Goal: Reduce The Burden Of Diabetes And Improve Quality Of Life For All People Who Have Or Are At Risk For Diabetes
More than 30 million people in the United States have diabetes, and its the seventh leading cause of death.1 Healthy People 2030 focuses on reducing diabetes cases, complications, and deaths.
Some racial/ethnic minorities are more likely to have diabetes. And many people with diabetes dont know they have it.
Poorly controlled or untreated diabetes can lead to leg or foot amputations, vision loss, and kidney damage. But interventions to help people manage diabetes can help reduce the risk of complications. In addition, strategies to help people who dont have diabetes eat healthier, get physical activity, and lose weight can help prevent new cases.
Prevalence Of Prediabetes Undiagnosed Diabetes And Diagnosed Diabetes
The IAF Diabetes 2030 Model utilizes many features of the previous 2025 Model that were updated based on new diabetes data trends. Estimates of diagnosed diabetes prevalence to 2030 are derived from Boyle et al’s sophisticated dynamic modeling paper, which projected the diabetes burden to 2050. The present study utilized Boyle et al’s conservative 3-state dynamic model, middle-ground scenario of low, steady diabetes incidence and low diabetes mortality. However, 2 recent studies suggest that the diagnosed diabetes incidence trend has begun to level off and could be declining., It is difficult to know if this trend will continue, and hard to forecast to what extent long-term prevalence might be reduced because so many other factors, such as an aging population and falling diabetes morbidity and mortality, enter into the equation. Because the incidence used in Boyle et al’s model is higher than present experience, the research team reduced its prevalence growth to 2030 by a modest 2% to prevent overestimating the magnitude of diagnosed diabetes.
Fact : Basal Insulin Is Also Used By People Who Have Type 1 Diabetes
Basal insulin therapy is used by people with both type 1 and type 2 diabetes. Glucose is continuously released by the liver throughout the day when there is no food being digested. There are different ways that different types of insulin can mimic the action of this basal insulin in the body.
For people with type 1 and 2 diabetes, long-acting insulin is injected once or twice a day to mimic basal insulin. Those with type 1 would then take insulin to cover mealtimes. Mealtime treatment for type 2 diabetes varies.
For those with type 1 diabetes who are on a pump, quick-acting insulin is delivered at a low rate continuously throughout the day and night, and then a bolus amount of insulin is given to cover meals. Using the insulin pump is a good way to adjust the basal insulin levels in a very precise manner. You can program the basal insulin output such that it can match the bodys normal insulin production.
One study looked into the efficacy of basal insulin in being able to improve the A1c values of people under 21 who have type 1 diabetes. There was a significant reduction in their A1c levels as well as reduced nocturnal hypoglycemia, compared to other types of treatments.
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Almost Half The Us Population Has Diabetes Or Its Precursor
Almost one in 10 US adults has diabetes, while more than one in three has prediabetes, indicates the latest National Diabetes Statistics Report by the Centers for Disease Control .
As of 2015, 30.3 million adults living in the United States or 9.4% of the population, have diabetes, according to the new report.
Moreover, nearly one in four adults living with diabetes, or 7.2 million American adults, are not aware that they have it.
Another 84.1 million have prediabetes, the report indicates.
And nine in 10 adults with prediabetes are not aware they have a condition that places them at high risk to progress to type 2 diabetes within 5 years, according to a statement by the CDC.
This is important, as the authors point out, because individuals with prediabetes can cut their risk of type 2 diabetes in half by being more active and making healthier food choices.
On the other hand, the rate at which new cases of diabetes are being diagnosed remains steady, with an estimated 1.5 million new cases of diabetes being spotted in American adults in 2015.
“Although these findings reveal some progress in diabetes management and prevention, there are still too many Americans with diabetes and prediabetes,” Brenda Fitzgerald, MD, director of the CDC said in the statement.
“Now, more than ever, we must step up our efforts to reduce the burden of this serious disease,” she added.
Why Data Epidemiology And Evaluation
The Montana Diabetes Program collects, analyzes and reports data from many different sources to help the people of Montana understand the complexities of prediabetes and diabetes and make the best decisions for their health. Staff with a variety of expertise help with this work using skills from many different disciplines:
|ADJUSTED MORTALITY RATE||A mortality rate statistically modified to eliminate the effect of different age distributions in the different populations.|
|BIAS||Deviation of results or inferences from the truth, or processes leading to such systematic deviation. Any trend in the collection, analysis, interpretation, publication, or review of data that can lead to conclusions that are systematically different from the truth.|
|CONFIDENCE INTERVAL||A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of variable. The specified probability is called the confidence level, and the end points of the confidence interval are called the confidence limits.|
|INCIDENCE RATE||A measure of the frequency with which an event, such as a new case of illness, occurs in a population at risk the numerator is the number of new cases occurring during a given time period.|
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Diabetes Morbidity And Mortality
The CDC National Center for Health Statistics tracks visual impairment, end-stage renal failure, and lower extremity amputation annual trends related to diabetes. Analysis of the latest available 10-year data revealed a 19% decline in the prevalence of reported visual impairment in those with diagnosed diabetes, a 26% decline in the annual incidence of new end-stage renal failure, and a 65% decline in the incidence of nontraumatic lower extremity amputations. An additional 30% decline over the 20-year period from 2010 to 2030 for each morbidity was factored in as a plausible estimate to account for anticipated increasing access and more aggressive medical management. Each minority group had different morbidity trends, which were similarly calculated and applied for total US minority projections.
Where Do We Get Our Information About Pre
The Montana Diabetes Program uses many data sources for diabetes surveillance, evaluation, and decision making. Our goal is to benefit all Montanans by helping to prevent and reduce diabetes complications.
Check out the list of data sources below. You can also access the Public Health Data Resource Guide to learn more. It is important to remember that data sets don’t contain information that can identify individuals.
- Behavioral Risk Factor Surveillance System – To get this data, health related questions are asked of 400,00 adults in the United States by telephone every year.
- Montana Vital Statistics – Collects and analyzes data on vital events in Montana, including public information about all births and deaths.
- Montana Hospital and Emergency Department Discharge Data System – Analyzes information from the Montana Hospital Association’s inpatient hospitalization data set to provide summary statistics and other reporting.
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What Causes Gestational Diabetes
Gestational diabetes occurs when your body cant make enough insulin during your pregnancy. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy.
During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your bodys cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your bodys need for insulin.
All pregnant women have some insulin resistance during late pregnancy. However, some women have insulin resistance even before they get pregnant. They start pregnancy with an increased need for insulin and are more likely to have gestational diabetes.
About 50% of women with gestational diabetes go on to develop type 2 diabetes, but there are steps you can take to prevent it. Talk to your doctor about how to lower your risk and how often to have your blood sugar checked to make sure youre on track.
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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What Are The Symptoms Of Diabetes
Symptoms of Type 2 diabetes include:
- Increased thirst
- Weight loss, despite eating more than usual
- Having a family history of diabetes
- Having an African American, Hispanic/Latino American, American Indian, or Alaska Native racial or ethnic background
- Being physically active less than three times a week
- Having had gestational diabetes or giving birth to a baby who weighed more than nine pounds
- Having high blood pressure
Diabetes Trends In Adults And Children
23. 193,000 kids and young adults below the age of 20 have been diagnosed with diabetes.
The age group below the age of 20 has seen approximately 193,000 cases of diabetes . This means that as much as 0.24% of all youngsters in this age range already suffer a variant of this health condition.
24. Gestational diabetes is estimated to occur in 2%10% of pregnancies in the US.
This form of diabetes appears during pregnancy, and its normally expected to return to normal after birth, although some evidence suggests that women with gestational pregnancies are more likely to develop type 2 diabetes later on. Most diabetes facts also confirm that children born under such circumstances are also more likely to develop diabetes.
25. 84.1 million adults in the US have prediabetes.
This is equivalent to 1 out of 3 adults in the US having a condition that could lead to type 2 diabetes. The worst part is that 9 out of 10 of these adults arent even aware of the fact that they have prediabetes.
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How Many People In The United States Have Diabetes
Today in the United States, 23.6 million children and adults, or nearly 8 percent of the population, have diabetes, a disease in which the persons body does not produce or correctly use insulin. Insulin is a hormone that helps change glucose and other foods into energy. New cases of diabetes have risen more than 90 percent among adults over the last 10 years, and since 1987 the number of deaths from the disease has risen by 45 percent, according to the U.S. Centers for Disease Control and Prevention and the American Diabetes Association.
Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
Diabetes Mom Advocates For Incarcerated Son
Previously, DiabetesMine talked with a D-Mom named Laura in Minnesota, who was facing the heartache related to her sons incarceration. She shared the story about an alleged lack of diabetes care in a federal correctional facility in Milan, Michigan, where her son J was the only inmate with T1D imprisoned there. At the time she shared her story in 2018, her son was in his mid-30s and had been behind bars for 5 years for an armed robbery sentence.
Diagnosed with T1D at age 8, her son had maintained good care of himself with A1Cs in the 6 percent range before incarceration. But prison pushed that A1C above 8 and later into the double digits, and he experienced several severe bouts of hypoglycemia requiring prison paramedics. J regularly struggled to get even basic glucose checks and insulin injections, because the prison didnt administer insulin more than twice a day they also did not have rapid-acting insulin, only the older regular insulin that is more volatile and takes longer to work. It took her son 5 months to be allowed insulin at lunch time, Laura explained, after repeated requests verbally and officially in writing.
As long as he is walking and breathing they see nothing wrong with him, she says.
Due to these circumstances that she described as bare minimum care behind bars, her son developed diabetes complications compounded by the reality that proper eye exams and dental care were also an issue, she said.
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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.
How T1d Is Managed
Type 1 diabetes is a 24/7 disease that requires constant management. People with T1D continuously and carefully balance insulin intake with eating, exercise and other activities. They also measure blood-sugar levels through finger pricks, ideally at least six times a day, or by wearing a continuous glucose monitor.
Even with a strict regimen, people with T1D may still experience dangerously high or low blood-glucose levels that can, in extreme cases, be life threatening. Every person with T1D becomes actively involved in managing his or her disease.
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National Diabetes Statistics Report 2020
Data from this report can guide prevention and management efforts across the nation.
New diabetes cases have decreased over the last decade except in people younger than 20 years. And in adults, there is much room for improvement in preventing diabetes complications. Data from this report can help focus critical type 2 diabetes prevention and diabetes management efforts across the nation.
CDCs Division of Diabetes Translation has released the National Diabetes Statistics Report, 2020 pdf icon, which presents the state of the disease in the United States. The report provides the most recent scientific data on:
- New cases of diabetes
- Existing cases of diabetes
- Short- and long-term health complications
- Risk factors for health complications
- Death rate
The National Diabetes Statistics Report, 2020 pdf icon analyzed health data through 2018, providing statistics across ages, races, ethnicities, education levels, and regions. Data from this report provide vital perspectives on the current status of diabetes and can help focus prevention and management efforts going forward. New in 2020, the report features trends in prevalence and incidence estimates over time.
Key findings include:
Cdc: 13% Of Us Adults Have Diabetes With Fewer New Cases
CDC. National Diabetes Statistics Report. Available at: . Accessed Feb. 25, 2020.
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Approximately 34.1 million U.S. adults more than 1 in 10 have type 1 or type 2 diabetes, and 7.3 million of those adults who met laboratory criteria were unaware or did not report having the disease, according to data from the CDCs 2020 National Diabetes Statistics Report.
The report, released Tuesday by the CDCs Division of Diabetes Translation, also revealed that age-adjusted prevalence of total diabetes increased among adults between 1999 and 2016, rising from 9.5% in 1999-2002 to 12% in 2013-2016. However, new diabetes cases decreased during the past decade except among children and adolescents. The 2020 report marks the first time trends in prevalence and incidence estimates over time are included, according to the report.
Data from this report can help focus critical type 2 diabetes prevention and diabetes management efforts across the nation, the CDC states on its website.
Age-adjusted data for 2017-2018 indicated that the prevalence of diagnosed diabetes was highest among Native Americans and Alaskan Natives , Hispanic adults and black adults .
A significant decreasing trend in incidence was detected from 2008 through 2018, the report states.
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