• Total number, in millions, of children and adults in the United States who have diabetes, or 7.8 percent of the population.
• Total number, in millions, of children and adults in the United States who have been diagnosed with diabetes.
• Total number, in millions, of children and adults in the United States who have diabetes but are undiagnosed.
• Total number, in millions, of children and adults in the United States who are pre-diabetic.
• Total number, in millions, of new cases diagnosed in people aged 20 years and older each year.
Total prevalence of diabetes Under 20 years of age
• 186,300, or 0.22 percent, of all people in this age group have diabetes
• About 1 in every 400 to 600 children and adolescents has type 1 diabetes
• About 2 million adolescents aged 12-19 have pre-diabetes
Age 20 years or older
• 23.5 million, or 10.7 percent, of all people in this age group have diabetes
Age 60 years or older
• 12.2 million, or 23.1 percent, of all people in this age group have diabetes
• 12 million, or 11.2 percent, of all men aged 20 years or older have diabetes
• 11.5 million, or 10.2 percent, of all women aged 20 years or older have diabetes
Cost of Diabetes
Total costs of diagnosed diabetes in the U.S. in 2007
• $116 B
Direct costs of diagnosed diabetes in the U.S. in 2007
• $58 B
Indirect costs of diagnosed diabetes from disability, work loss and premature mortality.
• After adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.
The American Diabetes Association has created a Diabetes Cost Calculator that takes the national cost of diabetes data and provides estimates at the state and congressional district level.
Factoring in the additional costs of undiagnosed diabetes, pre-diabetes, and gestational diabetes brings the total cost of diabetes in the United States in 2007 to $218 billion.
• $18 billion for the 6.3 million people with undiagnosed diabetes
• $25 billion for the 57 million American adults with pre-diabetes
• $623 million for the 180,000 pregnancies where gestational diabetes is diagnosed
Morbidity and Mortality
Diabetes was the seventh leading cause of death listed on U.S. death certificates in 2006. This ranking is based on the 72,507 death certificates in 2006 in which diabetes was listed as the underlying cause of death. According to death certificate reports, diabetes contributed to a total of 233,619 deaths in 2005, the latest year for which data on contributing causes of death are available.
Heart disease and stroke
• In 2004, heart disease was noted on 68 percent of diabetes-related death certificates among people aged 65 years or older.
• In 2004, stroke was noted on 16 percent of diabetes-related death certificates among people aged 65 years or older.
• Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
• The risk for stroke is 2 to 4 times higher among people with diabetes.
High blood pressure
• In 2003–2004, 75 percent of adults with self-reported diabetes had blood pressure greater than or equal to 130/80 mmHg, or used prescription medications for hypertension.
• Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years.
• Diabetic retinopathy causes 12,000 to 24,000 new cases of blindness each year.
• Diabetes is the leading cause of kidney failure, accounting for 44 percent of new cases in 2005.
• In 2005, 46,739 people with diabetes began treatment for end-stage kidney disease in the United States and Puerto Rico.
• In 2005, a total of 178,689 people with end-stage kidney disease due to diabetes were living on chronic dialysis or with a kidney transplant in the United States and Puerto Rico.
Nervous system disease (Neuropathy)
• About 60 percent to 70 percent of people with diabetes have mild to severe forms of nervous system damage.
• More than 60 percent of nontraumatic lower-limb amputations occur in people with diabetes.
• In 2004, about 71,000 nontraumatic lower-limb amputations were performed in people with diabetes.
Race, ethnic differences in prevalence of diabetes
• After adjusting for population age differences, 2004-2006 national survey data for people diagnosed with diabetes, aged 20 years or older include the following prevalence by race/ethnicity:
• 6.6 percent of non-Hispanic whites
• 7.5 percent of Asian Americans
• 11.8 percent of non-Hispanic blacks
• 10.4 percent of Hispanics
Among Hispanics rates were:
• 8.2 percent for Cubans
• 11.9 percent for Mexican Americans
• 12.6 percent for Puerto Ricans.
NEMS Daily Journal