11 things to know about diabetes in the United States today

Here are 11 things to know about diabetes in the United States based on information from the Peterson-Kaiser Health System Tracker: “How has diabetes care in the U.S. changed over time?

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1. Diabetes is number seven on the list of top 10 leading causes of death in the United States. The data, from 2013, shows diabetes causes death in 21.2 people per 100,000 people in the United States.

 

2. Type 1 diabetes is diagnosed in children and young adult in patients who don’t produce insulin. Gestational diabetes occurs when there isn’t enough insulin to support a pregnancy, occurring in around 9.2 percent of pregnancies. Type 2 diabetes occurs when the body doesn’t use insulin properly, according to the report.

 

3. Morality rates are declining over the past decade; they rose 23 percent between 1990 and 2002 and then were down 19 percent from 2002 to 2010.

 

4. Around one-in-four, 25 percent, of people with diabetes don’t know they have the condition because they weren’t diagnosed.

 

5. Diabetes is increasing among people age 45 years old to 64 years old over the past few years; from 1997 to 2014 the number of people in the middle age group increased 58 percent.

 

6. The likelihood of developing type 2 diabetes increases with age, but there has been a 50 percent increase in diagnosis among people 44 years old or younger.

 

7. Diabetes among white and Asian people are increasing more rapidly than other races. The diabetes rate is 65 percent for white people and 72 percent for Asians. Diabetes rate among black and Hispanic people is growing more slowly — by 32 percent and 45 percent respectively.

 

8. Adults with diabetes reported poor mental and physical health. In 1994, 58 percent reported poor medical or physical health; 64 percent said the same in 2011. Around 28 percent of the diabetes patients reported the inability to do usual activities in 1994, compared with 35 percent in 2011.

 

9. The number of diabetics receiving an annual foot exams and self-monitoring blood glucose levels increased over the past several years. The diabetics self-monitoring glucose daily increased from 35.7 percent in 1994 to 63.6 percent in 2010. The diabetic patients who have annual foot exams increased 40 percent.

 

10. Complications among diabetics in the United States decreased significantly from 1990 to 2010:

 

• Heart attack: 68 percent
• Hyperglycemic crisis: 64 percent
• Stroke: 53 percent
• Amputation: 51 percent
• End-stage renal disease: 28 percent

 

11. Spending on endocrine disease accounts for more than 7 percent of disease-based health expenditures: $138 billion in 2012. Spending on endocrine disease is around $440 annually per capita, up from $192 in 2000. The spending on diabetes is third among spending on serious or chronic health conditions.

 

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