Diabetes: A Costly Epidemic
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Transcript of Diabetes: A Costly Epidemic
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7/27/2019 Diabetes: A Costly Epidemic
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CAPITOL facts & figures
EAST | HealtH
tHe council of state governmen ts
Diabetes: A Costly Epidemic
Nineteen million people in the United States were diagnosedwith Type I and Type II diabetes in 2010, although the number ofpeople diagnosed varies by region.1 Diabetes cost the U.S. $245billion in 2012 in both direct and indirect costs.2 Costs associatedwith diabetes also vary by region. Direct medical costs includesuch things as hospital or nursing home stays, ambulance ser-vices, home health services, as well as insulin and other diabeticsupplies and treatments, while indirect costs refer to absentee-
ism, unemployment and reduced productivity.
Regional Analysis Diagnosed diabetes prevalence in 2010 varied in the
Eastern region from 6 percent in Vermont to 9 percent inPennsylvania.
In 2010, the Eastern states with the highest diagnoseddiabetes prevalence after Pennsylvania were Marylandand New Jersey, both slightly less than 9 percent.
The growth in diagnosed diabetes in Eastern states be-tween 1995 and 2010 ranged from 27 percent in Vermont
to 117 percent in Maine. After Maine, the states where diabetes increased the most
between 1995 and 2010 are Maryland with a 102 percentincrease and New York with a 91 percent increase.
In a 2013 report, the American Diabetes Association es-timated the total annual costs of diabetes in 2010 rangedfrom $370 million in Vermont to $16 billion in New York.
After New York, states with top total cost estimates in2010 were Pennsylvania at $10 billion and New Jersey at$7 billion.
National Analysis The Centers for Disease Control and Prevention esti-
mated 7 million people had prediabetes in 2010.3 In 2010, 8 percent of the population over age 18 was
diagnosed with diabetes in the U.S.4 The number of people diagnosed with diabetes grew
82 percent from 1995 to 2010.5 In 2011, 10 percent of adults had previously been told
by a doctor that they have diabetes.6
As the nations population ages, more people are beingdiagnosed with diabetes. The CDC estimates 27 percent of people age 65 and
older have the disease. 14 percent of people ages 45 to 64 have diabetes. People ages 20 to 44 are the least likely to have dia-
betes. An estimated 4 percent of people in this agegroup have the disease.7
Racial and ethnic health disparities exist in the preva-lence of diagnosed and undiagnosed diabetes. In 2010,19 percent of African-Americans and 10 percent ofwhites over age 20 had diabetes.8
Increase in Diagnosed Diabetes, U.S., 1995-2010
Source:Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
1
0
2
3
4
8
5
6
7
9
1
0
2
3
4
5
6
7
8
9
PERCENT
PERCENT
1995 2000 2005 2010YEAR
Connecticut
Delaware
Maine
Maryland
Massachusetts
New
Hampshire
NewJersey
NewYork
Pennsylvania
RhodeIsland
Vermont
10
Diagnosed Diabetes Prevalence 2010
NATIoNAl MEDIAN
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7/27/2019 Diabetes: A Costly Epidemic
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CAPITOL facts & figures
MIDWEST | HealtH
tHe council of state governmen ts
Diabetes: A Costly Epidemic
Nineteen million people in the United States were diagnosedwith Type I and Type II diabetes in 2010, although the number ofpeople diagnosed varies by region.1 Diabetes cost the U.S. $245billion in 2012 in both direct and indirect costs.2 Costs associatedwith diabetes also vary by region. Direct medical costs includesuch things as hospital or nursing home stays, ambulance ser-vices, home health services, as well as insulin and other diabeticsupplies and treatments, while indirect costs refer to absentee-
ism, unemployment and reduced productivity.
Regional Analysis Diagnosed diabetes prevalence in 2010 varied in the
Midwestern region from 6 percent in South Dakota to 10percent in Michigan.
In 2010, the Midwestern states with the highest diagnoseddiabetes prevalence after Michigan were Indiana and Ohio,both slightly more than 9 percent.
The growth in diagnosed diabetes in Midwestern statesbetween 1995 and 2010 ranges from 36 percent in Iowa to
121 percent in both Ohio and South Dakota. After Ohio and South Dakota, the states where diabetes
increased the most between 1995 and 2010 are Minnesotawith a 106 percent increase and North Dakota with a 92percent increase.
In a 2013 report, the American Diabetes Association esti-mated the total annual cost of diabetes in 2010 ranged from$410 million in North Dakota to $9 billion in Ohio.
After Ohio, states with top total cost estimates in 2010 wereIllinois at $8 billion and Michigan at $8 billion.
National Analysis The Centers for Disease Control and Prevention esti-
mated 7 million people had prediabetes in 2010.3 In 2010, 8 percent of the population over age 18 was
diagnosed with diabetes in the U.S.4 The number of people diagnosed with diabetes grew
82 percent from 1995 to 2010.5 In 2011, 10 percent of adults had previously been told
by a doctor that they have diabetes.6
As the nations population ages, more people are beingdiagnosed with diabetes. The CDC estimates 27 percent of people age 65 and
older have the disease. 14 percent of people ages 45 to 64 have diabetes. People ages 20 to 44 are the least likely to have dia-
betes. An estimated 4 percent of people in this agegroup have the disease.7
Racial and ethnic health disparities exist in the preva-lence of diagnosed and undiagnosed diabetes. In 2010,19 percent of African-Americans and 10 percent ofwhites over age 20 had diabetes.8
Increase in Diagnosed Diabetes, U.S., 1995-2010
Source:Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
1
0
2
3
4
8
5
6
7
9
1
0
2
3
4
5
6
7
8
9
PERCENT
PERCENT
1995 2000 2005 2010YEAR
Illino
is
Indiana
Iowa
Kansas
Michigan
Minnesota
Nort
hDa
kota
Ohio
South
Da
kota
Wisconsin
10
Diagnosed Diabetes Prevalence 2010
11
NATIONAl MEDIAN
Ne
bras
ka
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7/27/2019 Diabetes: A Costly Epidemic
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CAPITOL facts & figures
SOUTH | HealtH
tHe council of state governmen ts
Diabetes: A Costly Epidemic
Nineteen million people in the United States were diagnosedwith Type I and Type II diabetes in 2010, although the number ofpeople diagnosed varies by region.1 Diabetes cost the U.S. $245billion in 2012 in both direct and indirect costs.2 Costs associatedwith diabetes also vary by region. Direct medical costs includesuch things as hospital or nursing home stays, ambulance ser-vices, home health services, as well as insulin and other diabeticsupplies and treatments, while indirect costs refer to absentee-
ism, unemployment and reduced productivity.
Regional Analysis Every state in the Southern region, diabetes prevalence is
above the national median. Diagnosed diabetes prevalence varied in the Southern re-
gion from 8 percent in Virginia to 12 percent in Mississippi.9 In 2010, the Southern states with the highest diagnosed
diabetes prevalence after Virginia were Alabama andTennessee, both at 11 percent.
The growth in diagnosed diabetes in Southern states
between 1995 and 2010 ranged from 46 percent in Louisi-ana to 227 percent in Oklahoma.
In a 2013 report, the American Diabetes Association es-timated the total annual costs of diabetes in 2010 rangedfrom $2 billion in West Virginia to more than $18 billionin Florida.
After Florida, states with top total cost estimates in 2010were Texas at $18 billion and North Carolina at $8 billion.
National Analysis The Centers for Disease Control and Prevention esti-
mated 7 million people had prediabetes in 2010.3 In 2010, 8 percent of the population over age 18 was
diagnosed with diabetes in the U.S.4 The number of people diagnosed with diabetes grew
82 percent from 1995 to 2010.5 In 2011, 10 percent of adults had previously been told
by a doctor that they have diabetes.6
As the nations population ages, more people are beingdiagnosed with diabetes. The CDC estimates 27 percent of people age 65 and
older have the disease. 14 percent of people ages 45 to 64 have diabetes. People ages 20 to 44 are the least likely to have dia-
betes. An estimated 4 percent of people in this agegroup have the disease.7
Racial and ethnic health disparities exist in the preva-lence of diagnosed and undiagnosed diabetes. In 2010,19 percent of African-Americans and 10 percent ofwhites over age 20 had diabetes.8
Increase in Diagnosed Diabetes, U.S., 1995-2010
Source:Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
10
234
8
567
9
1
0
2
3
4
5
6
7
8
9
PERCENT
PERCENT
1995 2000 2005 2010YEAR
Alabama
Arkansas
Florida
Georgia
Kentucky
Louisiana
Mississippi
NorthCarolina
Oklahoma
SouthCarolina
Tennessee
10
Diagnosed Diabetes Prevalence 2010
1112
NATiONAL MEdiAN
Texas
Virginia
WestVirginia
Missouri
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7/27/2019 Diabetes: A Costly Epidemic
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CAPITOL fcts & figus
WEST | HltH
tH council of stt gonmn ts
Diabetes: A Costly Epidemic
The Council of State Governments
Nineteen million people in the United States were diagnosedwith Type I and Type II diabetes in 2010, although the number ofpeople diagnosed varies by region.1 Diabetes cost the U.S. $245billion in 2012 in both direct and indirect costs.2 Costs associatedwith diabetes also vary by region. Direct medical costs includesuch things as hospital or nursing home stays, ambulance ser-vices, home health services, as well as insulin and other diabeticsupplies and treatments, while indirect costs refer to absentee-
ism, unemployment and reduced productivity.
Regional Analysis In all but one state in the Western region, diabetes preva-
lence is below the national median. Diagnosed diabetes prevalence varied in the Western
region from 6 percent in Alaska to nearly 9 percent inCalifornia.9
In 2010, the Western states with the highest diagnoseddiabetes prevalence after California were Nevada andIdaho, both at 8 percent.
The growth in diagnosed diabetes in Western states be-tween 1995 and 2010 ranged from 38 percent in Califor-nia to 136 percent in Washington.
In a 2013 report, the American Diabetes Associationestimated the costs of diabetes ranged from $360 million inWyoming to $27.5 billion in California in 2010.10
After California, states with top cost estimates wereWashington at $5.1 billion and Arizona at slightly morethan $4.7 billion.
National Analysis The Centers for Disease Control and Prevention esti-
mated 7 million people had prediabetes in 2010.3 In 2010, 8 percent of the population over age 18 was
diagnosed with diabetes in the U.S.4 The number of people diagnosed with diabetes grew
82 percent from 1995 to 2010.5 In 2011, 10 percent of adults had previously been told
by a doctor that they have diabetes.6
As the nations population ages, more people are beingdiagnosed with diabetes. The CDC estimates 27 percent of people age 65 and
older have the disease. 14 percent of people ages 45 to 64 have diabetes. People ages 20 to 44 are the least likely to have dia-
betes. An estimated 4 percent of people in this agegroup have the disease.7
Racial and ethnic health disparities exist in the preva-lence of diagnosed and undiagnosed diabetes. In 2010,19 percent of African-Americans and 10 percent ofwhites over age 20 had diabetes.8
Increase in Diagnosed Diabetes, U.S., 1995-2010 Diagnosed Diabetes Prevalence 2010
Source:Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
1
0
2
3
45
6
78
9
1
0
2
3
4
5
6
7
8
9
PERCENT
PERCENT
1995 2000 2005 2010YEAR
Alaska
Arizona
California
Colorado
Hawaii
Idaho
Montana
Nevada
NewMexico
Oregon
Utah
Washington
Wyoming
NATIONAl MEdIAN
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7/27/2019 Diabetes: A Costly Epidemic
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Source for Prevalence: CDC. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
Source for column % Change 2010-2025: Authors calculations based on data from Institute for Alternative Futures. How is Diabetes Aecting your State?
http://www.changingdiabetesbarometer.com/docs/Diabetes-2025-State-Summary-0513-00016036.pdf
Source for cost of diabetes : American Diabetes Association. http://care.diabetesjournals.org/content/early/2013/03/05/dc12-2625 .abstract
http://care.diabetesjournals.org/content/suppl/2013/03/05/dc12-2625.DC1/DC122625SupplementaryData.pdf
*Percent changes based on future estimates of diagnosed and undiagnosed diabetes.
REFERENCES
1Centers for Disease Control and Prevention. Morbid
and Mortality Weekly Report. Nov. 16, 2012, Vol. 16
45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pd2American Diabetes Association. http://care.
diabetesjournals.org/content/early/2013/03/05/
dc12-2625.abstracthttp://care.diabetesjournals.
org/content/suppl/2013/03/05/dc12-2625.DC1/
DC122625SupplementaryData.pdf3CDC. Morbidity and Mortality Weekly Report4
CDC. Morbidity and Mortality Weekly Report5CDC. Morbidity and Mortality Weekly Report6Kaiser Family Foundation. Percent of Adults WhoHave Been Ever Been Told by a Doctor that They Hav
Diabetes.http://k.org/other/state-indicator/adults
with-diabetes/7Centers for Disease Control and Prevention. Nationa
Diabetes Fact Sheet 2011. http://www.cdc.gov/diab
pubs/pdf/nd fs_2011.pdf8CDC. National Diabetes Fact Sheet 2011.9CDC. Morbidity and Mortality Weekly Report10American Diabetes Association.
Marina Byrd, CSG Research [email protected]
DIAEES: A COSTlY EPIdEMICPrevaee Daed Dabee, d e 18 ad over c ( $)
sae 1995 2000 2005 2010
% chae
1995-2010
% chae
2010 - 2025* meda idre ta
United States 4.5 6 7.2 8.2 82.2 NA 175,800 68,600 245,000
EAST REGION
ce 4.3 5.2 6.1 6.7 55.8 61.8 2,090 830 2,920
Deaware 4.4 6.3 8.3 7.9 79.5 64.9 600 260 860mae 3.5 5.8 6.8 7.6 117.1 46.8 880 360 1,240
maryad 4.4 6.5 7.1 8.9 102.3 62.4 3,450 1,630 5,070
maahe 3.9 5.7 6.2 7 79.5 60.6 4,340 1,720 6,070
new Haphre 5.1 4.6 6.3 7.3 43.1 72.8 690 310 1,000
new Jerey 4.5 5.6 7.3 8.5 88.9 48.8 5,420 2,430 7,850
new Yrk 4.4 6.2 7.9 8.4 90.9 43.9 11,380 5,060 16,430
Peyvaa 5.5 6.5 7.5 9.2 67.3 40.6 7,430 2,810 10,240
hde iad 4.6 5.8 6.2 7.3 58.7 59.4 570 250 820
er 4.8 4.4 5.7 6.1 27.1 70.5 260 110 370
MIDWEST REGION
i 5.4 6.2 7.9 8.5 57.4 44.7 6,590 2,390 8,980
idaa 5.1 6 8.1 9.3 82.4 41.3 3,690 1,430 5,120
iwa 5 5.6 6.3 6.8 36 55.0 1,390 530 1,920
Kaa 4.7 5.7 6.7 7.9 68.1 53.6 1,420 560 1,980mha 5.6 7 7.9 9.6 71.4 41.8 5,760 2,240 8,000
mea 3.1 4.8 5.7 6.4 106.5 99.6 2,300 840 3,140
nebraka 4.4 4.8 7.1 7.2 63.6 105.0 790 320 1,110
nrh Daka 3.6 5 6.2 6.9 91.7 51.5 290 120 410
oh 4.2 6.1 7.3 9.3 121.4 44.0 6,710 2,570 9,280
sh Daka 2.8 5.4 6 6.2 121.4 62.9 420 140 560
W 4.6 5.9 6.3 6.6 43.5 68.3 3,280 1,090 4,360
SOUTH REGION
abaa 4.7 7.3 9.3 11.3 140.4 31.3 3,010 1,300 4,310
rkaa 5 5.9 7.7 8.9 78 45.4 1,670 720 2,390
frda 4.8 6.2 7.9 8.6 79.2 85.1 14,370 4,530 18,900
gera 4 7.1 8.9 9.8 145 57.0 5,470 2,160 7,630
Keky 3.6 6.3 8.6 9.3 158.3 35.6 2,660 1,190 3,850
laa 6.7 6.8 9.1 9.8 46.3 34.0 3,020 1,180 4,190
mpp 6.3 7.6 9.6 11.7 85.7 28.5 1,910 820 2,740
mr 4.2 6.4 7.5 8.7 107.1 47.4 3,240 1,240 4,490
nrh cara 4.8 6.5 8.4 9.4 95.8 65.8 6,100 2,200 8,300
okaha 3 5.4 8.6 9.8 226.7 37.3 2,070 770 2,840
sh cara 5 7.2 10.1 10 100 46.7 3,020 1,130 4,160
teeee 5.3 7 8.8 10.6 100 40.3 3,620 1,480 5,100
texa 5.7 6.5 8.3 10 75.4 66.3 13,350 4,890 18,240
ra 4.2 6.3 7 8.3 97.6 69.3 4,430 1,770 6,190
We ra 4.5 7 9.6 10.4 131.1 17.2 1,440 570 2,010
WEST REGION
aka 4.2 4.4 5.6 6 42.9 90.2 320 130 450
rza 4.8 5.9 7.3 7.5 56.3 108.9 3,480 1,280 4,760
cara 6.2 7.1 7.4 8.6 38.7 70.2 19,320 8,230 27,550
crad 3.7 5.2 5.1 6.1 64.9 107.3 1,830 690 2,520
Hawa 3.5 5.1 7 7.6 117.1 54.0 770 340 1,110idah 3.6 4.8 6.8 7.7 113.9 74.2 720 270 990
maa 2.9 4.5 5.2 6.3 117.2 73.6 420 140 560
nevada 5 6.8 7.1 8.4 68 105.0 1,360 470 1,820
new mex 5.7 6.6 7 8 40.4 60.1 1,160 370 1,530
ore 4 5.8 6.5 6.6 65 87.5 2,160 840 2,990
uah 4.2 5.7 6.4 7.3 73.8 118.5 860 330 1,190
Wah 3.1 5.5 6.3 7.3 135.5 88.4 3,750 1,360 5,110
Wy 3.3 5 6.3 6.8 106.1 55.7 260 100 360