[Acb-diabetics] statics for diabetics

[Patricia LaFrance-Wolf]

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This article originally posted 20 October, 2009 and appeared in  

Issue 491

Updated 2009 Diabetes Prevalence and Diagnosis in US by States 

 

The numbers are in and it looks like we have not improved and it will get
worse.

 

Current U.S. surveillance data provide estimates of diabetes using
laboratory tests at the national level as well as self-reported data at the
state level.

Self reported diabetes prevalence may be biased because respondents may not
be  aware  of their risk status. The objective of the survey was to estimate
the prevalence of diagnosed

and undiagnosed diabetes by state. 

 

They estimated undiagnosed diabetes prevalence as a function of a set of
health 

 

system and sociodemographic variables using a logistic regression in the
National Health and Nutrition Examination Survey (2003-2006). They then
applied

this relationship to identical variables from the Behavioral Risk Factor
Surveillance System (2003-2007) to estimate state-level prevalence of
undiagnosed diabetes

by age group and sex. It was assumed that those who report being diagnosed
with diabetes in both surveys are truly diabetic.

 

>From the results it was found that, the prevalence of diabetes in the U.S.
was 13.7% among men and 11.9% among women ? 30 years. Age-standardized
diabetes prevalence was highest in

Mississippi, West Virginia, Louisiana, Texas, South Carolina, Alabama, and
Georgia (15.8 to 16.6% for men and 12.4 to 14.8% for women). Vermont,
Minnesota,

Montana, and Colorado had the lowest prevalence (11.0 to 12.2% for men and
7.3 to 8.4% for women). Men in all states had higher diabetes prevalence
than women. The absolute

prevalence of undiagnosed diabetes, as a percent of total population, was
highest in New Mexico, Texas, Florida, and California (3.5 to 3.7 percentage
points) and lowest in

Montana, Oklahoma, Oregon, Alaska, Vermont, Utah, Washington, and Hawaii
(2.1 to 3 percentage points). Among those with no established diabetes
diagnosis, being obese,

being Hispanic, not having insurance and being ? 60 years old were
significantly associated with a higher risk of having undiagnosed diabetes. 

 

>From the results of the survey it was concluded that diabetes prevalence is
highest in the Southern and Appalachian states and lowest in the Midwest and

the Northeast. Better diabetes diagnosis is needed in a number of states.

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