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National Diabetes Fact Sheet
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National Estimates on Diabetes
The data in this fact sheet were derived from various surveys of the Centers for Disease Control and Prevention (CDC)—the National Health Interview Survey (NHIS), the National Health and Nutrition Examination Surveys (NHANES III and NHANES 1999-2000), the National Hospital Discharge Survey, and surveys conducted through the Behavioral Risk Factor Surveillance System. Other data sources include CDC's National Vital Statistics System, the outpatient database of the Indian Health Service (IHS), the U.S. Renal Data System of the National Institutes of Health (NIH), and published studies. Many of the estimates were calculated from these data sources by CDC and NIH staff.
Estimates of the total number of people with diabetes and the prevalence of diabetes (both diagnosed and undiagnosed) per 100 population are model-based estimates calculated from NHIS data, NHANES data, and population estimates. Age-race-sex-specific diabetes prevalence estimates from the 1999-2001 NHIS and the 2002 outpatient database of the IHS were applied to 2002 census estimates to calculate the number of diagnosed cases of diabetes. The number of persons with undiagnosed diabetes was calculated by applying age-specific estimates from NHANES 1999-2000 to 2002 census estimates. Total prevalence was calculated based on the number of people with both diagnosed and undiagnosed diabetes.
The summary estimates reported in this fact sheet have some variability due to the limits of the measurements and the estimation procedures. However, it is the consensus opinion of the participating organizations that they are the best current estimates of the burden of diabetes. More detail on the data sources, references, and methods are available at http://www.cdc.gov/diabetes/pubs/factsheet.htm.
Total: 18.2 million people — 6.3% of the population — have diabetes.
Diagnosed: 13.0 million people
Undiagnosed: 5.2 million people
About 210,000 people under 20 years of age have diabetes. This represents 0.26% of all people in this age group.
Approximately one in every 400 to 500 children and adolescents has type 1 diabetes.
Although type 2 diabetes is a problem among youth, nationally representative data to monitor diabetes trends among youth are not available. Clinic-based reports and regional studies indicate that type 2 diabetes is becoming more common among children and adolescents, particularly in American Indians, African Americans, and Hispanic/Latinos.
Age 20 years or older: 18.0 million; 8.7% of all people in this age group have diabetes.
Age 60 years or older: 8.6 million; 18.3% of all people in this age group have diabetes.
Men: 8.7 million; 8.7% of all men aged 20 years or older have diabetes.
Women: 9.3 million; 8.7% of all women aged 20 years
or older have diabetes.
Total prevalence of diabetes by race/ethnicity among people aged 20 years or older, United States, 2002
Non-Hispanic whites: 12.5 million; 8.4% of all non-Hispanic whites aged twenty years or older have diabetes.
Non-Hispanic blacks: 2.7 million; 11.4% of all non-Hispanic blacks aged twenty years or older have diabetes. On average, non-Hispanic blacks are 1.6 times as likely to have diabetes than non-Hispanic whites of similar age.
Hispanic/Latino Americans: 2.0 million; 8.2% of all Hispanic/Latino Americans aged twenty years or older have diabetes. On average, Hispanic/Latino Americans are 1.5 times more likely to have diabetes than non-Hispanic whites of similar age. Mexican Americans, the largest Hispanic/Latino subgroup, are over twice as likely to have diabetes as non-Hispanic whites of similar age. Similarly, residents of Puerto Rico are 1.8 times more likely to have diagnosed diabetes than U.S. non-Hispanic whites. Sufficient data are not available to derive more specific current estimates for other Hispanic/Latino groups.
American Indians and Alaska Natives who receive care from the Indian Health Service (IHS): 110,814; 14.9% of American Indians and Alaska Natives aged 20 years or older and receiving care from IHS have diabetes. At the regional level, diabetes is least common among Alaska Natives (8.2%) and most common among American Indians in the southeastern United States (27.8%) and southern Arizona (27.8%). On average, American Indians and Alaska Natives are 2.2 times as likely to have diabetes as non-Hispanic whites of similar age.
Asian Americans and Native Hawaiian or other Pacific Islanders:
In 2002, Native Hawaiians and Japanese and Filipino residents of Hawaii
aged twenty years or older were approximately 2 times as likely to have
diagnosed diabetes as white residents of Hawaii of similar age. Prevalence
data for diabetes among other Pacific Islanders or Asian Americans are
limited, but some groups within these populations are at increased risk
New cases diagnosed per year: 1.3 million people aged 20 years or older.
Heart disease and stroke
High blood pressure
Nervous system disease
Complications of pregnancy
Total (direct and indirect): $132 billion
Direct medical costs: $92 billion
Indirect costs: $40 billion (disability, work loss, premature mortality)
These data are based on a study conducted by the Lewin Group, Inc. for the American Diabetes Association and are 2002 estimates of both the direct costs (cost of medical care and services) and indirect costs (costs of short-term and permanent disability and of premature death) attributable to diabetes. This study uses a specific cost-of-disease methodology to estimate the health care costs that are due to diabetes.
Page last modified: December 20, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation