Chronic Disease - Burden of Chronic Diseases 2004

National Center for Chronic Disease Prevention and Health Promotion

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•	Overview
•	By Disease and Risk Factor
•	By State

Section II

The Burden of Heart Disease, Stroke, Cancer, and Diabetes, United States

NOTE: This document is provided for historical purposes only.

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Diabetes

Diabetes is a serious, costly, and increasingly common chronic disease that can cause devastating complications—including heart disease, kidney failure, leg and foot amputations, and blindness—that often result in disability and death. Early detection, improved delivery of care, and better self-management are key strategies for preventing much of the burden of diabetes. Type 2 diabetes, formerly considered “adult onset” diabetes, is now being diagnosed more frequently among children and adolescents. This type of diabetes is linked to two modifiable risk factors: obesity and physical inactivity.

In 2001, diabetes was the sixth leading cause of death. Diabetes is believed to be under-reported on death certificates.
About 18 million people in the United States have diabetes, and over 5 million of these people are unaware that they have the disease.
Each year, an estimated 12,000–24,000 people become blind because of diabetic eye disease. In addition, nearly 43,000 people with diabetes begin treatment for kidney failure each year, and about 82,000 undergo diabetes-related lower extremity amputations.
The direct and indirect costs of diabetes totaled $132 billion in 2002.
One in three Americans born in 2000 will develop diabetes during their lifetime.

Diabetes: 2001 Death Rate*

Diabetes: 2001 Death Rate

^* Deaths per 100,000, age adjusted to 2000 total U.S. population. ICD–10 codes: E10–E14.

[A text description of this map is also available.]

Deaths Due to Diabetes, by Sex, 2001

State	Total		Male		Female
	Number	Rate^*	Number	Rate^*	Number	Rate^*

ALABAMA	1344	29.3	609	33.2	735	26.6
ALASKA	80	22.7	41	20.6	39	23.2
ARIZONA	1057	20.1	535	23.0	522	17.7
ARKANSAS	756	25.8	347	28.3	409	23.7
CALIFORNIA	6395	21.4	3049	23.7	3346	19.5
COLORADO	667	18.7	307	20.1	360	17.5
CONNECTICUT	759	19.6	348	22.7	411	17.2
DELAWARE	218	27.1	94	27.6	124	26.0
DISTRICT OF COLUMBIA	209	37.0	82	36.8	127	37.5
FLORIDA	4631	22.0	2344	25.8	2287	18.9
GEORGIA	1475	21.9	684	24.1	791	19.8
HAWAII	173	13.3	93	15.8	80	11.1
IDAHO	318	26.2	141	26.3	177	25.7
ILLINOIS	3092	25.4	1380	28.1	1712	23.3
INDIANA	1677	27.7	763	31.1	914	25.2
IOWA	709	20.1	310	22.4	399	18.4
KANSAS	721	25.0	327	28.1	394	23.2
KENTUCKY	1099	27.1	491	29.9	608	25.1
LOUISIANA	1734	41.7	688	39.4	1046	42.5
MAINE	398	26.9	186	31.0	212	24.2
MARYLAND	1458	29.2	689	33.4	769	26.1
MASSACHUSETTS	1422	20.2	656	24.0	766	17.7
MICHIGAN	2655	26.9	1169	28.7	1486	25.4
MINNESOTA	1213	24.3	612	30.2	601	20.0
MISSISSIPPI	661	24.1	263	24.1	398	24.1
MISSOURI	1535	25.5	714	29.2	821	22.8
MONTANA	229	23.2	98	23.1	131	23.0
NEBRASKA	400	21.2	175	23.3	225	20.2
NEVADA	322	17.6	180	19.6	142	14.9
NEW HAMPSHIRE	291	23.6	157	30.3	134	18.4
NEW JERSEY	2556	28.5	1190	33.1	1366	25.3
NEW MEXICO	538	31.4	266	35.5	272	27.9
NEW YORK	3844	19.4	1770	22.3	2074	17.3
NORTH CAROLINA	2181	27.8	964	30.0	1217	26.0
NORTH DAKOTA	196	25.7	87	27.6	109	24.1
OHIO	3750	31.4	1670	34.7	2080	28.9
OKLAHOMA	1065	29.5	450	29.6	615	28.9
OREGON	1011	27.9	466	30.4	545	26.0
PENNSYLVANIA	3826	25.7	1696	28.4	2130	23.6
RHODE ISLAND	265	21.7	120	25.2	145	19.3
SOUTH CAROLINA	1088	27.5	497	29.8	591	25.4
SOUTH DAKOTA	212	24.2	94	26.2	118	22.8
TENNESSEE	1746	30.6	786	33.3	960	28.3
TEXAS	5456	31.6	2445	33.5	3011	30.0
UTAH	509	31.9	235	33.9	274	30.6
VERMONT	155	24.1	67	24.5	88	23.7
VIRGINIA	1613	24.5	741	26.9	872	22.3
WASHINGTON	1403	25.1	687	28.6	716	22.2
WEST VIRGINIA	802	37.6	358	40.6	444	34.6
WISCONSIN	1337	23.3	663	28.8	674	19.6
WYOMING	120	25.5	56	28.2	64	23.6

UNITED STATES	71371†	25.2	32840	28.0	38531	23.0

* Deaths per 100,000, age adjusted to 2000 total US population. ^†Total is slightly less than that in table on page 3 because it does not include decendents with unknown age.

Deaths Due to Diabetes, by Race and Ethnicity, 2001

State	White		Black		Asian/ Pacific Islander		American Indian/ Alaska Native		Hispanic
	Number	Rate^*	Number	Rate^*	Number	Rate^*	Number	Rate^*	Number	Rate^*

ALABAMA	822	22.9	514	56.4	-	-	-	-	-	-
ALASKA	62	23.4	-	-	-	-	-	-	-	-
ARIZONA	683	15.5	50	55.1	-	-	101	78.0	217	40.9
ARKANSAS	563	22.0	189	61.7	-	-	-	-	-	-
CALIFORNIA	3531	17.2	701	43.4	532	17.4	41	26.2	1590	36.7
COLORADO	483	15.7	32	32.5	-	-	-	-	139	46.1
CONNECTICUT	624	17.6	96	48.5	-	-	-	-	36	30.8
DELAWARE	165	24.1	48	49.5	-	-	-	-	-	-
DISTRICT OF COLUMBIA	22	14.2	186	50.4	-	-	-	-	-	-
FLORIDA	3251	19.2	795	52.5	28	14.8	-	-	549	24.2
GEORGIA	897	17.7	560	39.6	-	-	-	-	-	-
HAWAII	23	6.9	-	-	138	14.9	-	-	-	-
IDAHO	297	25.5	-	-	-	-	-	-	-	-
ILLINOIS	2310	22.8	578	43.3	46	19.7	-	-	154	32.0
INDIANA	1443	25.8	213	58.9	-	-	-	-	-	-
IOWA	673	19.4	24	75.1	-	-	-	-	-	-
KANSAS	642	23.9	49	47.9	-	-	-	-	24	41.7
KENTUCKY	993	26.1	100	45.9	-	-	-	-	-	-
LOUISIANA	930	30.7	770	75.9	-	-	-	-	-	-
MAINE	394	26.9	-	-	-	-	-	-	-	-
MARYLAND	913	24.2	521	53.1	-	-	-	-	-	-
MASSACHUSETTS	1258	19.2	96	44.6	24	21.3	-	-	43	26.6
MICHIGAN	2155	25.0	415	40.9	-	-	-	-	49	42.1
MINNESOTA	1130	23.4	37	57.8	-	-	23	87.2	-	-
MISSISSIPPI	355	18.1	300	41.1	-	-	-	-	-	-
MISSOURI	1287	23.5	224	49.4	-	-	-	-	-	-
MONTANA	213	22.4	-	-	-	-	-	-	-	-
NEBRASKA	369	20.5	-	-	-	-	-	-	-	-
NEVADA	265	17.5	31	34.7	-	-	-	-	-	-
NEW HAMPSHIRE	285	23.5	-	-	-	-	-	-	-	-
NEW JERSEY	1836	24.9	504	60.7	48	19.4	-	-	167	31.7
NEW MEXICO	221	20.9	-	-	-	-	70	82.5	231	45.8
NEW YORK	2505	16.3	868	38.9	74	10.9	-	-	383	25.5
NORTH CAROLINA	1398	22.1	732	55.7	-	-	31	53.4	-	-
NORTH DAKOTA	180	24.0	-	-	-	-	-	-	-	-
OHIO	3155	29.2	553	54.9	-	-	-	-	25	27.1
OKLAHOMA	823	26.0	95	54.3	-	-	119	62.6	24	36.6
OREGON	931	27.1	27	86.3	-	-	-	-	22	33.6
PENNSYLVANIA	3344	24.5	425	42.2	-	-	-	-	41	26.9
RHODE ISLAND	240	20.8	-	-	-	-	-	-	-	-
SOUTH CAROLINA	605	20.3	480	52.8	-	-	-	-	-	-
SOUTH DAKOTA	184	21.5	-	-	-	-	27	96.3	-	-
TENNESSEE	1312	26.4	422	64.8	-	-	-	-	-	-
TEXAS	2837	23.3	863	55.5	56	21.9	-	-	1697	55.2
UTAH	452	30.3	-	-	-	-	-	-	28	48.9
VERMONT	153	24.1	-	-	-	-	-	-	-	-
VIRGINIA	1080	20.5	488	46.6	-	-	-	-	25	28.2
WASHINGTON	1236	24.3	51	50.4	63	28.5	21	40.4	32	30.7
WEST VIRGINIA	764	37.1	36	63.3	-	-	-	-	-	-
WISCONSIN	1227	22.3	82	53.5	-	-	-	-	-	-
WYOMING	104	23.4	-	-	-	-	-	-	-	-

UNITED STATES	51625	22.1	12225	49.9	1230	16.9	628	45.3	5663	36.3

* Deaths per 100,000, age adjusted to 2000 total US population. Deaths indicate too few deaths (20 or fewer) to calculate a stable estimate.

Page last reviewed: October 31, 2005
Page last modified: October 31, 2005
Archive Date: April 8, 2008

United States Department of Health and Human Services
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion