Exclusive: Us Diabetes Deaths Top 100000 For Second Straight Year
Insulin supplies are pictured in the Manhattan borough of New York City, New York, U.S., January 18, 2019. REUTERS/Carlo Allegri
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The new figures come as an expert panel urges Congress to overhaul diabetes care and prevention, including recommendations to move beyond a reliance on medical interventions alone. A report released earlier this month calls for far broader policy changes to stem the diabetes epidemic, such as promoting consumption of healthier foods, ensuring paid maternal leave from the workplace, levying taxes on sugary drinks and expanding access to affordable housing, among other areas.
In 2019, diabetes was the seventh-leading cause of death in America and claimed more than 87,000 lives, reflecting a long-running failure to address the illness and leaving many more vulnerable when the COVID-19 pandemic hit, creating new hurdles to accessing care.
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“The large number of diabetes deaths for a second year in a row is certainly a cause for alarm,” said Dr. Paul Hsu, an epidemiologist at UCLA’s Fielding School of Public Health. “Type 2 diabetes itself is relatively preventable, so it’s even more tragic that so many deaths are occurring.”
U.S. Senator Patty Murray, a Democrat from Washington who chairs the Senate health committee, helped create the commission in 2017 and said she is studying the recommendations closely.
MORE CASES, WORSE PROGNOSIS
Growing Concern About The Soaring Cost Of Insulin
The report was published by the journal BMJ Open Diabetes Research & Care. The statistics run through 2017. Last year’s numbers are not yet available, Benoit said.
Diabetes is a disease in which sugar builds up in the blood. The most common form is tied to obesity, and the number of diabetics ballooned as U.S. obesity rates increased.
But other factors also might have pushed up annual diabetes diagnoses from 2000 to 2010, and they may partly explain why the numbers have been going down since, some experts said.
First, the diagnostic threshold was lowered in the late 1990s. That caused more people to be counted as diabetics, but the impact of that may have played out.
“We might have mined out a lot of the previously unrecognized cases” and so new diagnoses in the last several years are more likely to be actual new illnesses, said Dr. John Buse, a University of North Carolina diabetes expert.
Meanwhile, doctors have increasingly used a newer blood test to diagnose diabetes. It’s much easier than tests that required patients to fast for 12 hours or to undergo repeated blood draws over two hours.
Another possibility: Increasingly, more doctors have been diagnosing “prediabetes,” a health condition in which blood sugar levels are high but not high enough to hit the diabetes threshold. Physicians typically push such patients into exercise programs and urge them to change their diet.
The decrease was mainly seen among white adults, the researchers said.
The Va Diabetes Trial
For seven and a half years, researchers involved in a VA cooperative study followed nearly 1,800 patients who had type 2 diabetes. They were interested in examining cardiovascular disease in patients with diabetes.
The researchers attempted to determine if intensive glucose control in diabetic patientsusing medication and other methods to reduce elevated blood sugar levels to levels that are considered normal in people without diabeteswould reduce heart attacks, strokes, and death from cardiovascular disease.
It had been previously shown that improvements in blood pressure and cholesterol levels can reduce cardiovascular disease in patients with diabetes, but no previous study had shown the beneficial effects of glucose control on cardiovascular disease.
VADT researchers showed that intensive glucose control in older patients whose type 2 diabetes had previously been poorly controlled had no significant effect on the rates of major cardiovascular events such as coronary artery disease and stroke, compared with those who were using standard glucose control measures.
The research team also found that the two groups of patients had similar death rates, and that both groups had similar levels of complications such as diabetic neuropathy and retinopathy, with the exception that patients who used standard glucose control measures had higher levels of albumin in their urine.
There are no plans for additional follow up at this time.
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Historical Scientific Articles By Our Researchers
Agonist of growth hormone-releasing hormone as a potential effector for survival and proliferation of pancreatic islets. Ludwig B, Ziegler CG, Schally AV, Richter C, Steffen A, Jabs N, Funk RH, Brendel MD, Block NL, Ehrhart-Bornstein M, Bornstein SR. Evidence that agonists of GHRH represent a promising pharmacological therapy aimed at promoting islet graft growth and proliferation in diabetic patients. Proc Natl Acad Sci USA. 2010 Jul 13 107 12623-8.
Glucose control and vascular complications in veterans with type 2 diabetes. Duckworth W, Abraira C, Moritz T, Reda D, Emanuele N, Reaven PD, Zieve FJ, Marks J, Davis SN, Hayward R, Warren SR, Goldman S, McCarren M, Vitek ME, Henderson WG, Huang GD VADT investigators. Intensive glucose control in patients with poorly controlled Type 2 diabetes had no significant effect on the rates of major cardiovascular events, death, or microvascular complications with the exception of progression of albuminuria. N Engl J Med. 2009 Jan 8 360:129-39.
Diabetes Prevention And Control
Diabetes is a disease with serious health consequences, but it is also controllable and preventable.
In 2016, Mississippi ranked first in the nation for overall diabetes prevalence, with an estimated 308,295 adult Mississippians living with diabetes .
Diabetes accounted for 1,083 deaths in Mississippi in 2016. In addition, many more Mississippians live with the complications of type 2 diabetes, including lower extremity amputations, end stage renal disease, blindness, loss of protective sensation, heart disease and premature death.
Diabetes is preventable. Learn more below about your risk for developing type 2 diabetes and the small steps you can take to delay or prevent the disease and live a longer, healthier life.
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Type 1 Diabetes Facts
There is nothing anyone can do to prevent T1D. Presently, there is no known cure.
Type 1 diabetes is an autoimmune disease that occurs when a persons 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 bodys immune system. The cause of this attack is still being researched, however scientists believe the cause may have genetic and environmental components.
Type 2 Diabetes Statistics
17. Obesity is among the key factors increasing the probability of getting type 2 diabetes.
Old age, a family history of diabetes, and lack of exercise are other key factors affecting a persons chances of developing diabetes. Nevertheless, obesity is one of the leading drivers, further proven by the fact that up to 85.2% of patients with type 2 diabetes are overweight or obese.
18. The survival rate of diabetes among type 2 patients becomes significantly worse when cardiovascular disease is in the mix.
A new study has found that with proper control and management of specific risk factors, a diabetes patient can extend their life and improve its overall quality. These five key risk factors are blood pressure, long-term blood glucose, lipid status, renal function, and smoking. By giving up smoking, taking the right medications, and introducing a healthier lifestyle, patients drastically lowered their risk of cardiovascular disease.
19. Between 2002 and 2012, the annual increase rate of type 1 diabetes in people in the US was 1.8%, while for type 2, it was 4.8%.
The US has recorded significantly rising numbers of type 2 diabetes patients, and obesity is one of the main contributors to this result. According to data from the National Health and Nutrition Examination Survey , almost 40% of adults are seriously obese. Whats more, 18.5% of children and adolescents aged 219 are obese.
Source: Medical News Today, The State of Obesity
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Sensation Problems And Amputation
Diabetes causes mild loss of sensation in the extremities in as many as 70 percent of adults who have it. Amputations of lower extremities may eventually be necessary, especially for people with blood vessel disease. More than 60 percent of all nontraumatic amputations of lower limbs occur in people with diabetes. Approximately 73,000 lower-limb amputations were performed in diabetics age 20 and older.
What Treatment Options Are Available
1. In severe cases of diabetes insipidus, IV hydration is a common treatment option to relieve severe dehydration.2. 5% glucose solutions when co-occurring diabetes mellitus is not present may also provide relief.3. In central diabetes insipidus cases, a common method of treatment includes Desmopressin, which is a synthetic hormone that tells the body when water should be retained or expelled.4. Bendrofluazide is sometimes prescribed to reduce the feelings of thirst or limit night urination urges.5. Certain diuretics like amiloride or thiazide are used to concentrate urine.6. A diabetes insipidus diet that is low in sodium may also be recommended.
Diabetes insipidus can be a frightening diagnosis at first, but when properly managed, it is barely even an inconvenience. Certain foods may need to be avoided and there may be specific medications to take that may require an injection, but the statistics prove that this disease is not going to put your life at risk. The average lifespan reduction for someone with diabetes mellitus is 10 years, even with proper disease management. For diabetes insipidus, people with this disease live just as long as the general population with proper care.
Thats why knowing these diabetes insipidus statistics is so important. Armed with the facts, there is no longer a need to fear this disease.
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Additional Reports On Diabetes
- Diabetes in America, 3rd Edition provides comprehensive data on diabetes and its complications in the United States.
- National Diabetes Survey 2016 presents findings from the 2016 survey, which measures trends in diabetes awareness, knowledge, and behavior.
- Maps of Trends in Diabetes and Obesity show age-adjusted prevalence of obesity and diagnosed diabetes among adults, by county, in the United States in 2004, 2010, and 2016.
- Diabetes and African Americans provides prevalence data on diabetes and African Americans, including death rates, risk factors, and links to more information.
- Diabetes and American Indians/Alaska Natives provides prevalence data on diabetes in American Indians and Alaska Natives, including death rates, risk factors, and links to more information.
- Diabetes and Asian Americans and Pacific Islanders provides prevalence data on diabetes in Asian Americans and Pacific Islander Americans, including death rates, risk factors, and links to more information.
- Diabetes and Hispanic Americans provides prevalence data on diabetes in Hispanics/Latinos, including death rates, risk factors, and links to more information.
- World Health Organization provides information on the global burden of diabetes, prevention, management, and capacity for prevention and control, as well as a fact sheet on diabetes.
What Are Some Juvenile Diabetes Statistics
More commonly known as Type 1 diabetes, juvenile diabetes is typically diagnosed in children and is managed by daily insulin shots. Around 1.6 million Americans have Type 1 diabetes, including 200,000 youth, and there are approximately 64,000 new cases per year. According to JDRF, between 2001 and 2009, there was a 21% increase in Type 1 diabetes prevalence in people younger than 20.
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Is There Anything I Can Do To Prevent Type 2 Diabetes
Yes. Many studies, including the large Diabetes Prevention Program study, have proven that you can prevent diabetes by losing weight. Weight loss through healthy eating and more physical activity improves the way your body uses insulin and glucose.
- Weight loss. Obesity is a leading risk factor for diabetes. Calculate your BMI to see whether youre at a healthy weight. If youre overweight or obese, start making small changes to your eating habits and get more physical activity. Even a small amount of weight loss can delay or even prevent type 2 diabetes.
- Eating healthy. Choose vegetables, whole grains , beans, and fruit. Read food labels to help you choose foods low in saturated fat, trans fat, and sodium. Limit processed foods and sugary foods and drinks.
- Getting active. Aim for 30 minutes of physical activity most days of the week and limit the amount of time you spend sitting.
Us Leads Developed Nations In Diabetes Prevalence
New and detailed data from the new International Diabetes Federation Diabetes Atlas, released at this weeks World Diabetes Congress in Vancouver, Canada reveals that, unsurprisingly, the United States has the highest prevalence of diabetes among developed nations. This league table includes countries of the European Union plus Canada, Australia, New Zealand, Singapore, South Korea, Israel, Andorra, Norway, Switzerland, and the U.S. itself.
And in terms of estimates of absolute numbers of people with diabetes in these nations, the U.S., with almost 30 million people with diabetes, has around two thirds the number of cases of all the other 37 nations in the developed nation league combined .
In terms of prevalence, Singapore finished a close second to the U.S. , followed by Malta , Portugal , and Cyprus in 3rd, 4th, and 5th place respectively. The countries with the lowest estimated prevalence in the 38 nation league were , Lithuania, Estonia, and Ireland , followed by Sweden, Luxembourg, the U.K., and Australia . Canada, the host nation for the World Diabetes Congress, has the 12th highest prevalence, at 7%.
The prevalence of type 1 and type 2 diabetes is increasing worldwide, says Professor Nam Cho, chair of the IDF Diabetes Atlas committee. While the exact cause of type 1 diabetes is currently unknown, trends such as urbanisation, unhealthy diets and reduced physical activity are all contributing lifestyle factors that increase the risk of type 2 diabetes.
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New Treatments For Diabetes
Nonadherence to diabetes drugs leads to poor health outcomesPatients who did not adhere early on to their medication treatment for Type 2 diabetes were more likely to have heart attacks and strokes, according to a 2018 study by researchers from the VA MidSouth Healthcare Network and their colleagues. The research team looked at data for more than 159,000 Veterans over an 11-year period.
Patients who did not take their medication as prescribed were 14% more likely to have a heart attack in the five years after starting treatment, compared with those that took their medication regularly. Those not regularly taking their medication were also 22% more likely to have a stroke. The less compliant patients were to their medication regimen, the higher their chances were of having a heart attack or stroke, and to have died during the period.
Improvements in insulin release wane after treatment stopsA set of clinical trials examining young people and adults with Type 2 diabetes or impaired glucose tolerance found that disease progression in adults slowed during medical treatment but resumed after treatment stopped. Young people receiving the same treatment had markedly poorer outcomes with continued disease progression both during and after the treatment.
The article suggests that current therapies for diabetes are primarily maintenance therapies, and that there is still a need to find therapies that will cure the underlying disease.
Diabetes Kills 100000 Americans For Second Year In A Row
Diabetes is killing an increasing number of Americans and has accounted for more than 100000 US deaths in each of the past two years. A national commission has called on the federal government to take a broad approach to the problem, similar to the fight against AIDS.
Lisa Murdock of the American Diabetes Association told The BMJ that diabetes was the most common underlying condition in the US and that covid-19 was an exacerbating factor. Some 40% of Americans who died from covid-19 had diabetes, she said.
The Centers for Disease Control and Prevention has reported that 37.3 million Americans11.3% of the US populationhave diabetes, including 8.3 million who have not had it diagnosed. Another 96 million people aged 18 or over have prediabetes, including 26.4 million of those over 65. The
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Do I Need To Be Tested For Diabetes
Maybe. You should be tested for diabetes if you are between 40 and 70 years old and are overweight or obese. Your doctor may recommend testing earlier than age 40 if you also have other risk factors for diabetes. Also, talk to your doctor about diabetes testing if you have signs or symptoms of diabetes. Your doctor will use a blood test to see if you have diabetes.
If the testing shows that your blood sugar levels are high, you can begin making healthy changes to your eating habits and getting more physical activity to help prevent diabetes.
Prediabetes Facts And Statistics
Prediabetes is a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. Prediabetes usually occurs in people whose bodies may not be able to effectively use the insulin they make or their pancreas may not produce enough insulin to keep their blood glucose levels in the normal range. People with prediabetes are at increased risk of developing type 2 diabetes. Learn more about prediabetes.
- An estimated 88 million adults ages 18 years or older have prediabetes. This includes
- nearly 29 million adults ages 18 to 44 years
- more than 35 million adults ages 45 to 64 years
- more than 24 million adults ages 65 or older (46.6 percent of U.S. adults in this age group
View the full report: National Diabetes Statistics Report, 2020 from the Centers for Disease Control and Prevention .
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