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Pre-Diabetes Costs Nation $25 Billion Annually in Extra Medical Care, New Data Show
Date:6/24/2009

gh blood pressure as well as metabolic and renal complications that are typically associated with diabetes.

Specifically, the study showed that people with pre-diabetes had 34 percent more ambulatory visits associated with their condition than the reference population, including 92 percent more visits for hypertension and 9 percent more visits for cardiovascular disease. This additional health care usage translated to an additional physician visit and two additional prescriptions per year for each person with diabetes.

The study reviewed health claim records for 3.5 million adults. Patients were determined to have pre-diabetes if they had either fasting blood glucose levels of 100 to 125 mg/dl or oral glucose levels of 140 to 200 mg/dl.

"There is growing evidence that even slightly elevated blood sugar levels are associated with higher medical costs," said Haza. "These data not only quantify those increased costs but strengthen the argument for aggressive lifestyle intervention programs that have been shown to prevent or at least delay the onset of pre-diabetes."

Gestational Diabetes

Gestational diabetes mellitus (GDM) affects 4.5 percent of pregnancies that result in deliveries and is associated with significantly higher rates of medical complications for both mother and newborn. The condition cost an estimated $636 million in 2007, or $3,305 per pregnancy plus $209 in the newborn's first year of life. More than a third (36 percent, or $230 million) of these costs are carried by government programs such as Medicaid.

Nearly 9 percent of pregnant women over the age of 35 are likely to suffer from gestational diabetes, and the incidence of the condition is growing as a result of increasing obesity rates among women of child-bearing age. GDM is associated with increased risk of cesarean delivery and, like pre-diabetes, is a significant precursor of typ
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SOURCE National Changing Diabetes Program
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