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CDC: 100 Million Have Diabetes or Prediabetes

The growth of diabetes in the United States may be slowing, but it is still increasing. Just how bad can it get?

The Centers for Disease Control and Prevention (CDC) provides The National Diabetes Statistics Report, a periodic publication that provides updated statistics about diabetes in the United States for a scientific audience. It includes information on prevalence and incidence of diabetes, prediabetes, risk factors for complications, acute and long-term complications, deaths, and costs. Estimates for the 2017 report were derived from CDC data systems, the Indian Health Service, the Agency for Healthcare Research and Quality, the U.S. Census Bureau, and published studies. Both fasting glucose and HbA1c levels were used to derive estimates for undiagnosed diabetes and prediabetes.

The report also found that an estimated 1.5 million new cases of diabetes were diagnosed among adults in 2015. However, nearly 1 in 4 four adults living with diabetes, or 7.2 million Americans, did not know they had the condition, according to the report. Only 11.6% of adults with prediabetes knew they had it.

From the results, it was found that more than 100 million U.S. adults are now living with diabetes or prediabetes, according to the report. That would be every third person in the United States.

The 2017 National Diabetes Statistics Report, which estimates diabetes and its burden in the United States, shows that as of 2015, 30.3 million U.S. residents, or 9.4% of the population, have diabetes; another 84.1 million have prediabetes. The report shows that disease numbers have held steady — the 2014 report estimated that 29.1 million people, or 9.3% of the population, have diabetes — but the cost and health burdens related to the condition continue to grow. Diabetes was the seventh leading cause of death in the U.S. in 2015, and the total and indirect estimated cost of diagnosed diabetes in the U.S. in 2012 was $245 billion, according to the report.

Rates of diagnosed diabetes also increased with age; among adults at least 65 years of age, 25.5% had diabetes, whereas 4% of adults ages 18 to 44 years have the disease. As in previous reports, diabetes prevalence varies by race. Native Americans and Alaska natives have the highest rates of diagnosed diabetes (15.1%), followed by blacks (12.7%) and Hispanics (12.1%) vs. lower rates among Asians (8%) and whites (7.4%).

Other differences include:

  • Diabetes prevalence varied significantly by education. Among U.S. adults with less than a high school education, 12.6 percent had diabetes. Among those with a high school education, 9.5 percent had diabetes; and among those with more than a high school education, 7.2 percent had diabetes.
  • More men (36.6 percent) had prediabetes than women (29.3 percent). Rates were similar among women and men across racial/ethnic groups or educational levels.
  • The southern and Appalachian areas of the United States had the highest rates of diagnosed diabetes and of new diabetes cases.

“Consistent with previous trends, our research shows that diabetes cases are still increasing, although not as quickly as in previous years,” said Ann Albright, Ph.D., R.D., director of CDC’s Division of Diabetes Translation. “Diabetes is a contributing factor to so many other serious health conditions.”

To reduce the impact of prediabetes and type 2 diabetes, the CDC established the National Diabetes Prevention Program (National DPP), which provides the framework for type 2 diabetes prevention efforts in the U.S.

Based on the landmark Diabetes Prevention Program research findings funded by the National Institutes of Health (NIH), the National DPP includes an evidence-based, year-long, behavior change program to improve eating habits and increase physical activity to lose a modest amount of weight and significantly reduce the risk of type 2 diabetes.

Practice Pearls:

  • In 2015, an estimated 1.5 million new cases of diabetes were diagnosed among people ages 18 and older.
  • Nearly 1 in 4 four adults living with diabetes – 7.2 million Americans – didn’t know they had the condition. Only 11.6 percent of adults with prediabetes knew they had it.
  • Rates of diagnosed diabetes increased with age. Among adults ages 18-44, 4 percent had diabetes. Among those ages 45-64 years, 17 percent had diabetes. And among those ages 65 years and older, 25 percent had diabetes.

2017 CDC Diabetes Report Published On: Jul 19th 2017