the diabetes problem what the new statistics tell us and implications for the future n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Diabetes Problem What the new statistics tell us and implications for the future PowerPoint Presentation
Download Presentation
The Diabetes Problem What the new statistics tell us and implications for the future

Loading in 2 Seconds...

play fullscreen
1 / 39

The Diabetes Problem What the new statistics tell us and implications for the future - PowerPoint PPT Presentation


  • 82 Views
  • Uploaded on

The Diabetes Problem What the new statistics tell us and implications for the future . Ann Albright, PhD, RD. Director, Division of Diabetes Translation Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion .

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Diabetes Problem What the new statistics tell us and implications for the future' - teenie


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the diabetes problem what the new statistics tell us and implications for the future
The Diabetes ProblemWhat the new statistics tell us and implications for the future

Ann Albright, PhD, RD

Director, Division of Diabetes Translation

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

Division of Diabetes Translation www.cdc.gov/diabetes

The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the CDC.

slide3

Household

Surveys

Hospitals

CDC

National Diabetes Surveillance System

Vital statistics

Telephone Surveys

Registries

diabetes fact sheet 2011
Diabetes Fact Sheet, 2011

Citation: Centers for Disease Control and Prevention, National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

http://www.cdc.gov/diabetes/pubs/factsheet11.htm

www.cdc.gov/diabetes

slide5

26 millionwith Diabetes

79 millionwith Prediabetes

latest diabetes prevalence data
Latest Diabetes Prevalence Data
  • 25.8 million people in the U.S. have diabetes
    • 17.8 million are diagnosed
    • 8.0 million are undiagnosed
    • 11.3% of those >20 years old
    • 26.9% of those >65 years old
  • 79 million people in the U.S. have prediabetes

Source: Diabetes Fact Sheet, 2011

http://www.cdc.gov/diabetes/pubs/factsheet11.htm

www.cdc.gov/diabetes

slide8

1994

2000

1994

2000

No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0%

No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0%

Age-Adjusted Percentage of U.S. Adults with Diagnosed Diabetes or Obesity

Diabetes Prevalence

2009

Obesity (BMI ≥30 kg/m2)

2009

www.cdc.gov/diabetes

slide9

County-Level Estimates of Diagnosed Diabetes Among US Adults Aged ≥20 Years: 2004–2008

www.cdc.gov/diabetes

slide11

County-Level Est. of Leisure-Time Physical Inactivity Among US Adults Aged ≥20 Years: 2004–2008

www.cdc.gov/diabetes

county level diabetes obesity leisure time physical inactivity key trend
County-Level Diabetes, Obesity, Leisure-Time Physical Inactivity: Key Trend
  • Counties with high levels of all three are primarily concentrated in the South and Appalachia
  • Counties with low levels of all three are primarily concentrated in the West and Northeast

www.cdc.gov/diabetes

diabetes fact sheet 2011 diabetes rates by race and ethnicity
Diabetes Fact Sheet, 2011Diabetes rates by race and ethnicity
  • 7.1% of non-Hispanic whites >20 years old have diabetes
  • Rate is 18% higher for Asian Americans >20 years old
  • Rate is 66% higher for Hispanics >20 years old overall
    • Similar to non-Hispanic whites for Cubans and Central and South Americans
    • 87% higher for Mexican Americans
    • 94% higher for Puerto Ricans

www.cdc.gov/diabetes

diabetes fact sheet 2011 diabetes rates by race and ethnicity1
Diabetes Fact Sheet, 2011Diabetes rates by race and ethnicity
  • Rate is 77% higher for non-Hispanic blacks >20 years old
  • 16.1% of the adult population served by Indian Health Service has diagnosed diabetes
    • 5.5% among Alaska Native adults
    • 33.5% among American Indian adults in southern Arizona

www.cdc.gov/diabetes

diabetes fact sheet 2011 diabetes rates by race and ethnicity2
Diabetes Fact Sheet, 2011Diabetes rates by race and ethnicity

Non-Hispanic whites

Non-Hispanic blacks

Asian Americans

Alaska Natives/American Indians (overall)

Hispanics (overall)

www.cdc.gov/diabetes

diabetes fact sheet 2011 diabetes rates by race and ethnicity3
Diabetes Fact Sheet, 2011Diabetes rates by race and ethnicity

Non-Hispanic whites

Non-Hispanic blacks

Asian Americans

Alaska Natives/American Indians (overall)

Hispanics (overall)

Specific AN/AI groups

Specific Hispanic groups

www.cdc.gov/diabetes

diabetes fact sheet 2011 gestational diabetes
Diabetes Fact Sheet, 2011Gestational diabetes
  • 2%–10% of pregnant women will develop gestational diabetes
    • Likely rate will be higher when using new diagnostic criteria
  • Women are much more likely to get type 2 diabetes later if they have gestational diabetes
    • 5%–10% immediately after pregnancy
    • 35%–60% within 10–20 years

http://www.cdc.gov/diabetes/pubs/factsheet11.htm

www.cdc.gov/diabetes

burden of diabetes in youth
Burden of Diabetes in Youth

Applied to US Census data, we estimate that

  • In 2001: 154,000 US youth had physician-dx diabetes
  • 15,000 youth are diagnosed annually with T1 diabetes
  • 3600 youth are diagnosed annually with T2 diabetes

www.cdc.gov/diabetes

prevalence of dm in youth
Prevalence of DM in Youth

0-9 Years

10-19 Years

Source: Pediatrics 2006; based on 6379 cases, from surveillance denominator of 3,499,846

www.cdc.gov/diabetes

annual incidence per 100 000 people by race ethnicity clinical dm type
Annual Incidence per 100,000 people by Race/Ethnicity & Clinical DM Type

Source: SEARCH for Diabetes in Youth Study (2002-2005 data)

www.cdc.gov/diabetes

what about overweight and obesity
What about Overweight and Obesity?

Type 1

Type 2

www.cdc.gov/diabetes

prevalence of selected health behaviors
Prevalence of Selected Health Behaviors

Type 2

Type 1

www.cdc.gov/diabetes

incidence of diagnosed diabetes 1980 2007 and projected incidence 2008 2050
Incidence of diagnosed diabetes (1980–2007) and projected incidence (2008–2050)

Source: http: //www.pophealthmetrics.com/content/8/1/29

www.cdc.gov/diabetes

diabetes fact sheet 2011 health burden
Diabetes Fact Sheet, 2011 Health burden
    • The 7th leading cause of death in the U.S.
    • Underlying cause on 71,382 death certificates
    • Contributing cause on 231,404 death certificates
  • The leading cause of kidney disease
  • The leading cause of nontraumatic lower-limb amputations
  • The leading cause of new cases of blindness
  • Significant contributor to heart disease and stroke

http://www.cdc.gov/diabetes/pubs/factsheet11.htm

www.cdc.gov/diabetes

diabetes fact sheet 2011 health burden1
Diabetes Fact Sheet, 2011Health burden
  • Heart disease and stroke
    • 2 to 4 times more likely in people with diabetes
  • Hypertension
    • 67% of adults with diabetes have hypertension
  • Eye Problems
    • 28.5% of people with diabetes >40 years old had diabetic retinopathy
  • Kidney disease
    • Over 200,000 people with diabetes-related ESRD on chronic dialysis or had a transplant (2008)

www.cdc.gov/diabetes

diabetes fact sheet 2011 health burden2
Diabetes Fact Sheet, 2011Health burden
  • Nervous system disease
    • 60% to 70% of people with diabetes >40 years old have mild to severe nervous system damage
  • Other examples of possible health complications
    • Dental disease
    • Pregnancy complications
    • Greater susceptibility to diseases such as influenza and pneumonia
    • Depression

www.cdc.gov/diabetes

slide31
Death rates (age adjusted) with hyperglycemic crises as underlying cause per 100,000 with diabetes, U.S., 1980–2005

Source: www.cdc.gov/diabetes/statistics/mortalitydka/fRateDKADiabTotals.htm

www.cdc.gov/diabetes

age adjusted percentage of us adults with diabetes reporting visual impairment 1997 2009
Age-Adjusted Percentage of US Adults with Diabetes Reporting Visual Impairment, 1997–2009

Source: www.cdc.gov/diabetes/statistics/visual/fig2.htm

www.cdc.gov/diabetes

diabetes fact sheet 2011 economic cost of diabetes
Diabetes Fact Sheet, 2011Economic cost of diabetes

Medical expenses for people with diabetes are more than two times higher than for people without diabetes

Indirect costs $ 58 billion

Direct costs $116 billion

Total $174 billion

(2007 figures)

http://www.cdc.gov/diabetes/pubs/factsheet11.htm

www.cdc.gov/diabetes

strategy
Strategy

Prevent diabetes

Prevent diabetes complications and disabilities

Eliminate diabetes-related health disparities

www.cdc.gov/diabetes

slide36

Ecological Model

Community and policy

System, group, culture

Family, friends, small group

Individual

The health of individuals is inseparable from the health of communities

(Healthy People 2010)

the community clinic partnership model

The Community – Clinic Partnership Model

Community

Clinic

Insurers

Partnership Zone

}

Employers

Proactive Practice

Team

Reimbursement

Screening for

High Risk

Informed Population

Diagnosis of

Prediabetes and Diabetes

Decision Support

Strong Community

Organizations

Structured Lifestyle

Programs

Information Systems

Healthy Public Policy

Informed, Activated

Patients

Regular Glucose

Monitoring

Supportive

Environments

Total Population

Complications

Pre-diabetes

Diabetes

summary
Summary
  • More people have diabetes and more are developing it
  • Future projections underscore prevention is critical
  • Diabetes management remains a priority
  • Eliminating disparities is key
  • There are effective diabetes prevention and management interventions that must be scaled-up and sustained
resources and media contacts
Resources and Media Contacts
  • Division of Diabetes Translation
    • www.cdc.gov/diabetes
  • National Diabetes Education Program
    • www.yourdiabetesinfo.org
  • Media Contacts
    • Email: media@cdc.gov
    • Phone: 404-639-3286