diabetes: a costly epidemic

7/27/2019 Diabetes: A Costly Epidemic

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CAPITOL facts & figures

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tHe council of state governmen ts

Diabetes: A Costly Epidemic

Nineteen million people in the United States were diagnosedwith Type I and Type II diabetes in 2010, although the number ofpeople diagnosed varies by region.1 Diabetes cost the U.S. $245billion in 2012 in both direct and indirect costs.2 Costs associatedwith diabetes also vary by region. Direct medical costs includesuch things as hospital or nursing home stays, ambulance ser-vices, home health services, as well as insulin and other diabeticsupplies and treatments, while indirect costs refer to absentee-

ism, unemployment and reduced productivity.

Regional Analysis Diagnosed diabetes prevalence in 2010 varied in the

Eastern region from 6 percent in Vermont to 9 percent inPennsylvania.

In 2010, the Eastern states with the highest diagnoseddiabetes prevalence after Pennsylvania were Marylandand New Jersey, both slightly less than 9 percent.

The growth in diagnosed diabetes in Eastern states be-tween 1995 and 2010 ranged from 27 percent in Vermont

to 117 percent in Maine. After Maine, the states where diabetes increased the most

between 1995 and 2010 are Maryland with a 102 percentincrease and New York with a 91 percent increase.

In a 2013 report, the American Diabetes Association es-timated the total annual costs of diabetes in 2010 rangedfrom $370 million in Vermont to $16 billion in New York.

After New York, states with top total cost estimates in2010 were Pennsylvania at $10 billion and New Jersey at$7 billion.

National Analysis The Centers for Disease Control and Prevention esti-

mated 7 million people had prediabetes in 2010.3 In 2010, 8 percent of the population over age 18 was

diagnosed with diabetes in the U.S.4 The number of people diagnosed with diabetes grew

82 percent from 1995 to 2010.5 In 2011, 10 percent of adults had previously been told

by a doctor that they have diabetes.6

As the nations population ages, more people are beingdiagnosed with diabetes. The CDC estimates 27 percent of people age 65 and

older have the disease. 14 percent of people ages 45 to 64 have diabetes. People ages 20 to 44 are the least likely to have dia-

betes. An estimated 4 percent of people in this agegroup have the disease.7

Racial and ethnic health disparities exist in the preva-lence of diagnosed and undiagnosed diabetes. In 2010,19 percent of African-Americans and 10 percent ofwhites over age 20 had diabetes.8

Increase in Diagnosed Diabetes, U.S., 1995-2010

Source:Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf

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2

3

4

8

5

6

7

9

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0

2

3

4

5

6

7

8

9

PERCENT

PERCENT

1995 2000 2005 2010YEAR

Connecticut

Delaware

Maine

Maryland

Massachusetts

New

Hampshire

NewJersey

NewYork

Pennsylvania

RhodeIsland

Vermont

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Diagnosed Diabetes Prevalence 2010

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Regional Analysis Diagnosed diabetes prevalence in 2010 varied in the

Midwestern region from 6 percent in South Dakota to 10percent in Michigan.

In 2010, the Midwestern states with the highest diagnoseddiabetes prevalence after Michigan were Indiana and Ohio,both slightly more than 9 percent.

The growth in diagnosed diabetes in Midwestern statesbetween 1995 and 2010 ranges from 36 percent in Iowa to

121 percent in both Ohio and South Dakota. After Ohio and South Dakota, the states where diabetes

increased the most between 1995 and 2010 are Minnesotawith a 106 percent increase and North Dakota with a 92percent increase.

In a 2013 report, the American Diabetes Association esti-mated the total annual cost of diabetes in 2010 ranged from$410 million in North Dakota to $9 billion in Ohio.

After Ohio, states with top total cost estimates in 2010 wereIllinois at $8 billion and Michigan at $8 billion.












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0

2

3

4

8

5

6

7

9

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0

2

3

4

5

6

7

8

9

PERCENT

PERCENT

1995 2000 2005 2010YEAR

Illino

is

Indiana

Iowa

Kansas

Michigan

Minnesota

Nort

hDa

kota

Ohio

South

Da

kota

Wisconsin

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Regional Analysis Every state in the Southern region, diabetes prevalence is

above the national median. Diagnosed diabetes prevalence varied in the Southern re-

gion from 8 percent in Virginia to 12 percent in Mississippi.9 In 2010, the Southern states with the highest diagnosed

diabetes prevalence after Virginia were Alabama andTennessee, both at 11 percent.

The growth in diagnosed diabetes in Southern states

between 1995 and 2010 ranged from 46 percent in Louisi-ana to 227 percent in Oklahoma.

In a 2013 report, the American Diabetes Association es-timated the total annual costs of diabetes in 2010 rangedfrom $2 billion in West Virginia to more than $18 billionin Florida.

After Florida, states with top total cost estimates in 2010were Texas at $18 billion and North Carolina at $8 billion.












10

234

8

567

9

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0

2

3

4

5

6

7

8

9

PERCENT

PERCENT

1995 2000 2005 2010YEAR

Alabama

Arkansas

Florida

Georgia

Kentucky

Louisiana

Mississippi

NorthCarolina

Oklahoma

SouthCarolina

Tennessee

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Texas

Virginia

WestVirginia

Missouri


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tH council of stt gonmn ts


The Council of State Governments



Regional Analysis In all but one state in the Western region, diabetes preva-

lence is below the national median. Diagnosed diabetes prevalence varied in the Western

region from 6 percent in Alaska to nearly 9 percent inCalifornia.9

In 2010, the Western states with the highest diagnoseddiabetes prevalence after California were Nevada andIdaho, both at 8 percent.

The growth in diagnosed diabetes in Western states be-tween 1995 and 2010 ranged from 38 percent in Califor-nia to 136 percent in Washington.

In a 2013 report, the American Diabetes Associationestimated the costs of diabetes ranged from $360 million inWyoming to $27.5 billion in California in 2010.10

After California, states with top cost estimates wereWashington at $5.1 billion and Arizona at slightly morethan $4.7 billion.










Increase in Diagnosed Diabetes, U.S., 1995-2010 Diagnosed Diabetes Prevalence 2010


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2

3

45

6

78

9

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0

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3

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6

7

8

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PERCENT

PERCENT

1995 2000 2005 2010YEAR

Alaska

Arizona

California

Colorado

Hawaii

Idaho

Montana

Nevada

NewMexico

Oregon

Utah

Washington

Wyoming

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Source for Prevalence: CDC. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf

Source for column % Change 2010-2025: Authors calculations based on data from Institute for Alternative Futures. How is Diabetes Aecting your State?

http://www.changingdiabetesbarometer.com/docs/Diabetes-2025-State-Summary-0513-00016036.pdf

Source for cost of diabetes : American Diabetes Association. http://care.diabetesjournals.org/content/early/2013/03/05/dc12-2625 .abstract

http://care.diabetesjournals.org/content/suppl/2013/03/05/dc12-2625.DC1/DC122625SupplementaryData.pdf

*Percent changes based on future estimates of diagnosed and undiagnosed diabetes.

REFERENCES

1Centers for Disease Control and Prevention. Morbid

and Mortality Weekly Report. Nov. 16, 2012, Vol. 16

45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pd2American Diabetes Association. http://care.

diabetesjournals.org/content/early/2013/03/05/

dc12-2625.abstracthttp://care.diabetesjournals.

org/content/suppl/2013/03/05/dc12-2625.DC1/

DC122625SupplementaryData.pdf3CDC. Morbidity and Mortality Weekly Report4

CDC. Morbidity and Mortality Weekly Report5CDC. Morbidity and Mortality Weekly Report6Kaiser Family Foundation. Percent of Adults WhoHave Been Ever Been Told by a Doctor that They Hav

Diabetes.http://k.org/other/state-indicator/adults

with-diabetes/7Centers for Disease Control and Prevention. Nationa

Diabetes Fact Sheet 2011. http://www.cdc.gov/diab

pubs/pdf/nd fs_2011.pdf8CDC. National Diabetes Fact Sheet 2011.9CDC. Morbidity and Mortality Weekly Report10American Diabetes Association.

Marina Byrd, CSG Research [email protected]

DIAEES: A COSTlY EPIdEMICPrevaee Daed Dabee, d e 18 ad over c ( $)

sae 1995 2000 2005 2010

% chae

1995-2010

% chae

2010 - 2025* meda idre ta

United States 4.5 6 7.2 8.2 82.2 NA 175,800 68,600 245,000

EAST REGION

ce 4.3 5.2 6.1 6.7 55.8 61.8 2,090 830 2,920

Deaware 4.4 6.3 8.3 7.9 79.5 64.9 600 260 860mae 3.5 5.8 6.8 7.6 117.1 46.8 880 360 1,240

maryad 4.4 6.5 7.1 8.9 102.3 62.4 3,450 1,630 5,070

maahe 3.9 5.7 6.2 7 79.5 60.6 4,340 1,720 6,070

new Haphre 5.1 4.6 6.3 7.3 43.1 72.8 690 310 1,000

new Jerey 4.5 5.6 7.3 8.5 88.9 48.8 5,420 2,430 7,850

new Yrk 4.4 6.2 7.9 8.4 90.9 43.9 11,380 5,060 16,430

Peyvaa 5.5 6.5 7.5 9.2 67.3 40.6 7,430 2,810 10,240

hde iad 4.6 5.8 6.2 7.3 58.7 59.4 570 250 820

er 4.8 4.4 5.7 6.1 27.1 70.5 260 110 370

MIDWEST REGION

i 5.4 6.2 7.9 8.5 57.4 44.7 6,590 2,390 8,980

idaa 5.1 6 8.1 9.3 82.4 41.3 3,690 1,430 5,120

iwa 5 5.6 6.3 6.8 36 55.0 1,390 530 1,920

Kaa 4.7 5.7 6.7 7.9 68.1 53.6 1,420 560 1,980mha 5.6 7 7.9 9.6 71.4 41.8 5,760 2,240 8,000

mea 3.1 4.8 5.7 6.4 106.5 99.6 2,300 840 3,140

nebraka 4.4 4.8 7.1 7.2 63.6 105.0 790 320 1,110

nrh Daka 3.6 5 6.2 6.9 91.7 51.5 290 120 410

oh 4.2 6.1 7.3 9.3 121.4 44.0 6,710 2,570 9,280

sh Daka 2.8 5.4 6 6.2 121.4 62.9 420 140 560

W 4.6 5.9 6.3 6.6 43.5 68.3 3,280 1,090 4,360

SOUTH REGION

abaa 4.7 7.3 9.3 11.3 140.4 31.3 3,010 1,300 4,310

rkaa 5 5.9 7.7 8.9 78 45.4 1,670 720 2,390

frda 4.8 6.2 7.9 8.6 79.2 85.1 14,370 4,530 18,900

gera 4 7.1 8.9 9.8 145 57.0 5,470 2,160 7,630

Keky 3.6 6.3 8.6 9.3 158.3 35.6 2,660 1,190 3,850

laa 6.7 6.8 9.1 9.8 46.3 34.0 3,020 1,180 4,190

mpp 6.3 7.6 9.6 11.7 85.7 28.5 1,910 820 2,740

mr 4.2 6.4 7.5 8.7 107.1 47.4 3,240 1,240 4,490

nrh cara 4.8 6.5 8.4 9.4 95.8 65.8 6,100 2,200 8,300

okaha 3 5.4 8.6 9.8 226.7 37.3 2,070 770 2,840

sh cara 5 7.2 10.1 10 100 46.7 3,020 1,130 4,160

teeee 5.3 7 8.8 10.6 100 40.3 3,620 1,480 5,100

texa 5.7 6.5 8.3 10 75.4 66.3 13,350 4,890 18,240

ra 4.2 6.3 7 8.3 97.6 69.3 4,430 1,770 6,190

We ra 4.5 7 9.6 10.4 131.1 17.2 1,440 570 2,010

WEST REGION

aka 4.2 4.4 5.6 6 42.9 90.2 320 130 450

rza 4.8 5.9 7.3 7.5 56.3 108.9 3,480 1,280 4,760

cara 6.2 7.1 7.4 8.6 38.7 70.2 19,320 8,230 27,550

crad 3.7 5.2 5.1 6.1 64.9 107.3 1,830 690 2,520

Hawa 3.5 5.1 7 7.6 117.1 54.0 770 340 1,110idah 3.6 4.8 6.8 7.7 113.9 74.2 720 270 990

maa 2.9 4.5 5.2 6.3 117.2 73.6 420 140 560

nevada 5 6.8 7.1 8.4 68 105.0 1,360 470 1,820

new mex 5.7 6.6 7 8 40.4 60.1 1,160 370 1,530

ore 4 5.8 6.5 6.6 65 87.5 2,160 840 2,990

uah 4.2 5.7 6.4 7.3 73.8 118.5 860 330 1,190

Wah 3.1 5.5 6.3 7.3 135.5 88.4 3,750 1,360 5,110

Wy 3.3 5 6.3 6.8 106.1 55.7 260 100 360

diabetes: a costly epidemic

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