Take Another Course
Diabetes costs more, on average about 2.3 times more for their
medical care than for people without diabetes. The 2007 per
capita cost for diabetes health care was $11,744 per year, 57%
of which was directly attributed to diabetes. These numbers
translate to 1 in every 5 health care dollars being spent on
someone with diabetes, and 1 in every 10 health care dollars
being spent attributable to diabetes.
costs of diagnosed diabetes was estimated at $174 billion in
2007, or $116 billion in direct medical costs and $58 billion in
indirect medical costs for disability, work lost, and premature
mortality. In 2007, 15 million work days were lost, 120 million
workdays were with reduced performance, and 6 million lost
productivity days were seen for those not in the workforce.
Approximately 107 million work days were lost to unemployment
disability, and there were 445,000 cases that were attributed to
also estimated that undiagnosed diabetes cost $18 billion, $25
billion for pre-diabetes, and $623 million for gestational
diabetes. This brings the total financial impact specific of
the disease to about $217 billion in 2007!
impaired glucose tolerance test result and fasting glucose that
is higher than normal, but not high enough to diagnose diabetes,
is a condition called pre-diabetes. There is an increased
health risk for people with pre-diabetes for developing type 2
diabetes, heart disease, and stroke. However, the progression to
type 2 diabetes is not inevitable. Prevention is based on
efforts in people who are obese to reduce their weight and
increase their physical activity. In one study, the Diabetes
Prevention Program, lifestyle changes appeared to reduce the
progression to diabetes for nearly 60% of participants over a
three year period, and over 70% for 60 years and older adults.
Lifestyle changes are more cost effective than medications.
treatments for diabetes center on controlling blood sugar levels
and reducing the effects of some complications such as high
blood pressure and high blood lipids. According to the CDC, each
percentage point drop in the measure of hemoglobin A1c reduces
the risk of kidney disease and neuropathy by up to 40%. Control
of blood lipids can decrease cardiovascular complications from
20% to 50%. Control of blood pressure can reduce complications
related to vascular problems between 33-50%. Each 10mm (millimeter
or Hg) mercury drop in blood pressure can reduce the risk
for any complication by about 12%.
management training is an important part of reducing the impact
of diabetes. These care skills include foot care, self
monitoring of blood glucose, and adherence to diabetes care and