Navigation Links
Diabetes Rates Continue to Soar

Trend will lead to health and economic trouble for U.S., report says

MONDAY, Jan. 28 (HealthDay News) -- The number of Americans being diagnosed with and also living with type 2 diabetes is soaring, presenting a major health and economic crisis for the United States, a new study reports.

"What's alarming is we have 47 million uninsured people, but these people [in the study, enrolled under Medicare] are all insured. So in this kind of insured program, we have so many people who are not adhering to the recommended care," said Frank Sloan, lead author of the study published in the Jan. 28 issue of the Archives of Internal Medicine.

Sloan is professor of health policy and management at Duke University Medical Center in Durham, N.C.

The prevalence of type 2 diabetes is increasing not only in an aging population, but in younger persons as well. The condition brings with it high risks of complications such as blindness, kidney disease, eye disease and amputations.

To see whether health outcomes in older people with diabetes in the United States improved from the period 1994 to 2004, the study authors analyzed Medicare claims and other data. This information was compared with two "control" groups of people without diabetes.

Between 1994-95 and 2003-04, the annual incidence of diabetes (new diagnoses) increased by 23 percent, while the prevalence (those living with the disease) increased by 62 percent.

Complication rates among people with diabetes stayed the same or increased. Strikingly, there was a large increase in kidney disease.

Most individuals with diabetes had at least one complication within six years of diagnosis. Almost half had congestive heart failure.

The study points to a stark need for preventive strategies, said Dr. Spyros Mezitis, an endocrinologist at Lenox Hill Hospital in New York City.

"What we're doing is treating, and we're not treating the problem at the beginning," he said. "Already one-third of the budget for Medicare is for diabetes. This is an epidemic, and we're not doing much to prevent it, and we're not doing very well controlling it. It's going to get worse before it gets better."

Jane Bolin, associate professor of health policy and management at Texas A&M Health Science Center School of Rural Public Health in College Station, added: "It starts back at prevention and has to do with healthier lifestyles and teaching people how to monitor themselves. Right now, self-management is not reimbursable [by Medicare] unless done under certain conditions, and it puts a hardship on a lot of patients. I think we're becoming better at diagnosing and dealing with complications, but we need to move back further to prevention."

An estimated 19 million to 20 million Americans have type 2 diabetes, and about one-third of them don't even know they have the disease. It is characterized by high levels of blood sugar that are caused by the body's inability to process the hormone insulin to transport blood sugar to cells for energy.

Another study in the same issue of the journal questions how accurate Medicare data is in reflecting the health and health needs of the U.S. population.

Clinical trials used by Medicare to make decisions about coverage include participants who are not representative of the actual Medicare population, said the study authors, from the University of California, San Francisco, School of Medicine.

Trial participants tended to be younger, male and living in countries outside the United States, the researchers said.

More information

Visit the American Diabetes Association for more on diabetes.

SOURCES: Frank Sloan, Ph.D., professor of health policy and management, Duke University Medical Center, Durham, N.C.; Spyros Mezitis, M.D., Ph.D., endocrinologist, Lenox Hill Hospital, New York City; Jane Bolin, R.N., J.D., Ph.D., associate professor of health policy and management, Texas A&M Health Science Center School of Rural Public Health, College Station; Jan. 28, 2008, Archives of Internal Medicine

Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Adverse housing conditions contribute to diabetes risk
2. RAND finds cases of undiagnosed diabetes drop sharply
3. UCLA researchers identify markers that may predict diabetes in still-healthy people
4. Diabetes appears to increase risk of death for patients with acute coronary syndromes
5. Discovery of sugar sensor in intestine could benefit diabetes
6. Despite overeating, morbidly obese mice gain protection against diabetes
7. Heart Attack Boosts Diabetes Risk
8. Obesity Doesnt Always Equal Diabetes
9. Sugary Sodas High in Diabetes-Linked Compound
10. Treating diabetes during pregnancy can break link to childhood obesity
11. Treating Diabetes During Pregnancy Could Lead to Thinner Kids
Post Your Comments:
(Date:11/28/2015)... ... ... 6:00 a.m. EST until 11:59 p.m. EST, customers will be racing the ... orders $80 or more to free gifts with purchases, there will be a new sale ... website for skin care and cosmetic needs, customers will save on already discounted prices. , ...
(Date:11/27/2015)... ... 27, 2015 , ... According to an article published November 13th ... in Washington D.C. revolved around the fact that proper dental care, both at-home and ... the link between periodontal disease (more commonly referred to as gum disease) and diabetes. ...
(Date:11/27/2015)... ... November 27, 2015 , ... The ... in America. As people age, more care is needed, especially with Alzheimer’s, dementia ... medical professionals are being overworked. The forgotten part of this equation: 80 percent ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... filthy the toilets were," said an inventor from Hillside, N.J. "Many people catch ... seat cover so that individuals will always be protected from germs." , He ...
(Date:11/27/2015)... ... , ... ProSidebar: Fashion is a set of 30 kinetic edge ... video editors can easily add an informative sidebar to any FCPX production. Create ... featuring self-animating drop zones, lines, bars, and text with the ease of FCPX's drag ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... DUBLIN , November 26, 2015 ... has announced the addition of the  ... in the European Cell Surface Marker ... Emerging Opportunities"  report to their offering.  ... announced the addition of the  "2016 ...
(Date:11/25/2015)... 2015  Amgen (NASDAQ: AMGN ) today announced ... the United States (U.S.) Food ... candidate to Humira ® (adalimumab). Amgen believes this ... the FDA and represents Amgen,s first BLA submission using ... , M.D., executive vice president of Research and Development ...
(Date:11/25/2015)... , Nov. 25, 2015 AAIPharma Services ... investment of at least $15.8  Million to expand ... Wilmington, NC . The expansion will provide ... meet the growing demands of the pharmaceutical and ... site expansion will provide up to 40,000 square ...
Breaking Medicine Technology: