans living with diabetes. Over 1,700 new cases each month. It is mostly a condition of older adults, but we are seeing increasing numbers in children and adolescents. Of increasing concern is the health care services needed for this growing population!
Diabetes & Heart Disease (Rate)
Diabetes & Heart Disease (Number of People)
Diabetes & Eye Disease Eye Examinations* * Eye examinations by an Ophthalmologist
Diabetes & Health Care Services… People with diabetes see GPs and Specialists 2 to 3 times more often than people without diabetes Access to care and cost of care are important considerations. Heart Disease is a major driver for health care costs In general, we see underuse of many recommended preventive care services in the system.
Diabetes What can we do?
The ABCs of Diabetes If you have diabetes –A: A1C (average of blood sugars over the past three months) –B: Blood Pressure Control –C: Cholesterol –Healthy Weight –Physical activity –Waist size –Regular foot exams –Yearly eye exam –Stop smoking
Preventing Diabetes If you dont have diabetes –Healthy Weight –Physical Activity Be active! Walking, gardening, water aerobics etc. –Healthy Diet High in Fruits and Vegetables Low in Fat, High in Fiber Low in Carbohydrates –Yearly physician visits –Stop smoking