U-Lite - CDC Predictions

Estimation methods

The diabetes estimates in this fact sheet were derived from various data systems of the Centers for Disease Control and Prevention (CDC), the user population database of the Indian Health Service (IHS), the U.S. Renal Data System of the National Institutes of Health (NIH), the U.S. Census Bureau, and published studies. Estimates of the total number of persons with diabetes and the prevalence of diabetes in 2007 were derived using 2003–2006 National Health and Nutrition Examination Survey (NHANES), 2004–2006 National Health Interview Survey (NHIS), 2005 IHS data, and 2007 resident population estimates. Many of the estimated numbers and percentages of people with diabetes were derived by applying diabetes prevalence estimates from health surveys of the civilian, noninstitutionalized population to the most recent 2007 resident population estimates. These estimates have some variability due to the limits of the measurements and estimation procedures. The procedures assumed that age-race-sex–specific percentages of adults with diabetes (diagnosed and undiagnosed) in 2007 are the same as they were in earlier time periods (e.g., 2003–2006), and that the age-race-sex–specific percentages of adults with diabetes in the resident population are identical to those in the civilian, noninstitutionalized population. Deviations from these assumptions may result in over- or under-estimated numbers and percentages.

Prevalence of diagnosed and undiagnosed diabetes in the United States, all ages, 2007

Total: 23.6 million people or 7.8% of the population have diabetes.
Diagnosed: 17.9 million people
Undiagnosed: 5.7 million people

Prevalence of diagnosed and undiagnosed diabetes among people aged 20 years or older, United States, 2007

Age 20 years or older: 23.5 million or 10.7% of all people in this age group have diabetes.
Age 60 years or older: 12.2 million or 23.1% of all people in this age group have diabetes.
Men: 12.0 million or 11.2% of all men aged 20 years or older have diabetes.
Women: 11.5 million or 10.2% of all women aged 20 years or older have diabetes.
Non-Hispanic whites: 14.9 million, or 9.8% of all non-Hispanic whites aged 20 years or older have diabetes.
Non-Hispanic blacks: 3.7 million, or 14.7% of all non-Hispanic blacks aged 20 years or older have diabetes.

Prevalence of diagnosed diabetes in people younger than 20 years of age, United States, 2007
About 186,300 people younger than 20 years have diabetes (type 1 or type 2). This represents 0.2% of all people in this age group. Estimates of undiagnosed diabetes are unavailable for this age group.

Race and ethnic differences in prevalence of diagnosed diabetes
Sufficient data are not available to derive prevalence estimates of both diagnosed and undiagnosed diabetes for all minority populations. For example, national survey data can not provide reliable estimates for the Native Hawaiian and other Pacific Islander population. However, national estimates of diagnosed diabetes for certain minority groups are available from national survey data and from the IHS user population database, which includes data for approximately 1.4 million American Indians and Alaska Natives in the United States who receive health care from the IHS. Because most minority ppulations are younger and tend to develop diabetes at earlier ages than the non-Hispanic white population, it is important to control for population age differences when making race and ethnic comparisons.

Data from the 2005 IHS user population database indicate that 14.2% of the American Indians and Alaska Natives aged 20 years or older who received care from IHS had diagnosed diabetes. After adjusting for population age differences, 16.5% of the total adult population served by IHS had diagnosed diabetes, with rates varying by region from 6.0% among Alaska Native adults to 29.3% among American Indian adults in southern Arizona.

After adjusting for population age differences, 2004–2006 national survey data for people aged 20 years or older indicate that 6.6% of non-Hispanic whites, 7.5% of Asian Americans, 10.4% of Hispanics, and 11.8% of non-Hispanic blacks had diagnosed diabetes. Among Hispanics, rates were 8.2% for Cubans, 11.9% for Mexican Americans, and 12.6% for Puerto Ricans.

Incidence of diagnosed diabetes among people aged 20 years or older, United States, 2007
About 1.6 million new cases of diabetes were diagnosed in people aged 20 years or older in 2007.

Incidence of diagnosed diabetes in people younger than 20 years of age, United States, 2002–2003
SEARCH for Diabetes in Youth is a multicenter study funded by CDC and NIH to examine diabetes (type 1 and type 2) among children and adolescents in the United States. SEARCH findings for the communities studied include the following:
Based on 2002–2003 data, 15,000 youth in the United States were newly diagnosed with type 1 diabetes annually, and about 3,700 youth were newly diagnosed with type 2 diabetes annually.

The rate of new cases among youth was 19.0 per 100,000 each year for type 1 diabetes and 5.3 per 100,000 for type 2 diabetes.

Non-Hispanic white youth had the highest rate of new cases of type 1 diabetes.

Type 2 diabetes was extremely rare among youth aged <10 years. While still infrequent, rates were greater among youth aged 10–19 years compared to younger children, with higher rates among U.S. minority populations compared with non-Hispanic whites.

Among non-Hispanic white youth aged 10–19 years, the rate of new cases of type 1 diabetes was higher than for type 2 diabetes. For Asian/Pacific Islander and American Indian youth aged 10–19 years, the opposite was true—the rate of new cases of type 2 was greater than the rate for type 1 diabetes. Among African American and Hispanic youth aged 10–19 years, the rates of new cases of type 1 and type 2 diabetes were similar.

Deaths among people with diabetes, United States, 2006
Diabetes was the seventh leading cause of death listed on U.S. death certificates in 2006. This ranking is based on the 72,507 death certificates in 2006 in which diabetes was listed as the underlying cause of death. According to death certificate reports, diabetes contributed to a total of 233,619 deaths in 2005, the latest year for which data on contributing causes of death are available.

Diabetes is likely to be underreported as a cause of death. Studies have found that only about 35% to 40% of decedents with diabetes had it listed anywhere on the death certificate and only about 10% to 15% had it listed as the underlying cause of death.

Overall, the risk for death among people with diabetes is about twice that of people without diabetes of similar age.

Complications of Diabetes
Did you know that 2 out of 3 people with diabetes die from heart disease and stroke? Make the Link! Diabetes, Heart Disease and Stroke is an initiative of the American Diabetes Association and the American College of Cardiology, aimed at increasing awareness of the link between diabetes and heart disease.

Make the Link! Stresses that diabetes management is more than control of blood glucose. People with diabetes must also manage blood pressure and cholesterol and talk to their provider to learn about other ways to reduce their chance for heart attacks and stroke.

Diabetes is the fifth-deadliest disease in the United States. Since 1987 the death rate due to diabetes has increased by 45 percent, while the death rates due to heart disease, stroke, and cancer have declined.

Based on death certificate data, diabetes contributed to 233619 deaths in 2005. Studies indicate that diabetes is generally under-reported on death certificates, particularly in the cases of older persons with multiples chronic conditions such as heart disease and hypertension. Because of this, the toll of diabetes is believed to be much higher than officially reported.

Many people become aware that they have diabetes when they develop one of its serious and life-threatening complications such as:

Heart Disease and Stroke
High Blood Pressure
Blindness
Kidney Disease
Nervous System Damage
Amputations
Dental Disease
Pregnancy Complications
Sexual Dysfunction
Others

You do not have to become a diabetic. Take action today with U-Lite!