Diabetes Facts Sheet
Prevalence of total diabetes in the United States, all ages -- United States
Total: 18.2 million people - 6.3% of the population - have diabetes.
Diagnosed: 13 million people
Undiagnosed: 5.2 million people
Deaths among people with diabetes -- United States
Diabetes was the sixth leading cause of death listed on U.S.
Heart Disease and Stroke
Heart disease is the leading cause of diabetes-related deaths. Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
The risk for stroke is 2 to 4 times higher among people with diabetes.
About 65% of deaths among people with diabetes are due to heart disease and stroke.
High Blood Pressure
About 73% of adults with diabetes have blood pressure greater than or equal to 130/80 millimeters of mercury (mm Hg) or use prescription medications for hypertension.
Blindness
Diabetes is the leading cause of new cases of blindness among adult's 20-74 years old.
Diabetic retinopathy causes from 12,000 to 24,000 new cases of blindness each year.
Kidney Disease
Diabetes is the leading cause of treated end-stage renal disease, accounting for 43% of new cases.
In 2000, 41,046 people with diabetes began treatment for end-stage renal disease.
In 2000, a total of 129,183 people with diabetes underwent dialysis or kidney transplantation.
Nervous System Disease
About 60% to 70% of people with diabetes have mild to severe forms of nervous system damage. The results of such damage include impaired sensation or pain in the feet or hands, slowed digestion of food in the stomach, carpal tunnel syndrome, and other nerve problems.
Severe forms of diabetic nerve disease are a major contributing cause of lower-extremity amputations.
Amputations
More than 60% of nontraumatic lower-limb amputations in the United States occur among people with diabetes.
From 2000 to 2001, about 82,000 nontraumatic lower-limb amputations were performed each year among people with diabetes.
Dental Disease
Periodontal or gum diseases are more common among people with diabetes than among people without diabetes. Among young adults, those with diabetes are often at twice the risk of those without diabetes.
Almost one-third of people with diabetes have severe periodontal diseases with loss of attachment of the gums to the teeth measuring 5 millimeters or more.
General Information
What is diabetes?
Diabetes is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both. Diabetes can be associated with serious complications and premature death, but people with diabetes can take steps to control the disease and lower the risk of complications.
Types of Diabetes
Type 1 diabetes was previously called insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes. Type 1 diabetes develops when the body's immune system destroys pancreatic beta cells, the only cells in the body that make the hormone insulin that regulates blood glucose. This form of diabetes usually strikes children and young adults, although disease onset can occur at any age. Type 1 diabetes may account for 5% to 10% of all diagnosed cases of diabetes. Risk factors for type 1 diabetes include autoimmune, genetic, and environmental factors.
Type 2 diabetes was previously called non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. Type 2 diabetes may account for about 90% to 95% of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disorder in which the cells do not use insulin properly. As the need for insulin rises, the pancreas gradually loses its ability to produce insulin. Type 2 diabetes is associated with older age, obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity. African Americans, Hispanic/Latino Americans, Native Americans, and some Asian Americans, Native Hawaiian, or other Pacific Islanders are at particularly high risk for type 2 diabetes. Type 2 diabetes is increasingly being diagnosed in children and adolescents.
Gestational diabetes is a form of glucose intolerance that is diagnosed in some women during pregnancy. Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and Native Americans. It is also more common among obese women and women with a family history of diabetes. During pregnancy, gestational diabetes requires treatment to normalize maternal blood glucose levels to avoid complications in the infant. After pregnancy, 5% to 10% of women with gestational diabetes are found to have type 2 diabetes. Women who have had gestational diabetes have a 20% to 50% chance of developing diabetes in the next 5-10 years.
Other specific types of diabetes result from specific genetic conditions (such as maturity-onset diabetes of youth), surgery, drugs, malnutrition, infections, and other illnesses. Such types of diabetes may account for 1% to 5% of all diagnosed cases of diabetes.
Diabetes can upset the balance between HDL and LDL levels.
People with diabetes tend to have LDL particles that stick to arteries and damage their walls more easily.
Glucose (a type of sugar) latches onto lipoproteins. Sugar-coated LDL remains in the blood-stream longer and may lead to plaques.
People with diabetes tend to have low HDL and high triglyceride (another kind of blood fat) levels, both of which boost the risk of heart and artery disease.
As a result, in people with diabetes:
Heart disease occurs earlier.
Heart disease is two to four times as common.
Heart disease is more often fatal.
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