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HEALTHY NORTH DAKOTA
HIGHLIGHTS
Volume 1, Number 2 September 2004
Diabetes is rising in North Dakota
Diabetes and its complications heart disease, stroke, loss of vision, kidney failure and amputation cause a large, preventable burden of illness and death among people in North Dakota More than 30 million Americans now have diabetes or prediabetes; 30 percent of the cases of diabetes are still undiagnosed The risk of developing diabetes can be greatly reduced through weight reduction and physical activity; likewise, the risk of complications from diabetes can be greatly reduced through disease management programs that follow established clinical practice guidelines This report presents information about diabetes in North Dakota and includes important prevention and management recommendations
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Figure 1: Prevalence of Diabetes in North Dakota, by Year, 1994-2003
Percentage
5
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Some North Dakotans are at high risk for diabetes
In North Dakota in 2003, 6 percent of adults reported being diagnosed diabetes The prevalence of diabetes increased 72 percent from 1994 to 2003 36 to 62 People 55 and older are about seven times
more likely to be diagnosed with diabetes 14 than are people younger than 55 2 People at increased risk for diabetes include those with fair or poor selfreported health 23, with any limitation due to a health problem 15, or who are obese 13 American Indians in North Dakota have high rates of diabetes 11, 1996-2002
25 Percentage 20 15 10 5 0 23
Figure 2: Prevalence of Diabetes in North Dakota, by Group, 2003
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14
13 6
ge A
be O
ll A
Fa P ir/ rH lth
l th H m Li it
se
55
Groups
Public health efforts need to be intensified
The proportion of North Dakota adults who have diabetes increased from 36 percent in 1994 to 62 percent in 2003; more than 28,000 North Dakota adults now have diabetes The prevalence of obesity, one of the major risk factors for type 2 diabetes, increased from 14 percent in 1994 to 23 percent in 2003 The Healthy People 2010 objectives for diagnosed diabetes is less than 25 percent and for obesity is less than 15 percent
Healthy North 
Dakota Highlights is prepared by the Department of Community Medicine, University of North Dakota School of Medicine and Health Sciences for the North Dakota Department of Health To learn more about diabetes and
other behavioral health risks in NORTH DAKOTA contact the North Dakota Department of Health; 600 E Boulevard Ave, Dept 301; Bismarck, ND 58505; 7013232372; or visit wwwndhealthgov
EFFECTIVE STRATEGIES
To reduce the risk of developing diabetes: Get regular physical activity 30 minutes per day on most days Control weight Adults should try to keep body mass index [BMI] between 18 and 25 To reduce the risk of complications for people who have diabetes: Do not smoke Know ABCs and control them A1c hemoglobin A1c below 7 percent Blood pressure less than 130/80 Cholesterol LDL cholesterol less than 100 Control weight Exercise regularly Get eye and foot exams at least annually Get a flu shot every year and a pneumococcal vaccination at least once
The formula used to calculate BMI can be found at wwwnhlbisupportcom/bmi/
TECHNICAL NOTE
Data presented in this Healthy North Dakota - Highlights come from the North Dakota Behavioral Risk Factor Surveillance System BRFSS for year 2003 Every year since 1984, a random sample of adult age 18 and older North Dakotans has been interviewed about a wide variety of behavioral risks that are important to staying healthy Full details of the survey
method used to secure these data can be seen at wwwcdcgov/brfss Whenever race-specific estimates for North Dakota American Indians are presented, a seven year aggregate BRFSS dataset 1996-2002 has been used; 438 respondents during this time period identified themselves as American Indian In 2003, there were 3,026 respondents to the North Dakota BRFSS The responses described in this issue concern Persons with diabetes; persons who have been told they have diabetes by their doctor, excluding diagnosis during pregnancy only
Suggested citation: Brosseau JD, Sahmoun AE, Holzman GS, Helgerson SD, Pickard SP Diabetes is rising in North Dakota Healthy North DakotaHighlights, 2004; 12:1-2
Source:dagc.org
