Approximately 90,000 Vermonters between 40 and 74 years of age have pre-diabetes Pre-diabetes is defined as having impaired fasting glucose (glucose of 100 - 125 …
Diabetes in Vermont
o Diabetes is common; pre-diabetes is even more common
o Approximately 90,000 Vermonters between 40 and 74 years of age have
pre-diabetes
People with pre-diabetes are at increased risk for developing diabetes
Pre-diabetes is defined as having impaired fasting glucose glucose of
100 - 125 mg/dl or impaired glucose tolerance 140 - 199 mg/dl blood
glucose after a 2-hour oral glucose tolerance test
o Approximately 40,000 Vermonters of all ages have diabetes
Diabetes is defined as having a fasting glucose or 126 mg/dl
About 29,000 know they have the disease Approximately 95 have Type
2
o Types of Diabetes
Type 1
- Occurs most often in children and teens
- Appears suddenly and progresses rapidly
- Treated with insulin, physical activity and diet
Type 2
- Occurs most often in overweight, inactive adults age 40
- Often diagnosed only after related problems are discovered, such as
heart disease, visual problems
- Treated with physical activity, diet and may also require oral
medications and/or insulin
Gestational Diabetes GDM
- Approximately 3 of pregnancies complicated by GDM about 200
cases/year VT
- Usually diagnosed after the 24th week of pregnancy
- Treated with physical activity, diet and may require insulin
o Diabetes is a statewide public health problem
In 2005, 6 of the Vermont adult population has been diagnosed with
diabetes
o Diabetes is serious
- Diabetes is the 6th leading cause of death in Vermont
- When looking at the US White population for 2001-2002, Vermont has the
14th highest age adjusted death rate caused by diabetes in the country
- Diabetes is a chronic disease with serious complications including lower
limb amputations, blindness, kidney disease and failure, heart
disease, stroke, and dental infections
o Diabetes is costly
Vermont annually spends about 300 million on the direct and
indirect costs of diabetes
o Diabetes is controllable
Screening for diabetes is recommended for:
All individuals age 45 years and above If normal repeat every 3 years
Individuals who are overweight BMI ? 25 kg/m2 and have additional
risk factors:
- have a first-degree relative with diabetes
- do not get regular physical activity
- are members of a high-risk ethnic population eg, African-
American, Hispanic American, American Indian, Asian American,
Pacific Islander
- have delivered a baby weighing 9 lb or have been diagnosed with
GDM
- are hypertensive ? 140/90
- have an HDL cholesterol level ? 35 mg/dl 090 mmol/l and/or a
triglyceride level ? 250 mg/dl 282 mmol/l
- on previous testing, had pre-diabetes fasting glucose of 100-125
mg/dl
- have a history of vascular disease or polycystic ovary syndrome
Much of the health and economic burden of diabetes-related
complications can be averted through known prevention and treatment
measures
A major goal of diabetes treatment is to keep blood glucose blood
sugar as close to the normal range as possible This requires close
attention to diet and physical activity, and frequent monitoring of
blood glucose
o Vermont Department of Health Diabetes Prevention and Control
program activities:
The Vermont Department of Health has a grant from the Centers for Disease
Control and Prevention CDC to reduce the burden of diabetes in Vermont:
Major goals:
- Coordinate diabetes efforts in the state
- Increase the number of people with
diabetes who receive foot
exams, eye exams, vaccination and hemoglobin A1C tests
- Promote wellness and physical activity for persons with diabetes
and at high risk for diabetes
- Reduce health disparities for high-risk populations with respect
to diabetes prevention and control
o Vermont Diabetes Prevention and Control program goals:
- Increase the percentage of people with diabetes who receive formal
diabetes education from 53 in 2005 to 60 by 2010
- Increase the percentage of adults with diabetes who have an annual
dilated eye examination from 74 in 2005 to 90 by 2010
- Maintain the diabetes-related death rate to less than 99 per
100,000 Vermonters 2004 - 909 per 100,000
Diabetes is serious, common, costly and controllable
All adults age 45 years and above should know their risk factor numbers
updated July 2006
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Vermont Department of Health 108 Cherry Street PO Box 70 Burlington,
VT 05402 HealthVermontgov
Source:vpqhc.org
