Diabetes Treatments

Individuals who had Type 2 diabetes and who. improved their glycemic (blood sugar) control: Lilly and Company, Control Diabetes Services …

Diabetes

235,000 Arkansas adults have
diabetes

Approximately

Fast Facts about Diabetes
Approximately 235,000 Arkansas adults have diabetes Prevalence rose from 58 in 1993 to 78 in 2001, a gain of 34 over the period O ne in five diabetes deaths 21 occurred prematurely among persons below the age of 65 years Individuals who had Type 2 diabetes and who improved their glycemic blood sugar control: 8 Were more productive on the job 99 versus 87 8 Were able to remain employed longer 97 versus 85 8 Lowered their absenteeism rate by 1 compared to an 8 increase among employees with poor glycemic control

Model Programs
The Arkansas Diabetes Control Program is a pilot project developed through a partnership with Eli Lilly and Company, Control Diabetes Services a subsidiary of Lilly, and other key stakeholders, including the DHS Division of Medical Services, Arkansas Department of Health, Arkansas Foundation for Medical Care, Health information Design, Arkansas Diabetes Association, Arkansas Minority Health Commission and the University of Arkansas for Medical Sciences The three-phase project includes an outcomes study of Arkansas s Medicaid diabetic population as well as face-to-face
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About 90 percent of people with type 1 diabetes developed kidney, heart, and blood vessel complications of diabetes. is in diabetes, where rates for …

National Institutes of Health Fact Sheet
Yesterday
In the 1950s about one in five people died within 20 years after a diagnosis of type 1 diabetes One in three people died within 25 years of diagnosis About one in four people developed kidney failure within 25 years of a type 1 diabetes diagnosis Doctors could not detect early kidney disease and had no tools for slowing its progression to kidney failure Survival after kidney failure was poor, with one of 10 patients dying each year About 90 percent of people with type 1 diabetes developed diabetic retinopathy within 25 years of diagnosis Blindness from diabetic retinopathy was responsible for about 20 percent of new cases of blindness between the ages of 45 and 74 Studies had not proven the value of laser surgery in reducing blindness Major birth defects in the offspring of mothers with type 1 diabetes were three times higher than in the general population Patients relied on injections of animal-derived insulin The insulin pump would soon be introduced but would not become widely used for years Studies had not yet shown the need for intensive glucose control to delay or prevent the debilitating eye, nerve, kidney, heart, and blood
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people knowing they have diabetes and, consequently, being able to report that they have been believed to have undiagnosed diabetes (based on 1999-2000 …

people knowing they have diabetes and, consequently, being able to report that they have been believed to have undiagnosed diabetes (based on 1999-2000 …

Texas Diabetes Fact Sheet, 2008
Survey estimates of diabetes prevalence rose from 8 in 2006 to 103 in 2007 The 2007 BRFSS survey had a substantially larger sample size than previous years; therefore, it may have provided a more accurate estimate of prevalence which is steadily increasing in the state and nation Prevalence estimates are based on surveys in which individuals are asked if they have been diagnosed with diabetes Efforts to increase diabetes screening and awareness lead to more people knowing they have diabetes and, consequently, being able to report that they have been diagnosed This increase in awareness would also be reflected in the estimated prevalence rate I 2007 Diabetes Prevalence Prevalence of Diagnosed1 Diabetes in Persons 18 and Older An estimated 18 million persons aged eighteen years and older in Texas 103 of this age group have been diagnosed with diabetes Nationwide, 183 million persons eighteen years of age and older have been diagnosed with diabetes 90 of this age group Prevalence of Undiagnosed2 Diabetes in Persons 18 and Older Another estimated 460,040 persons aged eighteen years and older in Texas are believed to have undiagnosed diabetes based on
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diabetes is often uncontrolled or poorly controlled, needlessly diabetes for several years before their symptoms are of diabetes are costly. …

diabetes is often uncontrolled or poorly controlled, needlessly diabetes for several years before their symptoms are of diabetes are costly. …

Diabetes in Indiana
A Report on Diabetes Morbidity and Mortality

Diabetes in Indiana: A Report on Diabetes Morbidity and Mortality

Published February 2008 by Indiana State Department of Health

State Health Commissioner Judith A Monroe, MD

Human Health Services Commission Loren Robertson, MS, Assistant Commissioner

Primary Author Joan Marciniak, MPH, Epidemiologist, Diabetes Prevention and Control Program, ISDH

Other Contributors Charles M Clark, MD, Associate Dean, Professor of Medicine, Indiana University Laura Heinrich, Director, Diabetes Prevention and Control Program, ISDH Linda W Stemnock, BSPH, Data Analyst and BRFSS Coordinator, ISDH Robert Teclaw, DVM, PhD, MPH, State Epidemiologist, Chronic Disease, ISDH

Indiana State Department of Health 2 North Meridian Street Indianapolis, IN 46204 wwwingov/isdh

2

Dear Reader: The Indiana State Department of Health, Diabetes Prevention and Control Program, and the Diabetes Advisory Council DAC are pleased to present the most recent Indiana Diabetes Report As much as 81 of Indianas adult population has been diagnosed with diabetes compared to the national average of 75 Diabetes was the 6th leading cause of death in Indiana in
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Want Some Life Saving Advice?
Ask Your Dental Hygienist About Oral Signs and Symptoms of Diabetes
444 North Michigan Avenue Suite 3400 Chicago, IL 60611

For more information on diabetes, illCiting the Centers for Disease Control nesses related to the disease, and American and Prevention CDC, The American Diabetes Month in November, contact the Diabetes Association ADA reports that diaAmerican Diabetes Association Web site at betes contributed to more than 210,000 wwwdiabetesorg deaths in the United States in 20001 And for more information about proper Currently recognized by the CDC as the sixth leading cause of death among Americans, as oral health care, as well as brushing- andflossing instructions, please ask your regismany as 18 million Americans have diabetes tered dental hygienist, or visit the ADHA Web and 41 million have pre-diabetes1 site, at wwwadhaorg However, help in detecting diabetes may come from an unlikely source–a registered 1 Centers for Disease Control and Prevention National diabetes fact sheet: dental hygienist Research studies have general information and national estimates on diabetes in the United States, 2003 Rev ed Atlanta, GA: US Department of Health
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with diabetes takes to improve overall fitness can vides proactive diabetes management tips that will ensure healthful and control of her diabetes …

juvenile diabetes research foundation international

life with Diabetes
click here to read more

december 2005

Topics in Type 1 DiabeTes
exercise, sports, and Diabetes: Going for the Goal
Physical exercise is important for everyones health and well-being, but its especially important for people with diabetes The steps a person with diabetes takes to improve overall fitness can be greatly beneficial, because regular exercise helps lower blood sugar levels and keep them in target range Exercise physiologist Gary Scheiner, MS, CDE, provides proactive diabetes management tips that will ensure healthful and safe physical activity Included is a helpful checklist and resources for communicating with coaches and school staff click here to read more

ask a meDical professional
pumps Get smarter
Benefiting from more than 30 years of product development, todays insulin pumps are convenient to carry, safe, and easy to use The newest smart pumps actually do the diabetes math for you and your child Certified pump educator Catherine Marschilok, MSN, CDE, details how the newest pumps work and shows how their reliable yet highly flexible insulin delivery offers increased freedom in diet and
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affects large numbers of persons with diabetes in the pendent diabetes mellitus (NIDDM) 50.2%, insulin number of demographic and diabetes-related factors. …

affects large numbers of persons with diabetes in the pendent diabetes mellitus (NIDDM) 50.2%, insulin number of demographic and diabetes-related factors. …

Chapter 12

Disability in Diabetes
Thomas J Songer, PhD
SUMMARY

T

he public health impact of diabetes can be evaluated from a number of perspectives, one of which is the morbidity associated with the disease Disability is a broad-based concept that often illustrates this morbidity Disability affects large numbers of persons with diabetes in the United States, with estimates ranging from 20-50 of the diabetic population Persons with diabetes, in general, report rates of disability that are substantially higher than those reported by the general US population Reported activity limitations non-insulin-dependent diabetes mellitus NIDDM 502, insulindependent diabetes mellitus IDDM 423, nondiabetic, 161 and restricted activity days NIDDM, 224; IDDM, 213; nondiabetic, 103 were two to three times higher among persons with diabetes surveyed in the 1989 National Health Interview Survey NHIS Persons with IDDM from the Childrens Hospital of Pittsburgh CHP IDDM Registry were seven times more likely to report work disability than their nondiabetic siblings 324 versus 46 Moreover, the largest impact of disability in the diabetic population appears to be in the most severe forms of disability,
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of the Hawaii State Diabetes Prevention and Control Program, compiles The 2004 Hawaii Diabetes Report is intended to provide partners and stake …

of the Hawaii State Diabetes Prevention and Control Program, compiles The 2004 Hawaii Diabetes Report is intended to provide partners and stake …

2004
HAWAII DIABETES REPORT

MESSAGE FROM THE DIRECTOR

The Hawaii Department of Health is pleased to present the publication of the 2004 Hawaii Diabetes Report The report, produced under the direction of the Hawaii State Diabetes Prevention and Control Program, compiles surveillance information, vital statistics, and various other data sources into a comprehensive document The 2004 Hawaii Diabetes Report is intended to provide partners and stakeholders with information on the prevalence of diabetes and its effects on the people of Hawaii This report is a valuable resource for use in planning programs and initiatives targeting those people most impacted by the disease It is estimated that approximately 100,000 people in Hawaii have diabetes and more than 900 people die every year of related complications, making it the seventh leading cause of death in the state Diabetes is a serious, common, and costly disease, but by working together, we can create a healthier Hawaii I invite you to join us in that effort Kuikahi kakou i ka puuwai Let us work together from the heart

Chiyome Leinaala Fukino, MD Director, Department of Health

ACKNOWLEDGEMENTS
The Hawaii State Diabetes Prevention
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Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 Among Americans age 20 and older, the following have physician-diagnosed diabetes …

Statistical Fact Sheet — Risk Factors

Diabetes Mellitus — Statistics
ICD/10 codes E10-E14 ICD/9 code 250

Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
NHANES: 1999-2002
14
Percent of Population

126 103 104

12 10 8 6 4 2 0 62

113

47

Men Non-Hispanic Whites
Source: CDC/NCHS Note:

Women Non-Hispanic Blacks Mexican Americans

Death rates are age-adjusted per 100,000 population, based on the 2000 US standard Some data are reported according to ICD/9 codes and some use ICD/10 codes

139 million Americans have physician-diagnosed diabetes: 68 million males 70 million females
NHANES [1999-2002], CDC/NCHS

Among Americans age 20 and older, the following have physician-diagnosed diabetes: For non-Hispanic whites, 62 percent of men and 47 percent of women For non-Hispanic blacks, 103 percent of men and 126 percent of women For Mexican Americans, 104 percent of men and 113 percent of women Estimates are age-adjusted NHANES [1999-2002], CDC/NCHS

2004, American Heart Association, americanheartorg

For more information, call 1-800-AHA-USA1

Diabetes Mellitus — Statistics

2

The risk of diabetes for Mexican
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Diabetes Control Program, initiated this project with the Center for Health A Diabetes Overview coverage of diabetes. …

Improving Diabetes Care for All New Yorkers
Lynn D Silver, MD, MPH Assistant Commissioner Bureau of Chronic Disease Prevention and Control Diana K Berger, MD, MSc Medical Director Diabetes Prevention and Control Program

Proposal
Amend Article 13:
Mandate electronic laboratory reporting of hemoglobin A1C A1C test results Not physician-based reporting

If You Have Diabetes, Know and Control Your A1C
Blood Sugar Level mg/dL
345

A1C Level
12

310

11

275

10

240

9

205

8

170

7

135

6

100

5

65

4

Epidemic of Obesity in US
1985 2003

Epidemic of Diabetes in US
1994 2003

Epidemic of Diabetes in NYC
Adults with Self-Reported Diabetes, NYC, 1994-2003
10 9
Reporting Diabetes

90 79 67 47 37 63

8 7 6 5 4 3 2 1 0 1994-95 1996-97 1998-99 2000-01 2002 2003

NYC Adults with Diagnosed Diabetes
by Borough, 2003
Healthy People 2010 Goal: 25

12 w/Diagnosed Diabetes 10
85 91 97

115 90

8 6 4 2 0
Manhattan Staten Isl Queens Brooklyn Bronx NYC

56

Diabetes Prevalence in NYC
Adults 18, By Ethnicity, 2003
Healthy People 2010 Goal: 25
14

130 120 120 90

With Diagnosed Diabetes

12 10 8 6 4 2 0

55

White

Black

Hispanic

Asian

NYC

Death Rates Due to Diabetes
by Race/Ethnicity,
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