If there's good news, it's that the rate of increase in number of individuals with diabetes seems to be slowing. But the disease is hitting hardest on the populations with the fewest resources to manage it.
The number of Americans diagnosed with diabetes has topped 30 million and the total living with diabetes or prediabetes exceeds 100 million, according to a new CDC report that shows how this growing health emergency is hitting hardest on those least able manage the disease or its effects.
Diabetes, especially type 2 diabetes (T2D), and prediabetes are seen more among the poor, among minorities, among those with less education, and among those living in the South and Appalachia, where several states did not expand Medicaid under the Affordable Care Act.
CDC updates diabetes data approximately every 2 years. This report includes data as of 2015 and finds that 30.3 million Americans, or 9.4% of the population, had diabetes, including both T2D and type 1 diabetes (T1D).
If there’s good news, it’s that the rate of increase seems to be slowing, according to Ann Albright, PhD, RD, director of CDC’s Division of Diabetes Translation. “Diabetes is a contributing factor to so many other serious health conditions,” said Albright, who has made it a priority to find people with prediabetes, a condition that leads to T2D if left untreated.
While CDC found that 84.1 million people have prediabetes, that figure is down from previous estimates of 86 million. Working with the American Medical Association, Albright has made prediabetes the focus of a massive public health campaign; CDC created the curriculum and recognition process for the Diabetes Prevention Program, which Medicare will offer seniors with prediabetes in April 2018. Medicare has estimated that diabetes accounts for $1 of every $3 it spends; thus, reversing trends in diabetes is crucial if Medicare is to stay solvent in the decades ahead.
Key findings from the CDC report include:
The report highlights significant disparities among those with diabetes and prediabetes, including:
Besides the complications associated with diabetes itself, such as retinopathy and amputations, there is growing evidence of links between diabetes and Alzheimer’s disease—one of the costliest burdens in Medicare and Medicaid. The common thread of insulin resistance runs through both conditions, and preventing T2D is now seen as a way of stopping as least some cases of Alzheimer’s. Right now, 5.5 million people have Alzheimer’s disease, and that number is projected to grow to 13.8 million by 2050.