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Defeat Diabetes Foundation

Defeat Diabetes
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Updated 2009 Diabetes Prevalence and Diagnosis in US by States

Posted: Wednesday, October 21, 2009

The numbers are in and it looks like we have not improved and it will get worse.

Current U.S. surveillance data provide estimates of diabetes using laboratory tests at the national level as well as self-reported data at the state level. Self reported diabetes prevalence may be biased because respondents may not be aware of their risk status. The objective of the survey was to estimate the prevalence of diagnosed and undiagnosed diabetes by state.

They estimated undiagnosed diabetes prevalence as a function of a set of health

system and sociodemographic variables using a logistic regression in the National Health and Nutrition Examination Survey (2003-2006). They then applied this relationship to identical variables from the Behavioral Risk Factor Surveillance System (2003-2007) to estimate state-level prevalence of undiagnosed diabetes by age group and sex. It was assumed that those who report being diagnosed with diabetes in both surveys are truly diabetic.

From the results it was found that, the prevalence of diabetes in the U.S. was 13.7% among men and 11.9% among women ¡Ý 30 years. Age-standardized diabetes prevalence was highest in Mississippi, West Virginia, Louisiana, Texas, South Carolina, Alabama, and Georgia (15.8 to 16.6% for men and 12.4 to 14.8% for women). Vermont, Minnesota, Montana, and Colorado had the lowest prevalence (11.0 to 12.2% for men and 7.3 to 8.4% for women). Men in all states had higher diabetes prevalence than women.

The absolute prevalence of undiagnosed diabetes, as a percent of total population, was highest in New Mexico, Texas, Florida, and California (3.5 to 3.7 percentage points) and lowest in Montana, Oklahoma, Oregon, Alaska, Vermont, Utah, Washington, and Hawaii (2.1 to 3 percentage points). Among those with no established diabetes diagnosis, being obese, being Hispanic, not having insurance and being ¡Ý 60 years old were significantly associated with a higher risk of having undiagnosed diabetes.

From the results of the survey it was concluded that diabetes prevalence is highest in the Southern and Appalachian states and lowest in the Midwest and the Northeast. Better diabetes diagnosis is needed in a number of states.

Source: Diabetes In Control