Diabetes State & Local Programs

A Snapshot: Diabetes In The United States

• More than 29 million people (9.3% of the US population) are estimated to have diagnosed or undiagnosed diabetes.
• An additional 86 million Americans aged 20 years or older (37%) have prediabetes, which can lead to type 2 diabetes, heart disease, and stroke.
• Many people with prediabetes don’t know they have it.
• Among adults, about 1.7 million new cases of diabetes are diagnosed each year.
• Diabetes is a serious disease that can lead to health complications including heart disease, stroke, kidney disease, blindness, and amputation of the legs or feet.
• Diabetes was the seventh leading cause of death in the United States in 2010.

CDC’s Division of Diabetes Translation (DDT) funds state and local health departments to support programs and activities to prevent or delay the onset of type 2 diabetes and to improve health outcomes for people diagnosed with diabetes. CDC’s funding and activities are part of two multi-program cooperative agreements (a funding mechanism where CDC provides additional guidance and support beyond simply overseeing and monitoring activities) that address type 2 diabetes; heart disease and stroke; nutrition, physical activity, and obesity; and school health. Chronic diseases frequently happen together and are the result of risk factors that are related. The strategies to prevent and manage these health conditions are often similar. By combining approaches, public health programs can work together and learn from each other to be more effective and efficient.

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Emerging Practices in Diabetes Series

State health departments are exploring and testing new and innovative approaches that will provide critical insight and lessons learned. We refer to these approaches as emerging practices. The goal of the Emerging Practices in Diabetes series is to summarize and share information on these proven practices to inform the work of other states, cities, or communities working in the same or related areas under 1305 and 1422.

Success Stories – What’s Working in Chronic Disease Prevention and Control

The National Association of Chronic Disease Directors’ database features success stories (one-page summaries of state work with positive results) or initiatives (entries that contain additional details with or without final results) on all 1305 and 1422 strategies. Learn more about the successes of states, territories, and tribes in chronic disease prevention and control.

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These web sites provide information, resources, and tools to help state and city health department staff implement the diabetes strategies required in the 1305 and 1422 cooperative agreements. They also may be useful to others developing and evaluating diabetes prevention and control interventions.

• The National Diabetes Prevention Program (Lifestyle Change Program) Maps illustrate program availability by county level diabetes incidence and socio-economic disadvantage status.
• The Communication and Marketing Toolkit is an easy-to-understand resource that will lead you through the process of developing a health communication or marketing plan for diabetes management or type 2 prevention programs.
• Diabetes Prevention Impact Toolkit, to help employers, insurers, and state health departments weigh the costs and benefits of National DPP lifestyle change programs, CDC has developed the Diabetes Prevention Impact Toolkit. Users can get results based on default values for their target population or enter customized values that reflect their own population and program experience.
• Diabetes State Burden ToolKit, a one-stop-shop resource for state-level estimates of diabetes burden, economic costs, and mortality. The toolkit provides additional data, such as associated conditions related to diabetes, healthy life years lost, medical costs and other costs due to absenteeism or lost household productivity.
• Health Insurance Coverage Laws for Diabetes Self-Management Education/Training (DSME/T) Interactive Website, highlights policies from across the country that require DSME/T public and private insurance coverage for patients with diabetes. The site provides fact sheets for each state and epidemiological data on DSME/T insurance coverage patterns, trends, and gaps.
• Diabetes Data and Statistics, national data on diabetes by state and county.
• National Association of Chronic Disease Directors (NACDD) – Resources for Public Health and Partners to Implement 1305 and 1422, resources and tools to help state health departments and other health practitioners meet performance measures; for example, includes key policies, tools, and training.
• Community Programs Linked to Clinical Services: Resources for Diabetes and Hypertension (Domain 4 Resources).
• National Diabetes Prevention Program, information and tools for people at risk for type 2 diabetes, organizations interested in offering a CDC-recognized lifestyle change program, health care providers, employers, and insurers.
• Prevent Diabetes STAT Initiative, resources from CDC and the American Medical Association on prevention of type 2 diabetes for patients, health care providers, employers, and insurers.
• National Diabetes Education Program, science-based, culturally appropriate diabetes education resources and tools for those working in health systems and communities, people with diabetes, and people at risk for type 2 diabetes.

These sites provide information for CDC-funded states and cities under 1305 and 1422 and are password-protected.

• 1305 Grantee Community Site
• 1422 Virtual Community of Practice (CoP) Site