Approximately 17 million
people in the United States (or about 8% of the population), have
been diagnosed with diabetes. An additional 12 million people in the
United States are thought to have diabetes but have yet to be
diagnosed. It is the third leading cause of death in the U.S. after
heart disease and cancer.
Roughly 10% of the
diagnosed population has type 1 diabetes and the remaining 90% have
type 2 diabetes.
From an economic
perspective, the total annual cost of diabetes in 1997 was estimated
to be $98 billion in the United
States. The per capita
cost resulting from diabetes that year amounted to $10,071, while
average healthcare costs for
people without diabetes
incurred a per capita cost of $2,699.00. During this same year, 13.9
million days of hospital stay
were attributed to
diabetes, with 30.3 million physician office visits attributed to
diabetes.
Here are some other
interesting statistics:
In 1995 there were 30
million people over the age of 65 in the U.S., or 12.0% of the
population;
In 2030 there will be 60
million people over the age of 65 in the U.S., or 21.0% of the
population;
The geriatric population
in the U.S. will double by the year 2030;
5,000 people reach age 65
each day;
By the year 2030 there
will be as many people over the age of 85 as there are currently
over the age of 65.
The odds of seeing
Diabetic Peripheral Neuropathy:
Increase with the age of
patient;
Increase with the
duration of diabetes;
Increase with the
severity of hyperglycemia; and
After 20 years, 42% of
diabetics will have neuropathy.
Diabetic peripheral
neuropathy is associated with an increased risk of foot ulceration,
and
Of the 17 million people
in the United States with diabetes stated earlier, about 2 million
(15%) of those may develop foot related ulcers--and they are 12
times more likely to undergo amputation than non-diabetics. Roughly
5-15% of diabetic patients require an amputation at some point in
their lives. 15% of all diabetics will develop problem wounds.
In 1990, over 54,000
non-traumatic lower extremity amputations occurred among diabetics
(8.3 per 1,000); this resulted in 648,570 days of hospital care (28%
of total hospital days).
Almost 50% of amputations
are preventable (approx. 20,000) with proper intervention.
Diabetics are at 15 times
the risk of experiencing limb amputations following initial injury
as compared with the non-diabetic population.
(The following is
included only for use if someone in the audience is specifically
interested).
Cost of Treatment of the
Diabetic Foot
Medical Cost: (1992) $85
billion (average of $45,000 per patient)
Indirect cost: (1992) $47
billion (disability, lost work, rehabilitation, loss of future
earning power)
Medical efforts must be
directed at patient education, prevention, early detection, and
prompt treatment of foot infections.[9]
The American Diabetes
Association does not recommend general screening of the population
for type 1 diabetes, though
screening of high risk
individuals, such as those with a sibling or parent with type 1
diabetes should be encouraged. Type 1 diabetes tends to occur in
young, lean individuals, usually before age 30. Older adults do
present with this form of diabetes on occasion. This subgroup is
termed latent autoimmune diabetes in adults (LADA). LADA is a slow,
progressive form of type 1 diabetes. Of all the patients with
diabetes, only approximately 10% of the patients have type 1
diabetes and the remaining 90% have type 2 diabetes.
While it is said that
type 2 diabetes occurs mostly in individuals over 30 years old and
the incidence increases with age, there is a trend toward young
teens presenting with type 2 diabetes. In fact, for the first time,
type 2 diabetes is now more common than type 1 diabetes in
childhood. Most of these cases are attributed to poor eating habits,
excess body weight, and lack of exercise. While the genetic
component to developing this form of diabetes is important, there
are other risk factors to consider, mainly obesity. There is a
direct relationship between the degree of obesity and the risk of
developing type 2 diabetes, and this holds true in children as well
as adults. Best estimates place the chance of getting diabetes as
doubling with every 20% increase over the person’s ideal body
weight. Regarding age, data shows that for each decade after 40
years of age there is an increase in the incidence of diabetes
(regardless of weight).
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