Diabetes Report Card, 2017

Background

The Diabetes Report Card pdf icon[PDF – 5 MB] has been published by the Centers for Disease Control and Prevention (CDC) every 2 years since 2012 to provide current information on the status of diabetes and its complications in the United States. It includes information and data on diabetes, preventive care practices, health outcomes, and risk factors such as race, ethnicity, socioeconomic position, and prediabetes. The Diabetes Report Card also includes trend analysis for the nation and, to the extent possible, state progress in meeting established national goals and objectives for improving diabetes care and reducing health care costs and the rate of new cases. Public health professionals, state health departments, and communities can use these data to focus their diabetes prevention and control efforts on areas of greatest need.1,2

Diabetes Overview

Diabetes is a group of diseases characterized by high blood sugar. When a person has diabetes, the body either does not make enough insulin (type 1) or is unable to properly use insulin (type 2). When the body does not have enough insulin or cannot use it properly, blood sugar builds up in the blood. People with diabetes can develop high blood pressure and high cholesterol and triglycerides (lipids). High blood sugar, particularly when combined with high blood pressure and lipids, can lead to heart disease, stroke, blindness, kidney failure, amputations of the legs and feet, and even early death. Diabetes is the seventh leading cause of death in the United States.

group of diverse people

What’s New?

  • The rate of new cases of diabetes among US adults has gone down.
  • The rate of new cases of diabetes among children and adolescents has gone up.
  • The first national prediabetes awareness campaign was launched.
  • New diabetes resources have been developed to help employers, health insurers, and states.

Pages in Report

Technical Notes

The estimates in this report were calculated by staff from CDC’s Division of Diabetes Translation and are available in more detail in CDC’s National Diabetes Statistics Report, 2017 and from the United States Diabetes Surveillance System. Diabetes data are from the US Census Bureau, the Indian Health Service’s National Patient Information Reporting System, and various surveys and data collection systems. These systems include the Behavioral Risk Factor Surveillance System (BRFSS), the National Health Interview Survey, the National Hospital Discharge Survey, and the National Vital Statistics System.

To make meaningful comparisons between states and over time, we used the 2000 US standard population to age-adjust our estimated rates. Age adjustment is a statistical process applied to rates of diseases, injuries, and health outcomes. It allows comparisons between communities with different age structures because it proportions rates to a standard age structure. Three-year moving averages are sometimes used to improve the precision of estimates. State estimates in this report card are based on BRFSS data. Because of the limitations of self-reported data in surveys, these estimates may underreport the rates of diagnosed diabetes and prediabetes in the US population.

References

  1. Centers for Disease Control and Prevention. Division of Diabetes Translation website. Reports to Congress. https://www.cdc.gov/diabetes/library/reports/congress.html. Accessed September 20, 2017.
  2. Patient Protection and Affordable Care Act of 2009. Pub. L No. 111-148external icon, Title X, Sec 10407, 42 USC 247b-9a.
  3. Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2017.
  4. Rutledge SA, Masalovich S, Blacher RJ, Saunders MM. Diabetes self-management education programs in nonmetropolitan counties — United States, 2016external icon. MMWR Surveill Summ. 2017;66(10):1–6.
  5. Beckles GL, Chou C. Disparities in the prevalence of diagnosed diabetes — United States, 1999–2002 and 2011–2014. MMWR Morb Mortal Wkly Rep. 2016;65(45):1265–1269.
  6. Luo H, Beckles GL, Zhang X, Sotnikov S, Thompson T, Bardenheier B. The relationship between county-level contextual characteristics and use of diabetes care servicespdf icon. J Public Health Manag Pract. 2014;20(4):401–410.
  7. US Department of Health and Human Services. Healthy People 2020 website. Social Determinants of Health. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-healthexternal icon. Accessed September 1, 2017.
  8. Dabelea D, Mayer-Davis EJ, Saydah S, et al. Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA. 2014;311(17):1778–1786.
  9. Mayer-Davis EJ, Lawrence JM, Dabelea D, et al. Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012. N Engl J Med. 2017;376:1419–1429.
  10. Saydah S, Imperatore G, Cheng Y, Geiss LS, Albright A. Disparities in diabetes deaths among children and adolescents — United States, 2000–2014. MMWR Morb Mortal Wkly Rep. 2017;66:502–505.
  11. Powers MA, Bardsley J, Cypress M, et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dieteticsexternal icon. J Acad Nutr Diet. 2015;115(8):1323–1334.
  12. Centers for Disease Control and Prevention. Diabetes Prevention Impact Toolkit website. https://nccd.cdc.gov/Toolkit/DiabetesImpact. Accessed May 25, 2017.
  13. The Policy Surveillance Program and ChangeLab Solutions. Health Insurance Coverage Laws for Diabetes Self-Management Education and Training website. http://lawatlas.org/datasets/diabetes-self-management-education-lawsexternal icon. Accessed May 25, 2017.
  14. Centers for Disease Control and Prevention. Diabetes State Burden Toolkit website. https://nccd.cdc.gov/Toolkit/DiabetesBurden. Accessed May 25, 2017.
  15. National Association of Chronic Disease Directors. National Diabetes Prevention Program Coverage Toolkit website. http://www.nationaldppcoveragetoolkit.org/external icon. Accessed July 13, 2017.
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Page last reviewed: June 20, 2019