According to findings, there was considerable variation among the seven largest API subgroups. Pacific Islanders, South Asians, and Filipinos had the highest prevalence (18.3%, 15.9%, and 16.1%, respectively) of diabetes.
Compared to adults aged 18–44 years, incidence rates of diagnosed diabetes are estimated to be higher among adults aged 45–64 years and among those aged 65 years or older. 12 Figure 1. Trends in Incidence of Diagnosed Diabetes Among Adults Aged 18 Years or Older, United States, 2000–2018
Members of some racial and ethnic minority groups are more likely to have diagnosed diabetes than non-Hispanic whites. American Indian or Alaska Native adults have the highest rates of diagnosed diabetes (14.7%) among all US racial and ethnic groups, followed by Hispanics (12.5%) and non-Hispanic blacks (11.7%) (Figure 3).
Prevalence of diabetes (including undiagnosed cases) can be as high as one of three Americans by 2050 (see Currently, about 80 million Americans aged 20 and older have pre-diabetes, a condition that puts them at high risk for developing diabetes. For many individuals, taking sm Continue reading >>
The largest percentages are in the southeastern and Appalachian portions of the United States, with more than 10.3% of the adult population living with diabetes. County-level data can help researchers and public health officials, community organizations, health care professionals, and policy makers identify and work to reduce gaps in diabetes care at the local level.
About 34.2 million people—or 10.5% of the US population—had diabetes (diagnosed or undiagnosed) in 2018. This total included 34.1 million adults aged 18 years or older, or 13% of all US adults.
American Indian or Alaska Native adults have the highest rates of diagnosed diabetes (14.7%) among all US racial and ethnic groups, followed by Hispanics (12.5%) and non-Hispanic blacks (11.7%) (Figure 3). In addition, the percentage of adults living with diagnosed or undiagnosed diabetes varied significantly by racial and ethnic group ...
Risk factors Many risk factors for type 2 diabetes include lifestyle decisions that can be reduced or even cut out entirely with time and effort. Men are also at slightly higher risk of developing diabetes than women. This may be more associated with lifestyle factors, body weight, and where the weight is located (abdominally versus in the hip area) than with innate gender differences. Significant risk factors include: older age excess weight, particularly around the waist family history certain ethnicities physical inactivity poor diet Prevalence Type 2 diabetes is increasingly prevalent but also largely preventable. According to the Centers for Disease Control and Prevention (CDC), type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes in adults. The CDC also gives us the following information: In general Research suggests that 1 out of 3 adults has prediabetes. Of this group, 9 out of 10 don't know they have it. 29.1 million people in the United States have diabetes, but 8.1 million may be undiagnosed and unaware of their condition. About 1.4 million new cases of diabetes are diagnosed in United States every year. More than one in every 10 adults who are 20 years or older has diabetes. For seniors (65 years and older), that figure rises to more than one in four. Cases of diagnosed diabetes cost the United States an estimated $245 billion in 2012. This cost is expected to rise with the increasing diagnoses. In pregnancy and parentingAccording to the CDC, 4.6 to 9.2 percent of pregnancies may be affected by gestational diabetes. In up to 10 percent of them, the mother is diagnosed w Continue reading >>
Researchers from the Hopkins Center for Health Disparities Solutions and Case Western Reserve University School of Medicine compared data from the 2003 National Health Interview Survey (NHIS) with the Exploring Health Disparities in Integrated Communities Southwest Baltimore (EHDIC-SWB) Study. The Baltimore study was conducted in a racially integrated urban community without race differences in socioeconomic status. In recent decades the United States has seen a sharp increase in diabetes prevalence, with African Americans having a considerably higher occurrence of type 2 diabetes and other related complications compared to whites. "While we often hear media reports of genes that account for race differences in health outcomes, genes are but one of many factors that lead to the major health conditions that account for most deaths in the United States," said Thomas LaVeist, PhD, director of the Hopkins Center for Health Disparities Solutions and lead author of the study. Some researchers have speculated that disparities in diabetes prevalence are the result of genetic differences between race groups. However, LaVeist noted that those previous studies were based on national dat Continue reading >>
Diabetes can lower life expectancy and increase the risk of heart disease. It is the leading cause of kidney failure, lower limb amputation , and adult-onset blindness . People with prediabetes have blood glucose levels higher than normal, but not high enough to be diagnosed as diabetes. They're more likely to develop diabetes, heart disease, and stroke. The Centers for Disease Control and Prevention estimate that 1 of 3 U.S. adults had prediabetes in 2012. Diabetes and its complications can often be prevented or delayed. People who are diagnosed with diabetes or prediabetes need to learn about their condition and build the skills and confidence necessary to successfully take care of themselves, with the help of their health care team and community resources. About one-quarter of people with diabetes don't know they have it, and most people with prediabetes don't know they have it. Unfortunately, people who are undiagnosed can't take steps to manage their condition. Data in this Profile are only about diagnosed diabetes prevalence. Race/EthnicityAmerican Indian/Alaska NativeAsian/Pacific IslanderBlack/African AmericanHispanicWhiteNew MexicoUnited States0.05.010.015.020.025.030.0Percentage Diagnosed with DiabetesDiagnosed Diabetes Age-Adjusted Prevalence by Race/Ethnicity, New Mexico, 2013-2016 Disparities by race/ethnicity remain. The American Indian/Alaska Native rate was highest and was 2.5 times the White rate; the Hispanic rates was twice the White rate. This has been a long-term pattern. Whil Continue reading >>
Tweet Global studies on ethnic groups and minorities and the rising incidence of diabetes have revealed one factor in particular; ethnicity can increase or decrease one's risk of developing diabetes. Whilst in some cases this can be explained by access to healthcare and other socio-economic factors, studies have proved that even with equal access prevalence of diabetes differs between people of different ethnicity. Ethnicity facts Type 2 diabetes is up to 6 times more likely in people of South Asian descent [1] Type 2 diabetes is up to three times more likely in African and Africa-Caribbean people [1] Furthermore, diabetes affects different ethnic groups in different ways. Diabetes in India and China Although India and China are currently regarded as being the diabetes capitals of the world, to gain an appreciation of the variation of diabetes prevalence between different ethnic groups, the USA provides a valid model for study. The USA houses an enormously diverse ethnic mix. The National Health Interview Survey is one of the most comprehensive studies to date. In the USA, according to results from the study, it appears that black and Hispanic people are more likely to have diabetes than non-Hispanic whites. Furthermore, American Indians and Natives of Alaska are apparently more likely than any other minority to develop diabetes. Asian Americans and Pacific Islanders have also been found to be significantly more at risk of developing diabetes than non-Hispanic whites. Prevalence in ethnic minorities The prevalence of diabetes amongst ethnic minorities can also cause problems in terms of treatment and healthcare. The problems can stem from language barriers and non-ethnically sensitive prevention and treatment policies. Prevention through education Studies have repeatedl Continue reading >>
The burden of diabetes is much higher for racial/ethnic minorities than for whites. Minorities have a higher prevalence of diabetes than whites, and some minorities have higher rates of diabetes-related complications and death. Research results help in understanding these disparities and ways to reduce them. Diabetes, the sixth leading cause of death in the United States, is a chronic disease characterized by persistent hyperglycemia (high blood glucose levels). As of 1999, approximately 16 million Americans—5.9 percent of the total population—had been diagnosed with diabetes, and that number is increasing rapidly. In a healthy person, blood sugar levels, which fluctuate based on food intake, exercise, and other factors, are kept within an acceptable range by insulin. Insulin, a hormone produced by the pancreas, helps the body absorb excess sugar from the bloodstream. In a person with diabetes, blood sugar levels are not adequately controlled by insulin. From 1990 to 1998, the prevalence of type 2 diabetes increased by one-third—from 4.9 percent to 6.5 percent of the adult population. In type 2 diabetes, the pancreas produces some insulin, sometimes even large amounts; however, either the pancreas does not produce enough insulin or the body's cells are resistant to the action of insulin. Almost 800,000 people are expected to be newly diagnosed with the disease in 2001, and close to 200,000 will die from its complications. The burden of diabetes is much greater for minority populations than the white population. For example, 10.8 percent of non-Hispanic blacks, 10.6 percent of Mexican Americans, and 9.0 percent of American Indians have diabetes, compared with 6.2 percent of whites.1 Certain minorities also have much higher rates of diabetes-related complications an Continue reading >>
A national wake up call to intensify efforts to control the obesity crisis with added focus on diet, exercise and monitoring blood sugar According to a study published online in JAMA today, nearly 50% of adults living in the U.S. have diabetes or pre-diabetes, a condition where a person already has elevated blood sugar and is at risk to develop diabetes. Diabetes, a condition where blood sugar is elevated, may reflect lack of production of insulin to lower blood sugar (Type 1) or insulin resistance (Type 2), generally the result of obesity, poor diet or lack of exercise leading to the metabolic syndrome. Diabetes is a costly disease in the U.S, racking up an estimated 245 billion in 2012, related to consumption and utilization of health care resources as well as lost productivity, according to the researchers in the study. Diabetes can damage blood vessels, the eyes and kidneys, also resulting in poor wound healing and devastating soft tissue infections. And nearly 71,000 persons die annually due to complications associated with diabetes, based on recent statistics from the American Diabetes Association. Investigators in the study defined undiagnosed diabetes as those persons having a fasting blood sugar greater than 126 mg/dl or a hemoglobin A1C > 6.5 %, a measure of long term glucose control. Pre-diabetes was defined as having a fasting blood sugar 100-125 mg/dl, or a hemoglobin A1C of 5.7-6.4%. Researchers evaluated 5,000 patients who were part of a national survey designed to assess the prevalence of diabetes and explore trends in different subgroups and ethnicities. Results from the study indicated that in 2012, between 12% and 14% of adults had diabetes, the most recent data available. The majority of these diabetics are type 2, the result of poor diet, obesity an Continue reading >>
While the medical community is still learning about the causes of diabetes, we do know that the illness is caused by more than just poor dieting, especially in the case of type 1 diabetes. Obesity and an unhealthy lifestyle do increase a person’s susceptibility to type 2 diabetes, but there are many factors that can affect a person’s chances of developing either type of the disease, including family medical history, race and ethnicity, gender and age. Many racial and ethnic minority groups are less likely to develop type 1 diabetes, but are deeply affected by type 2 diabetes. According to the U.S. Office of Minority Health: American Indians (and Alaska Natives) are the minority group most affected by diabetes, with 14.2 percent of the adult population (aged 20 or older) diagnosed with the disease as of 2011. This number only reflects Native Americans being treated by Indian Health Services. Some statistics place prevalence among Native Americans as high as 16.1 percent. African Americans are twice as likely as white Americans to develop diabetes. The elderly African American community (65 and older), as well as African American women, are particularly affected. According to statistics from 2009, 12.6 percent of non-Hispanic blacks have been diagnosed with diabetes. Like African Americans, elderly Hispanic populations are also more susceptible to developing diabetes. Within the adult population – people 18 years of age and older –13.2 percent were diagnosed with diabetes. While the rate of diabetes among Hispanics is not as high as African American and indigenous communities, the Hispanic population sees an increased risk of death from the disease; numbers from 2008 place Hispanics as 50 percent more likely to die of diabetes than non-Hispanic white Americans. Wh Continue reading >>
AP/Marcio Jose SanchezSixty-eight percent of Hispanics had health insurance coverage in 2009 compared to 88 percent of white Americans. Below are the facts that outline racial and ethnic health care disparities in the United States. The reports “ Easing the Burden: Using Health Care Reform to Address Racial and Ethnic Disparities in Health Care for the Chronically Ill” and “ Measuring the Gaps: Collecting Data to Drive Improvements in Health Care Disparities” outline how robust implementation of provisions in the Affordable Care Act can help address these disparities and ensure that all Americans, regardless of race and ethnicity, get the quality health care services they need when they need them. Black or African American refers to people having origins in any of the black racial groups of Africa, including those of Caribbean identity. Health coverage Seventy-nine percent of African Americans had health coverage in 2009 compared to 88 percent of white Americans. A total of 16.6 percent of African Americans aged 18 years and over do not have a regular source of health care. Nearly half (46 percent) of nonelderly black adults who do not have insurance report having one or more chronic health conditions. Chronic health conditions Thirteen percent of African Americans of all ages report they are in fair or poor health. Adult obesity rates for African Americans are higher than those for whites in nearly every state of the nation—37 percent of men and nearly 50 percent of women are obese. African Americans have higher rates of diabetes, hypertension, and heart disease than other groups. Nearly 15 percent of African Americans have diabetes compared with 8 percent of whites. Asthma prevalence is also highest among blacks. Black children have a 260 percent higher emer Continue reading >>
1 | P a g e Definitions Prediabetes occurs when a person’s blood sugar is higher than normal but not as high as it would be with diabetes, and there may be no external symptoms of disease. Diabetes is a group of diseases marked by high levels of blood sugar due to defects in insulin production, insulin action, or both. Prevalence is the percentage of the population that has a certain existing condition. Prediabetes Although prediabetes is a precursor to diabetes, evidence shows that some people with prediabetes can return their blood sugar to normal levels, preventing or delaying progression to diabetes. People with prediabetes also have an increased risk of developing heart disease and stroke. Data from the telephone-based New Mexico (NM) Behavioral Risk Factor Surveillance System (BRFSS) show that 7.8% or 122,500 of NM adults aged 18 and older had diagnosed prediabetes in 2012-2013. Table 1: Estimated Diagnosed Prediabetes Prevalence (%) 2012-2013, NM BRFSS Have you ever been told by a doctor or other health professional that you have prediabetes or borderline diabetes? Percent of Adults Percent of Adults New Mexico 7.8 Health Region Female 7.5 Northwest 9.1 Male 8.2 Northeast 8 Metro 8.2 Age Group Southeast 7.2 18-39 years 4.1 Southwest 6.6 40-59 years 9.4 Household Income Race/Ethnicity < $15,000 9.7 American Indian/Alaska Native 12.6 $15-24,999 9.2 Asian/Native Hawaiian /Other Pacific Isle* 3.1 $25-34,999 8.8 Black/African American 12.3 $35-49,999 6.6 Hispanic 8.9 > $50,000 6.8 White 6.3 Data Source: New Mexico Department of Health, Behavioral Risk Factor Surveillance System (BRFSS), 2012 & 2013. Two years of data are used to increase the reliability of some of the rates. All rates except age group rates are age-adjusted to the 2000 US standard. * This estim Continue reading >>
Your racial and ethnic heritage may influence your heart disease risk, but lifestyle habits play a bigger role. Rates of high blood pressure, diabetes, and heart disease vary among people of different backgrounds. Adults living in the United States are more likely to die from heart disease than any other cause, regardless of their racial or ethnic heritage. But certain minority groups face a greater risk than others. These differences appear to stem from an increased prevalence of high blood pressure, diabetes, and obesity seen in some populations compared with white Americans. Still, teasing out the reasons isn't easy. Genetic differences do exist. But diversity within different racial and ethnic groups means that genetic traits common to some groups can't be generalized to an entire race. Many intertwined factors likely contribute to the higher heart disease rates seen among some groups. Their lower average incomes affect where they live, which in turn affects their access to healthy food, safe places to exercise, and quality health care. In other words, "your ZIP code is more important than your genetic code," says Dr. Eldrin Lewis, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. African Americans at risk But even after adjustment for factors related to socioeconomic differences, disparities in rates of heart disease and its risk factors persist, Dr. Lewis says. In the United States, nearly half of all black adults have some form of cardiovascular disease, compared with about one-third of all white adults. A genetic difference that predisposes blacks to high blood pressure might play a role. Some researchers suspect that people who lived in equatorial Africa developed a genetic predisposition to being salt-sensitive, which means their bodies retain Continue reading >>
Tweet Global studies on ethnic groups and minorities and the rising incidence of diabetes have revealed one factor in particular; ethnicity can increase or decrease one's risk of developing diabetes. Whilst in some cases this can be explained by access to healthcare and other socio-economic factors, studies have proved that even with equal access prevalence of diabetes differs between people of different ethnicity. Ethnicity facts Type 2 diabetes is up to 6 times more likely in people of South Asian descent [1] Type 2 diabetes is up to three times more likely in African and Africa-Caribbean people [1] Furthermore, diabetes affects different ethnic groups in different ways. Diabetes in India and China Although India and China are currently regarded as being the diabetes capitals of the world, to gain an appreciation of the variation of diabetes prevalence between different ethnic groups, the USA provides a valid model for study. The USA houses an enormously diverse ethnic mix. The National Health Interview Survey is one of the most comprehensive studies to date. In the USA, according to results from the study, it appears that black and Hispanic people are more likely to have diabetes than non-Hispanic whites. Furthermore, American Indians and Natives of Alaska are apparently more likely than any other minority to develop diabetes. Asian Americans and Pacific Islanders have also been found to be significantly more at risk of developing diabetes than non-Hispanic whites. Prevalence in ethnic minorities The prevalence of diabetes amongst ethnic minorities can also cause problems in terms of treatment and healthcare. The problems can stem from language barriers and non-ethnically sensitive prevention and treatment policies. Prevention through education Studies have repeatedl Continue reading >>
Short answer: Most often ancestry and environment together mould disease risk. Ancestry alone directly confers disease risk less often, specifically so in cases where single gene mutations have outsize effects. Tay–Sachs disease - Wikipedia, Sickle-cell disease - Wikipedia and Cystic fibrosis - Wikipedia are some well-known examples of the latter. Longer answer if interested Why It's So Difficult to Scientifically Tease Apart The Role Of Ancestry In Disease Causes Human ancestry is the outcome of choice that liberally pockmarks both past and present with gratuitous violence and calamities since it's a choice contrived to mediate and enforce differential access to resources. This choice manifests itself as caste, class, ethnicity, linguistic group, race, sect, tribe, etc. They're social, i.e., explicitly political and cultural, not biological categories (1) but they end up influencing biology anyway. Here's how. Human societies tend to practice some form of social stratification or another. Over time, differential access to critical healthful life-sustaining resources such as quality education, health care and nutrition impact health, especially since social stratification-engendered privations tend to be experienced across generations. Thus, health disparity is the outcome of historical inequities a particular social category experiences at the hands of what usually tends to be a long-prevailing hegemony. Persistence of social stratifications across generations thus end up influencing biology by differentially influencing disease risk through the human-created construct of health disparity. The ethically unambiguous and appropriate place for ancestry in biomedicine lies in helping to try to tease apart the relative contributions of health disparity versus genetic pred Continue reading >>