The rate of diabetes among West Virginia adults increased during 8 of the past 10 Awareness of having diabetes increased steeply and significantly between …
CHAPTER 10: DIABETES
Diabetes Awareness in 2004 and 2005
Definition Responding Yes to the following question: Have you ever been told by a doctor that you have diabetes? Women told they had diabetes only during pregnancy are treated as an answer of No Those with pre-diabetes and borderline diabetes also are treated as an answer of No WV: 109 95 CI: 98-121 in 2004; 104 95 CI: 94-115 in 2005 US: 72 95 CI: 71-74 in 2004; 78 95 CI: 76-79 in 2005 West Virginia ranked 1st highest among 52 BRFSS participants in 2004 and 2nd highest among 53 BRFSS participants in 2005 The rate of diabetes among West Virginia adults increased during 8 of the past 10 years Awareness of having diabetes increased steeply and significantly between 2000 76 and 2004 109 The statewide prevalence declined to 104 in 2005 Men: 116 95 CI: 97-135 in 2004; 97 95 CI: 81-113 in 2005 Women: 103 95 CI: 89-116 in 2004; 111 95 CI: 97-125 in 2005 There were no significant differences in how frequently men and women reported a diagnosis of diabetes in either 2004 or 2005 The oldest adults 65 and older had the highest diabetes prevalence among all age groups in West Virginia, 221 in 2004 and 211 in 2005 Adults aged 1854 were
significantly less likely to be diabetic in both years The prevalence was lower at the younger ages Adults with less than a high school education carried the greatest risk of diabetes, with a prevalence of 180 in 2004 and 151 in 2005 The risk for college graduates was significantly lower at 75 in 2004 and 66 in 2005 Each increase in education was associated with a lower risk of diabetes, although the differences were not significant between every group At the lowest income levels, less than 15,000 annually, more than 15 people in every 100 were diabetic In contrast, adults living in households with annual incomes of 50,000 and above experienced significantly lower risks, around 5 in every 100 The prevalence generally decreased with increasing income
Prevalence
Time Trends
Gender
Age
Education
Household Income
_____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 51
Table 101 Diabetes awareness by demographic characteristics: WVBRFSS, 2004
Men
Resp TOTAL Age 18-24 25-34 35-44 45-54 55-64 65 Education Less than HS HS or GED Some Post-HS College Graduate Income
Less than 15,000 15,000- 24,999 25,000- 34,999 35,000- 49,999 50,000- 74,999 75,000 1,319 75 181 237 298 255 271 225 526 260 306 167 261 165 215 214 187 116 14 19 84 116 211 245 171 119 85 98 160 138 148 109 94 77 95 CI 97-135 00-42 00-45 41-128 74-157 155-266 187-303 116-226 89-149 49-122 59-137 98-222 90-187 86-209 66-152 51-138 34-120 Resp 2,119 115 282 362 401 379 576 401 797 471 447 464 403 253 305 230 189
Characteristic
Women
103 14 20 48 96 178 205 188 112 63 54 185 108 123 78 29 26 95 CI 89-116 00-34 04-36 21-76 65-127 137-219 168-241 147-228 88-135 42-84 31-77 148-223 73-143 80-167 46-109 07-51 04-48 Resp 3,438 190 463 599 699 634 847 626 1,323 731 753 631 664 418 520 444 376
Total
109 14 19 66 106 194 221 180 116 73 75 175 123 135 93 66 55 95 CI 98-121 00-31 04-35 41-92 80-132 160-228 189-253 147-213 97-135 53-93 53-98 142-209 93-152 98-172 66-120 39-92 28-81
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page 9
Table 102 Diabetes awareness by demographic characteristics: WVBRFSS, 2005
Men
Resp TOTAL Age 18-24 25-34 35-44 45-54 55-64 65 Education Less than HS HS or GED Some Post-HS College Graduate
Income Less than 15,000 15,000- 24,999 25,000- 34,999 35,000- 49,999 50,000- 74,999 75,000 1,359 68 182 226 286 276 319 250 556 249 303 167 270 214 207 209 175 97 na 29 80 89 151 217 141 95 89 70 149 136 119 83 76 40 95 CI 81-113 Na 03-54 42-118 55-122 105-197 166-267 95-187 70-120 56-123 41-99 89-210 92-179 72-165 47-119 40-111 14-65 Resp 2,192 102 282 351 458 366 624 382 869 503 435 434 462 254 265 262 211
Characteristic
Women
111 17 22 79 102 177 208 162 126 91 63 156 125 121 98 79 24 95 CI 97-125 00-51 07-38 47-111 70-134 135-219 172-243 122-202 102-150 64-119 40-86 120-191 89-161 78-164 59-137 44-114 03-46 Resp 3,551 170 464 577 744 642 943 632 1,425 752 738 601 732 468 472 471 386
Total
104 08 26 80 95 164 211 151 110 91 66 153 130 120 90 77 32 95 CI 94-115 00-25 11-41 55-104 72-118 133-195 182-241 121-182 93-128 70-112 48-85 121-185 102-158 88-152 63-117 52-102 16-49
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page 9
_____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 52
Figure 101
Diabetes awareness by year: WVBRFSS, 1990-2005
12 10
102 98 109
104
Percentage
8 6 4 2 0 1991 1993 1995 1997 1999
75 60 64 73 60 52 47 59 63 63 76
88
Trend Line - - - - - - -
2001
2003
2005
Figure 102 Diabetes awareness by county: WVBRFSS, 2001-2005
US Prevalence 2003 75
Hancock Brooke
WV Prevalence 2001-2005 100
Significantly Higher than US
Ohio
Marshall
Monongalia Wetzel Pleasants Tyler Marion Preston Mineral Harrison Wood Ritchie Wirt Jackson Roane Calhoun Gilmer Upshur Braxton Randolph Pendleton Doddridge Taylor Grant Barbour Lewis Tucker Hardy Hampshire Jefferson Morgan Berkeley
Mason
Putnam Cabell Clay Kanawha Nicholas Wayne Lincoln Boone Fayette
Webster
Pocahontas
Significantly Higher than WV Prevalence
Greenbrier
Higher than WV Prevalence but Not Significant Lower than WV Prevalence but Not Significant
Mingo
Logan Raleigh Wyoming Summers
Significantly Lower than WV Prevalence
Monroe
McDowell
Mercer
Some counties were grouped for analysis County prevalence estimates are listed in Appendix L See an explanation of the county-level data, including the new county maps, under County-Level Data on page
10
_____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 53
Key Control Issues among Adults with Diabetes in 2004 and 2005
Definitions No A1c test - Responding None or Never heard of A one C test to the following question: A test for A one C measures the average level of blood sugar over the past three months About how many times in the past 12 months has a doctor, nurse, or other health professional checked you for hemoglobin A one C? No Eye exam - Responding with More than 12 months ago to the following question: When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light No Foot exam - Responding None to the following questi 
on: About how many times in the past 12 months has a health professional checked your feet for any sores or irritations? Prevalence No A1c test WV: 123 95 CI: 81-165 in 2004; 121 95 CI: 86-157 in 2005 No eye exam WV: 330 95 CI: 275-385 in 2004; 296 95 CI: 246-347 in 2005 No foot exam WV: 353 95 CI: 298-409 in 2004; 302 95 CI: 253-351 in 2005 Time Trends Between
2004 and 2005, there were slight declines in the prevalence of all these risk factors
WV HEALTHY PEOPLE 2010 OBJECTIVES
Objective 56 Objective 57 Increase to 85 the proportion of persons with diabetes who have a glycosylated hemoglobin measurement at least once a year Baseline: 801 in 2000; Current: 879 in 2005 Increase to 73 the proportion of persons with diabetes who have an annual dilated eye exam Baseline: 655 in 1998; Current: 704 in 2005
Table 103 No A1c test among adults with diabetes by demographic characteristics: WVBRFSS, 2004 and 2005
Characteristic
TOTAL Males Females Age 18-44 45-54 55-64 65 Education Less than HS HS or GED Some Post-HS College Graduate Income Less than 15,000 15,000- 24,999 25,000- 34,999 35,000-49,999 50,000 Resp 374 146 228 39 68 120 147 109 159 54 51 116 66 53 48 47
2004
123 128 118 338 14 73 129 171 145 54 39 166 133 189 139 00 95 CI 81-165 61-194 66-171 157-518 00-35 14-132 71-187 89-254 70-219 00-115 00-115 77-256 42-224 38-339 17-261 na Resp 358 136 222 55 61 95 147 83 155 67 53 84 80 55 44 50
2005
121 124 119 117 152 97 125 239 72 98 126 194 102 140 52 76 95 CI 86-157 67-181 75-163 36-197 61-243 34-161 66-184 138-340
32-111 23-174 28-225 103-285 35-169 39-242 00-128 00-152
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page 9 _____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 54
Table 104 No eye exam prevalence among adults with diabetes by demographic characteristics: WVBRFSS, 2004 and 2005
Characteristic
TOTAL Males Females Age 18-44 45-54 55-64 65 Education Less than HS HS or GED Some Post-HS College Graduate Income Less than 15,000 15,000- 24,999 25,000- 34,999 35,000-49,999 50,000 Resp 409 160 249 43 73 121 172 122 168 62 56 128 74 58 50 49
2004
330 343 318 595 338 307 243 357 375 263 220 313 429 379 259 311 95 CI 275-385 255-430 252-383 428-763 210-465 215-400 168-318 258-455 287-464 125-402 79-360 215-410 296-561 231-528 124-394 150-473 Resp 412 155 257 55 69 105 183 107 173 77 55 99 97 58 47 53
2005
296 332 267 462 267 288 240 421 305 222 134 309 331 346 218 288 95 CI 246-347 248-417 207-327 312-611 147-387 194-382 171-310 312-531 225-385 126-319 38-230 200-418 223-439 207-486 86-349
155-421
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page 9
Table 105 No foot exam prevalence among adults with diabetes by demographic characteristics: WVBRFSS, 2004 and 2005
Characteristic
TOTAL Males Females Age 18-44 45-54 55-64 65 Education Less than HS HS or GED Some Post-HS College Graduate Income Less than 15,000 15,000- 24,999 25,000- 34,999 35,000-49,999 50,000 Note Excludes amputees Resp 405 160 245 43 73 120 169 120 167 62 55 124 75 57 50 48
2004
353 307 402 617 305 252 342 308 363 418 352 391 335 454 333 238 95 CI 298-409 223-390 331-473 453-782 186-424 166-337 262-422 213-404 277-449 272-564 199-505 284-498 210-461 303-605 191-475 98-377 Resp 413 156 257 56 71 103 183 107 172 78 56 101 98 57 46 53
2005
302 281 319 297 199 272 369 344 267 329 295 252 303 406 189 284 95 CI 253-351 204-357 257-382 169-425 97-301 180-364 291-447 243-445 194-340 217-442 163-427 160-344 202-405 265-547 58-319 159-409
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page
9
_____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 55
Additional Diabetes Issues in 2004 and 2005
Table 106 Other health care issues among adults with diabetes: WVBRFSS, 2004
Men
Resp 164 163 160 159 164 162 160 163 156 761 471 181 97 66 306 571 95 CI 100-212 684-837 383-559 115-247 48-146 16-116 227-384 485-656 Resp 253 253 251 246 253 250 247 253
Diabetic respondents who
Now take insulin Now take diabetes pills Never check blood glucose at home or check it less than once daily Never self-check feet for sores or check them less than once daily Have ever had a foot sore that took more than four weeks to heal Did NOT visit a doctor, nurse, or other health professional even once in the past 12 months for their diabetes Were told by a doctor that they have diabetic retinopathy Have NEVER taken a class in selfmanagement of diabetes
Women
246 702 321 194 114 58 243 582 95 CI 184-307 637-768 256-386 139-249 67-161 18-98 180-306 514-651 Resp 417 416 411 405 417 412 407 416
Total
200 732 397 187 105 62 275 577 95 CI 157-242 681-783 341-453 144-231 71-139
30-94 224-325 522-631
Use caution when interpreting and reporting this estimate See discussion of unstable estimates on page 9
Table 107 Other health care issues among adults with diabetes: WVBRFSS, 2005
Men
Resp 161 161 154 151 159 158 157 160 251 718 423 249 189 57 192 615 95 CI 175-327 640-797 339-508 174-324 120-258 21-93 126-259 530-700 Resp 264 264 260 260 263 257 262 263
Diabetic respondents who
Now take insulin Now take diabetes pills Never check blood glucose at home or check it less than once daily Never self-check feet for sores or check them less than once daily Have ever had a foot sore that took more than four weeks to heal Did NOT visit a doctor, nurse, or other health professional even once in the past 12 months for their diabetes Were told by a doctor that they have diabetic retinopathy Have NEVER taken a class in selfmanagement of diabetes
Women
283 699 292 150 139 35 162 488 95 CI 220-347 634-763 231-353 102-197 91-187 13-58 114-209 420-555 Resp 425 425 414 411 422 415 419 423
Total
269 708 349 193 161 45 175 545 95 CI 220-318 658-757 299-400 150-236 121-202 25-66 136-215 491-598
Use caution when interpreting and reporting this estimate See
discussion of unstable estimates on page 9
WV HEALTHY PEOPLE 2010 OBJECTIVES
Objective 58 Increase to 55 the proportion of persons with diabetes who perform self blood-glucose monitoring SBGM at least daily Baseline: 503 in 1998; Current: 651 in 2005
_____________________________________________________________________________________________________________________ WV BRFSS 2004-2005 Report CHAPTER 10: DIABETES, page 56
Source:diabetes.ucsf.edu
