Risk Factors for Diabetes-Related Complications
Among US adults aged 18 years or older with diagnosed diabetes, crude estimates for 2015–2018 shown in Appendix Table 8 were:
- 19.8% were tobacco users based on self-report or levels of serum cotinine.
- 13.8% reported current cigarette smoking.
- 37.1% had quit smoking but had a history of smoking at least 100 cigarettes in their lifetime.
Overweight and Obesity
- 89.8% were overweight or had obesity, defined as a body mass index (BMI) of 25 kg/m2 or higher. Specifically:
- 27.7% were overweight (BMI of 25.0 to 29.9 kg/m2).
- 45.8% had obesity (BMI of 30.0 to 39.9 kg/m2).
- 16.2% had extreme obesity (BMI of 40.0 kg/m2 or higher).
- 34.3% were physically inactive, defined as getting less than 10 minutes a week of moderate or vigorous activity in each physical activity category of work, leisure time, and transportation.
- 49.4% had an A1C value of 7.0% or higher. Specifically:
- 24.9% had an A1C value of 7.0% to 7.9%.
- 11.4% had an A1C value of 8.0% to 9.0%.
- 13.2% had an A1C value higher than 9.0%.
- 10.4% of adults aged 18–44 years had A1C levels of 10% or higher, compared to 9.4% of those aged 45–64 years and 2.6% of those aged 65 years or older (Appendix Table 9).
High Blood Pressure
- 69.0% had a systolic blood pressure of 140 mmHg or higher or diastolic blood pressure of 90 mmHg or higher or were on prescription medication for their high blood pressure (Appendix Table 8).
- 44.3% had a non-HDL level of 130 mg/dL or higher. Specifically:
- 22.1% had a non-HDL level of 130 to 159 mg/dL.
- 12.5% had a non-HDL level of 160 to 189 mg/dL.
- 9.7% had a non-HDL level of 190 mg/dL or higher.
* Non-high-density lipoprotein cholesterol (non-HDL) contains all the atherogenic lipoproteins, including low-density lipoprotein cholesterol (LDL), very-low-density lipoprotein, lipoprotein(a), and others. Growing evidence supports non-HDL as a better predictor of cardiovascular disease risk than LDL.2
- National Diabetes Statistics Report
- Prevalence of Both Diagnosed and Undiagnosed Diabetes
- Prevalence of Diagnosed Diabetes
- Incidence of Newly Diagnosed Diabetes
- Prevalence of Prediabetes Among Adults
- ›Risk Factors for Diabetes-Related Complications
- Preventing Diabetes-Related Complications
- Coexisting Conditions and Complications