Within age groups, diabetes prevalence does not differ undiagnosed diabetes. The tables below summarize the distribution of deaths where diabetes …
DIABETES IN MICHIGAN
Prevalence1:
It is estimated that 787 or 593,200 persons range: 560,000 to 635,000 age 18 in Michigan have been diagnosed with diabetes Diabetes prevalence is significantly highest among Blacks in Michigan as compared to Whites and Other Races Figure 1 Within age groups, diabetes prevalence does not differ significantly by race; with exception of Blacks aged 55-64 and 65-74 who have a higher prevalence of diabetes as compared to Whites and Other Races of the same age group Figure 2 It is estimated that 85 or 17,042 adults range: 10,626 to 26,666 of Hispanic ethnicity in Michigan have been diagnosed with diabetes An estimated 2/3 of people with diabetes have been diagnosed2; thus another 292,000 Michigan adults have undiagnosed diabetes Another 1,573,529 adults have pre-diabetes 401 of adults 40-74 years of age2a
Estimated Number of Adults with Diabetes, by Sex and Race-Michigan BRFS 2002-2004
Total 593,200 All Male 277,600 Female 315,600 Total 462,700 White Male 224,300 Female 238,400 Total 111,800 Black Male 44,200 Female 67,600 Other Races Total Male Female 18,700 9,100 9,600
Figure 1 Adult Diabetes Prevalence, by Race and Sex, Michigan,
2002-2004
16
Figure 2 Adult Diabetes Prevalence by Age Group and Race, Michigan, 2002-2004
50 45
12 Prevalence
Total Male Female
79 76 81
122 110 95 81
40 35 Prevalence
84
All White Black
262
383
30 25 20 15
100 77 70 31 25 22
282 188 178
8
73 73 74
83
150 134
178 149
4
10 5
0 All White Race Black Other
0 18-44 45-54 55-64 Age Groups 65-74 75
Mortality3:
In 2004, diabetes was the 6th leading cause of death among Michigan residents Specifically, diabetes was the leading cause of death for 2,954 residents in Michigan 35 of all deaths and listed as a contributory cause of death for another 5,462 residents in 2004 The tables below summarize the distribution of deaths where diabetes was listed as the leading cause of death, by age, sex, and race Number of Deaths with Diabetes as Leading Cause by Age, Michigan Residents, 2004
All Ages 2,954 20 yrs 5 20-44 yrs 105 45-74 yrs 1,217 75 yrs 1,627
Number of Deaths and Age-Adjusted Death Rates per 100,000 population with Diabetes as Leading Cause by Race Sex, Michigan Residents, 2004
Total 2,954 284 All Races Male 1,413 327 Female 1,541 251 Total 2,416 263 White Male 1,172 309 Female 1,244 228 Total 456 425 Black Male
206 467 Female 250 393
Deaths Rates
Costs4:
In 2004, the estimated direct medical costs attributable to diabetes in Michigan were 45 billion Indirect costs resulting from lost workdays, restricted activity days, mortality, and permanent disability due to diabetes totaled an estimated 20 billion
Kidney Disease5:
A primary diagnosis of diabetes was listed for 438 or 1,620 of the 3,695 Michigan residents newly diagnosed with End Stage Renal Disease in 2004 As of December 31, 2004, there were 11,002 living dialysis patients in MI; of these, 424 or 4,672 had a primary diagnosis of diabetes An estimated 1 out of every 3 of the 614 kidney transplants performed in Michigan in 2004 were among persons with a primary diagnosis of diabetes
Visual Impairment6:
According to national estimates, the age-adjusted prevalence of visual impairment ie, trouble seeing even with their glasses or contact 
lenses among adults with diabetes in 2003 was 220 Specifically, among persons with diabetes, an estimated 230 of women, 154 of men, 195 of Whites, 167 of Hispanics, 191 of Blacks, 160 of 18-44 yr olds, and 287 of 75 yr olds report some degree of visual impairment
Hospitalizations7:
In 2004, there
were 235,837 diabetes-related hospital discharges among Michigan residents; of these, 17,346 or 74 had a leading diagnosis of diabetes The average length of stay for discharges with any mention of diabetes was 54 days Some form of non-traumatic lower limb amputation occurred among 2,706 diabetesrelated discharges in 2004
Progress on National Long Term Objectives and Prevalence of Selected Health Indicators among Persons with Diabetes8, Michigan, 2005:
Long Term Objectives 2 HbA1c Tests Annually
95CI
2001 592
523, 657
2005 673
619, 723
Indicators No Health Coverage General Health, Fair or Poor Current Smoker High Blood Pressure High Cholesterol Overweight 25BMI30 Obese BMI 30 No Leisure-Time Physical Activity Eat less than 5 fruits vegetables per day Poor physical health 14-30 days of last month Poor mental health 14-30 days of last month Disabled limited in any way or uses special equipment
78 476 151 661 624 310 550 356 760 255 139 422
95 CI 60, 100 443, 510 128, 178 628, 692 590, 657 279, 343 515, 584 326, 388 715, 799 216, 300 109, 176 376, 470
Annual Foot Exam
95CI
680
615, 739
673
624, 719
Annual Dilated Eye Exam
95CI
652
589, 710
684
635, 730
Annual Flu
vaccination
95CI
2003-2004 532
492, 572
2005 486
438, 535
Pneumococcal Vaccination
95CI
507
466, 548
518
469, 568
Notes/Sources: 1 Based on Michigan 2004 Population data Source: Office of Demographer Prevalence based on MI BRFS 2002-2004 estimates Numbers rounded to nearest 100 Hispanic 18 population200,496, US 2000 Census 2000 Prevalence of DM for Hispanics 85 95CI: 53-133; Michigan BRFS 2005 2 National Health and Nutrition Examination Survey, III 1988-1994 NHANES III Series 11, No 1 Online: http://wwwcdcgov/nchs/nhaneshtm 2a National Diabetes Information Clearinghouse at http://diabetesniddknihgov/dm/pubs/statistics/indexhtm3 Source: National health Interview Survey, 1998-1994 3 From Michigan Department of Community Health Online: http://wwwmdchstatemius/pha/osr/indexasp?Id4 Age-adjusted to the US 2000 population 4 Economic Cost of Diabetes in the US in 2002 Diabetes Care 2003 26:3, 917-932 Michigan costs estimated using national per capita cost estimates of 7,600 for direct medical costs and 3,400 for indirect costs among persons with diabetes 5 Renal Network of the Midwest, Inc Renal Network 11, Annual Report, 2004 Online: http://wwwesrdnet11org/ 6 Centers for Disease
Control and Prevention CDC, National Center for Health Statistics Online: wwwcdcgov/diabetes/statistics/visual/sourcehtm 7 2004 Michigan Inpatient Database Amputations among discharges with primary diagnosis of DM1, 368 in 2004 8 Michigan 2005 BRFS, Bureau of Epidemiology, Division of Genomics, Perinatal Health and Chronic Disease Epidemiology, MDCH
Questions: ElRedaD@michigangov Division of Genomics, Perinatal Health, and Chronic Disease Epidemiology, MI Department of Community Health, Sept, 2006
Source:hormone.org
