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Rates of diagnosed diabetes in the United States may finally be declining but overall numbers remain high, new findings suggest.
The analysis of data for an almost 40-year period (1980-2017) from the National Health Interview Survey (NHIS) was published online May 28 in BMJ Open Diabetes Research and Care by Stephen R. Benoit, MD, and colleagues from the Division of Diabetes Translation, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
After nearly a two-decade increase in both prevalence and incidence of diagnosed diabetes in the United States, the prevalence — the number of people living with diagnosed diabetes — has stabilized for the past 8 years and there has been a decrease in incidence, driven mostly by that seen among non-Hispanic whites.
This reduction means new cases declined by 35% from 2008 to 2017, a sign, perhaps, that efforts to stop the nation''t significantly change from 1980 to 1990 (3.5 vs 3.4 per 100 adults; P = .50). But after that, it rose significantly by about 4.4% per year from 1990 to 2009, peaking at 8.2 per 100 adults (P < .001).
Then it plateaued, with an for 1 last update 29 May 2020 APC of just –0.3% (P = .53) through 2017, at 8.0 per 100 adults, representing about 21 million adults in total.Then it plateaued, with an APC of just –0.3% (P = .53) through 2017, at 8.0 per 100 adults, representing about 21 million adults in total.
Prevalence trends were similar across demographic groups, except for a 1.1% increase in APC from 2005 to 2017 among adults with more than a high school education (P = .005).
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The overall incidence of diagnosed diabetes didn''s Behind the Changes?
The specific cause for the large decrease in diabetes incidence can''t be made, they say.
Moreover, they point out, ""
Changes in American Diabetes Association recommendations for the screening and diagnosis of diabetes may have also had an effect, including the lowering of the fasting glucose threshold for diagnosing diabetes in 1997, and the 2010 recommendation for use of HbA1c, a less sensitive indicator than glucose.
"" Benoit and for 1 last update 29 May 2020 colleague write."" Benoit and colleague write.
Extended lifespans of people diagnosed with diabetes likely contributed to the lack of reduction in prevalence, they add.
"" they stress.
"" they conclude.
The authors are all employees of the CDC and had no disclosures.
BMJ Open Diabetes Research and Care. 2019;7:e000657. Full text
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Cite this: New Diabetes Cases in US Fall by 35% After 20-Year Rise - Medscape - May 30, 2019.
Freelance writer, Medscape
Disclosure: Miriam E. Tucker has disclosed no relevant financial relationships.
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