The Burden of Diabetes.

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The Impact of Diabetes Mellitus in the United States

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Presentation transcript:

The Burden of Diabetes

Prevalence of Diabetes and Prediabetes in the United States 8.3% of US population 39% increase Prediabetes 35% of US population CDC. National diabetes fact sheet, 2008. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2008.pdf. CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

Projected Prevalence of Diabetes in the United States: 1990 to 2050 Year National Diabetes Surveillance System. http://www.cdc.gov/diabetes/statistics/prev/national/figpersons.htm.. Boyle JP, et al. Popul Health Metr. 2010 Oct 22;8:29. CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

Prevalence of Diagnosed Diabetes in Different Ethnic Groups US Adults ≥20 Years of Age CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf. 4

Annual Incidence of Diabetes in Children and Adolescents <10 years 10-19 years NHW, non-Hispanic whites; NHB, non-Hispanic blacks; H, Hispanics; API, Asians/Pacific Islanders; AI, American Indians. CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

Diabetes Morbidity and Mortality Diabetes is the Seventh leading cause of death, according to death certificate data (which may be an underestimate) Leading cause of blindness among adults Leading cause of kidney failure >60% of nontraumatic lower limb amputations occur in people with diabetes Diabetes also Doubles the risk of periodontal disease among young adults Doubles the risk of developing depression, and depression increases the risk of type 2 diabetes by 60% Increases patients’ susceptibility to acute infections and illnesses (eg, pneumonia and influenza) Worsens the prognosis of patients with acute illnesses CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

Diabetes and Morbidity and Mortality 2 times greater 2-4 times greater 2-4 times greater (relative to individuals without diabetes) CDC. National diabetes fact sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

Costs of Diabetes Indirect 13% of total US healthcare expenditures ADA. Diabetes Care. 2013;36:1033-1046.

Goal Achievement in Diabetes NHANES 2007-2010 (N=1444) <7 <8 >9 <70 <100 <130/80 A1C (%) LDL-C (mg/dL) BP (mm/Hg) Nonsmoker All goals met BP, blood pressure; LDL-C, low-density lipoprotein cholesterol; NHANES, National Health and Nutrition Examination Survey. Ali MK, et al. N Engl J Med. 2013;368:1613-1624.

A1C Achievement by Individualized Target NHANES 2007-2010 (N=1444) Age (years) 18-44 45-64 ≥65 Target A1C (%) ≤6.5 ≤7.0 ≤7.5 ≤8.0 Without complications With complications NHANES, National Health and Nutrition Examination Survey. Ali MK, et al. N Engl J Med. 2013;368:1613-1624.