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Publications and ProductsNational Diabetes Fact SheetReturn to the Table of Contents National Estimates on DiabetesThe estimates on diabetes in this fact sheet were derived from various data systems of the Centers for Disease Control and Prevention, the outpatient database of the Indian Health Service (IHS), the U.S. Renal Data System of the National Institutes of Health, the U.S. Census Bureau, and published studies. Estimates of the total number of persons with diabetes and the prevalence of diabetes in 2005 were derived using 1999–2002 National Health and Nutrition Examination Survey (NHANES), 1999-2003 National Health Interview Survey (NHIS), 2003 IHS data, and 2005 resident population estimates. Many of the estimated numbers and percentages of people with diabetes were derived by applying diabetes prevalence estimates from health surveys of the civilian, noninstitutionalized population to the most recent 2005 resident population estimates. These estimates have some variability due to the limits of the measurements and estimation procedures. The procedures assumed that age-race-sex–specific percentages of adults with diabetes (diagnosed and undiagnosed) in 2005 are the same as they were in earlier time periods (e.g., 1999–2002) and that the age-race-sex percentages of adults with diabetes in resident population is identical to that in the civilian, noninstitutionalized population. Deviations from these assumptions may result in over- or under-estimated numbers and percentages. For further information on the methods for deriving total, diagnosed, and undiagnosed prevalence of diabetes from NHANES data, see http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5235a1.htm. More detail on the data sources, references, and methods are available at http://www.cdc.gov/diabetes/pubs/references05.htm. Total prevalence of diabetes in the United States, all ages, 2005Total: 20.8 million people—7.0% of the population—have diabetes. Diagnosed: 14.6 million people Undiagnosed: 6.2 million people Prevalence of diagnosed diabetes in people aged 20 years or younger, United States, 2005About 176,500 people aged 20 years or younger have diabetes. This represents 0.22% of all people in this age group. About one in every 400 to 600 children and adolescents has type 1 diabetes. Although type 2 diabetes can occur in youth, the nationally representative data that would be needed to monitor diabetes trends in youth by type are not available. Clinically-based reports and regional studies suggest that type 2 diabetes, although still rare, is being diagnosed more frequently in children and adolescents, particularly in American Indians, African Americans, and Hispanic/Latino Americans. Total prevalence of diabetes among people aged 20 years or older, United States, 2005Age 20 years or older: 20.6 million, or 9.6% of all people in this age group have diabetes. Age 60 years or older: 10.3 million, or 20.9% of all people in this age group have diabetes. Men: 10.9 million, or 10.5% of all men aged 20 years or older have diabetes. Women: 9.7 million, or 8.8% 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, 2005Non-Hispanic whites: 13.1 million, or 8.7% of all non-Hispanic whites aged 20 years or older have diabetes. Non-Hispanic blacks: 3.2 million, or 13.3% of all non-Hispanic blacks aged 20 years or older have diabetes. After adjusting for population age differences, non-Hispanic blacks are 1.8 times as likely to have diabetes as non-Hispanic whites. Hispanic/Latino Americans: After adjusting for population age differences, Mexican Americans, the largest Hispanic/Latino subgroup, are 1.7 times as likely to have diabetes as non-Hispanic whites. If the prevalence of diabetes among Mexican Americans was applied to the total Hispanic/Latino population, about 2.5 million (9.5%) Hispanic/Latino Americans aged 20 years or older would have diabetes. Sufficient data are not available to derive estimates of the total prevalence of diabetes (both diagnosed and undiagnosed diabetes) for other Hispanic/Latino groups. However, residents of Puerto Rico are 1.8 times as likely to have diagnosed diabetes as U.S. non-Hispanic whites. American Indians and Alaska Natives: 99,500, or 12.8% of American Indians and Alaska Natives aged 20 years or older who received care from IHS in 2003 had diagnosed diabetes. Applying the rate of undiagnosed diabetes in the total U.S. population to the American Indians and Alaska Natives who receive care from IHS gives an estimate of 118,000 (15.1%) American Indians and Alaska Natives aged 20 years or older with diabetes (both diagnosed and undiagnosed diabetes). After adjusting for population age differences, the total prevalence of diabetes in this group is lowest among Alaska Natives (8.1%) and highest among American Indians in the southern United States (26.7%) and in southern Arizona (27.6%). Taking into account population age differences, American Indians and Alaska Natives are 2.2 times as likely to have diabetes as non-Hispanic whites. Asian Americans and Pacific Islanders: The total prevalence of diabetes (both diagnosed and undiagnosed diabetes) is not available for Asian Americans or Pacific Islanders. However, in Hawaii, Asians, Native Hawaiians, and other Pacific Islanders aged 20 years or older are more than 2 times as likely to have diagnosed diabetes as whites after adjusting for population age differences. Similarly, in California, Asians were 1.5 times as likely to have diagnosed diabetes as non-Hispanic whites. Other groups within these populations also have increased risk for diabetes.
Incidence of diabetes, United States, 20051.5 million new cases of diabetes were diagnosed in people aged 20 years or older in 2005.
Deaths among people with diabetes, United States, 2002
Complications of diabetes in the United StatesHeart disease and stroke
High blood pressure
Blindness
Kidney disease
Nervous system disease
Amputations
Dental disease
Complications of pregnancy
Other complications
Preventing diabetes complicationsDiabetes can affect many parts of the body and can lead to serious complications such as blindness, kidney damage, and lower-limb amputations. Working together, people with diabetes and their health care providers can reduce the occurrence of these and other diabetes complications by controlling the levels of blood glucose , blood pressure, and blood lipids, and by receiving other preventive care practices in a timely manner. Glucose control
Blood pressure control
Control of blood lipids
Preventive care practices for eyes, kidneys, and feet
Estimated diabetes costs in the United States in 2002Total (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 by the Lewin Group, Inc., for the American Diabetes Association and are 2002 estimates of both the direct (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 used a specific cost-of-disease methodology to estimate the health care costs due to diabetes.
Page last reviewed: July 12, 2007
Page last modified: December 20, 2005 Content Source: National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation |