Diabetes Report Card 2012: National and State Profile of Diabetes and Its Complications
Trends in Diabetes Outcomes
Figures 5, 6, and 7 offer examples of trends in diabetes complications in the United States over the past 2 decades. Among adults with diagnosed diabetes, death rates from hyperglycemic crisis have declined since the mid-1980s. Diabetic hyperglycemic crises are serious health events that can occur in people with diabetes, and they can lead to death. Rates of lower-limb amputation (of legs or feet) and kidney failure (end-stage renal disease) have declined since the mid-1990s. These declines may be attributed in part to improvements in the rates of high blood pressure, high cholesterol, and smoking in recent decades.10 Other possible reasons include improvements in blood glucose control;13 early detection and management of diabetes complications; and improvements in preventive care, treatment, and diabetes care management.14, 15
Figure 5. Death Rates for Hyperglycemic Crises as Underlying Cause, by Age, United States, 1980–2007
Source: National Diabetes Surveillance System, National Health Interview Survey data and National Vital Statistics System data.
Figure 6. Hospital Discharge Rates for Nontraumatic Lower-Limb Amputation, United States, 1988–2008
Data were adjusted. See Technical Notes for more details.
Source: National Diabetes Surveillance System, National Hospital Discharge Survey data and National Health Interview Survey data
Figure 7. Incidence of Diabetes-Related End-Stage Renal Disease, United States, 1980–2008
Data were adjusted. See Technical Notes for more details.
Source: National Diabetes Surveillance System, U.S. Renal Data System data and National Health Interview Survey data
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