What Is A Diabetic Foot Ulcer
A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complication.
Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, and approximately 14-24 percent of patients with diabetes who develop a foot ulcer will require an amputation. Foot ulceration precedes 85 percent of diabetes-related amputations. Research has shown, however, that development of a foot ulcer is preventable.
Half Of All American Adults Are Diabetic Or Pre
Approximately half of the US adult population has diabetes or is prediabetic, although prevalence of the disease appears to be leveling off after decades of increase, researchers said Tuesday.Nearly 40 percent of US adults had prediabetes and 12 to 14 percent had diabetes between 2011 and 2012, according to new research in the Journal of the American Medical Association .
Among those with diabetes, 36.4 percent of cases were undiagnosed. That percentage was higher for Asian-Americans and Latinos at approximately half of all cases. Diabetes diagnosed or not was likely to be highest among Latinos , African-Americans and Asian-Americans . Prevalence among white participants was 11.3 percent.Diabetes affected 9.8 percent of the population between 1988 and 1994, increased to 10.8 percent between 2001 and 2002, and grew again to 12.4 percent between 2011 and 2012.
Despite these increases, the researchers said recent growth was slight and could signal a “plateauing of diabetes prevalence” that is “consistent with obesity trends in the United States showing a leveling off around the same period. “The current data provide a glimmer of hope,” endocrinologists William Herman and Amy Rothberg, of the University of Michigan, wrote in an accompanying editorial.
Why Diabetes Is A Concern For Rural Communities
According to the Centers for Disease Control and Prevention’s National Diabetes Statistics Report, as of 2018 an estimated 26.9 million people had diagnosed diabetes in the United States. In 2016, 12.6% of the population had diagnosed diabetes in nonmetropolitan counties, compared to 9.9% in metropolitan counties. In one region of the U.S., referred to as the diabetes belt, the prevalence of diabetes is approximately 11.7% of the population. The diabetes belt spans over 644 counties in 15 states. More than one-third of the counties in the diabetes belt are within the Appalachian Region, and most states in the diabetes belt are more rural than the U.S. average.
Diabetes is an increased concern for rural communities compared to urban communities because of risk factors that are prevalent in rural communities and access to a variety of services.
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New Study Shows Decrease In Diabetes Prevalence For American Indian And Alaska Native Adults
The prevalence of diagnosed diabetes in American Indian and Alaska Nativeadults decreased significantly from 2013 to 2017, according to a new study publishedExit Disclaimer: You Are Leaving www.ihs.gov in BMJ Open Diabetes Research and Care, a journal published by BMJ in partnership with the American Diabetes Association.
After years of increasing, the percentage of American Indian and Alaska Native adults with diabetes consistently decreased from 15.4% in 2013 to 14.6% in 2017. This represents a 5.2% decrease in prevalence, which is the percentage of people with a condition.
This study documents the first known decrease in diabetes prevalence for American Indian and Alaska Native people. The study was led by Ann Bullock, director of theIHS Division of Diabetes Treatment and Prevention, and included researchers from the CDC Division of Diabetes TranslationExit Disclaimer: You Are Leaving www.ihs.gov and the Department of Epidemiology and Biostatistics at Imperial College London.
This substantial decrease in diabetes prevalence is great news for American Indian and Alaska Native people and communities. It means that fewer American Indian and Alaska Native people have to live with diabetes and its complications, such as heart disease and kidney failure, and may also result in reduced health care costs. In addition, as diabetes is a risk factor for severe COVID-19 disease, this improvement in the health status of Native people is especially welcome.
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.
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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.|
Type 1 Diabetes Statistics
Why look at statistics?
Rates of incidence of Type 1 diabetes are rising around the world. Statistics specific to certain countries allow us to study areas that may be experiencing a sharp uptick in Type 1 diagnoses, or even a gradual climb that indicates something is changing in that place. Looking at Type 1 through the lens of statistics also allows those of us living with diabetes every day to separate ourselves from something personal and emotional, focusing instead on facts and a bigger picture.
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Prevalence Of Prediabetes Among Adults
- An estimated 88 million adults aged 18 years or older had prediabetes in 2018 .
- Among US adults aged 18 years or older, crude estimates for 20132016 were:
- 34.5% of all US adults had prediabetes, based on their fasting glucose or A1C level .
- 10.5% of adults had prediabetes based on both elevated fasting plasma glucose and A1C levels .
- 15.3% of adults with prediabetes reported being told by a health professional that they had this condition .
Among US adults aged 18 years or older, age-adjusted data for 20132016 indicated:
- A higher percentage of men than women had prediabetes .
- Prevalence of prediabetes was similar among all racial/ethnic groups and education levels .
Table 3. Estimated number, percentage, and awareness of prediabetesa among adults aged 18 years or older, United States, 20132016 and 2018
Note: CI = confidence interval. Data are crude estimates .a Prediabetes was defined as fasting plasma glucose values of 100 to 125 mg/dL or A1C values of 5.7% to 6.4%.b Prediabetes awareness was based on self-report and estimated only among adults with prediabetes.Data sources: 20132016 National Health and Nutrition Examination Survey 2018 US Census Bureau data.
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:
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Obesity Is Main Culprit
Diabetes is a major cause of illness and death in the United States. The condition cost an estimated $245 billion in 2012, according to the American Diabetes Association.
Due to the rise in obesity in the U.S. over the past few decades, type 2 diabetes continues to be the most common form of diabetes. It accounts for 90 to 95 percent of those diagnosed, said Menke. Diabetes was up in every age, sex, education level, income, and racial/ethnic subgroup.
Yet, there was a bit of upbeat news. The proportion of people with undiagnosed diabetes dropped 23 percent between 1988-1994 and 2011-2012.
Menke and his team speculated the drop was due to public health policies aimed at improving access to care and increasing diabetes awareness.
Resources To Learn More
Diabetes Self-Management Education and Support in Rural America Website Describes the diabetes self-management education program, with a focus on rural communities, giving patients the knowledge and skills needed to manage their diabetes and improve health. Provides information about the National Diabetes Education Program offering culturally and linguistically appropriate diabetes education resources, and includes diabetes prevention and management resources for rural communities.Organization: Centers for Disease Control and Prevention
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Are There Disparities In Diabetes Rates In Minnesota
Disparities happen when the health of a group of people are negatively affected by factors like how much money they earn, their race or ethnicity, or where they live. In Minnesota, we currently collect data specific to two of these factors.
- Education: In 2017, about 5.2 percent1* of adults who have a college degree report having diabetes compared with 8.9 percent1* of adults who do not.
- Income: Health survey data from 2013 through 2017 show that self-reported diabetes rates are higher for people living in households that earn lower incomes.1*
*Percentages are unadjusted for other factors
How Is Minnesota Monitoring Diabetes Management
Healthcare providers measure five diabetes goals to monitor how well a patients diabetes is controlled. These goals are influenced by a number of different factors: individual factors, community-level factors, and healthcare-related factors. This information is reported as the Optimal Diabetes Care measure. Overall in Minnesota, 45 percent of adults met all five diabetes goals.3
There are disparities in the percentage of people who meet all five diabetes goals. We show some of the disparities observed in 2016 below:
- Race: 24 percent of American Indian or Alaska Native meet the Optimal Diabetes Care measure as compared to 48 percent of Asian adults.3
- Ethnicity: 36 percent of Hispanic or Latino adults meet the Optimal Diabetes Care measure as compared to 45 percent of non-Hispanic adults.3
- Language: 34 percent of adults who prefer to speak Hmong meet the Optimal Diabetes Care measure as compared to 57 percent of adults who prefer to speak Vietnamese.3
- Insurance type: 33 percent of adults receiving health insurance through State of Minnesota programs such as Medical Assistance and MinnesotaCare meet the Optimal Diabetes Care measure as compared to 48 percent of all other adults in Minnesota.4
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What Cdc Is Doing
CDC is working to reverse the epidemic by helping to identify people with prediabetes, prevent type 2 diabetes and diabetes complications, and improve the health of all people with diabetes. Those efforts include:
Explore the Division of Diabetes Translation website to learn more about how CDC is translating science into practice to realize its vision: a world free of the devastation of diabetes.
Gestational Diabetes Facts And Statistics
Gestational diabetes is a type of diabetes that develops during pregnancy in women who dont already have diabetes. High blood glucose levels during pregnancy can cause problems for the mother and the baby, and they can increase the chance of having a miscarriage. Learn more about gestational diabetes.
- About 6 percent of U.S. women who gave birth in 2016 had gestational diabetes.2
- About 50 percent of U.S. women with gestational diabetes go on to develop type 2 diabetes.3
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How Common Is Diabetes
Diabetes is one of the worlds fastest-growing chronic diseases. How prevalent is it? Lets take a look:
- In 1980, 108 million people worldwide had diabetes. By 2014, that number had risen to 422 million.
- An estimated 700 million adults worldwide will have diabetes by 2045.
- China has the highest number of diabetes accounts worldwide, with 116 million people with diabetes. Following China is India and then the United States .
New Cdc Report: More Than 100 Million Americans Have Diabetes Or Prediabetes
Diabetes growth rate steady, adding to health care burden
More than 100 million U.S. adults are now living with diabetes or prediabetes, according to a new reportpdf icon released today by the Centers for Disease Control and Prevention . The report finds that as of 2015, 30.3 million Americans 9.4 percent of the U.S. population have diabetes. Another 84.1 million have prediabetes, a condition that if not treated often leads to type 2 diabetes within five years.
The report confirms that the rate of new diabetes diagnoses remains steady. However, the disease continues to represent a growing health problem: Diabetes was the seventh leading cause of death in the U.S. in 2015. The report also includes county-level data for the first time, and shows that some areas of the country bear a heavier diabetes burden than others.
Although these findings reveal some progress in diabetes management and prevention, there are still too many Americans with diabetes and prediabetes, said CDC Director Brenda Fitzgerald, M.D. More than a third of U.S. adults have prediabetes, and the majority dont know it. Now, more than ever, we must step up our efforts to reduce the burden of this serious disease.
The National Diabetes Statistics Report, released approximately every two years, provides information on diabetes prevalence and incidence, prediabetes, risk factors for complications, acute and long-term complications, mortality, and costs in the U.S.
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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.
How Do You Know If You Have Diabetes
Regular checkups are one of the best ways to prevent the development of type 2 diabetes. During these checkups, there are several tests your healthcare professional can use to check your blood sugar levels and determine your risk of developing diabetes.
A fasting blood glucose test measures your blood sugar levels after an 8 to 12 hour fast, with results indicating the following:
An oral glucose tolerance test measures your blood sugar levels over the course of 2 hours after drinking a sugary drink, with results indicating the following:
An A1C test measures your average blood sugar levels from the past 2 to 3 months, with results indicating the following:
If your blood sugar levels indicate you have diabetes, your doctor will work with you to find the right plan to manage your diabetes.
According to the Diabetes Prevention Program study, people who kept up certain lifestyle changes lowered their risk of developing type 2 diabetes by over 3 years. This applied across all racial and ethnic groups.
Some of these changes include:
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