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Complete Health Indicator Report of Deaths due to Diabetes as Underlying Cause

Definition

Diabetes as the underlying cause of death refers to the first-listed cause of death with ICD-10 codes E10-E14.

Numerator

Number of deaths with diabetes as the underlying cause of death.

Denominator

Number of Utah residents.

Why Is This Important?

Diabetes is a leading cause of disability and death. It is currently the seventh leading cause of death in the U.S and in Utah.

Healthy People Objective D-3:

Reduce the diabetes death rate
U.S. Target: 66.6 deaths per 100,000 population
State Target: 22.0 deaths per 100,000 population

How Are We Doing?

Utah death rates have declined steadily since 1999.

How Do We Compare With the U.S.?

Rates for diabetes deaths in Utah are consistently higher than those for the U.S. Age-adjusted rates are used in this indicator to account for the differences in age composition between the U.S. and Utah. In 2014, in the U.S., the age-adjusted rate was 20.9 per 100,000, while in Utah the rate was 24.1. In 2014, diabetes was listed as the underlying cause for 567 deaths in Utah.

What Is Being Done?

Diabetes educators play a prominent role in providing information about nutrition, exercise, and blood glucose monitoring. Diabetes education for all people with diabetes is encouraged. The Utah Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program promotes diabetes education throughout the state. EPICC also provides monthly Telehealth broadcasts to update health care professionals on the latest diabetes treatments and research. EPICC meets with representatives from local health insurance plans to discuss opportunities for quality improvement in treatment for their clients with diabetes.

Evidence-based Practices

Diabetes Self-Management Education (DSME) has been shown to improve blood glucose control in people with diabetes. Education programs may be certified by the American Diabetes Association or the Association of Diabetes Educators. The DPCP has a list of education programs on its website at [http://www.choosehealth.utah.gov].

Available Services

The Utah Department of Health has a Health Resource hotline: 1-888-222-2542. Please call this number for information about self-management programs in Utah. The Healthy Living through Environment, Policy and Improved Clinical Care (EPICC) website provides information of diabetes self-management classes. For information, please visit [http://www.choosehealth.utah.gov/your-health/lifestyle-change/dsme.php]. American Diabetes Association[[br]] 4424 South 700 East, Suite 100[[br]] Salt Lake City, Utah 84107[[br]] 801-363-3024 [[br]] 888-DIABETES Utah Diabetes Center[[br]] Research Park[[br]] 615 Arapeen Drive[[br]] Salt Lake City, UT[[br]] (801) 581-7761[[br]] [http://uuhsc.utah.edu/utahdiabetescenter] American Heart Association[[br]] 1937 S. 300 W. #120[[br]] Salt Lake City, UT 84115[[br]] (801) 484-3838 or[[br]] 1-800-242-8721[[br]] [http://www.heart.org] Association of Diabetes Educators [[br]] [http://www.diabeteseducator.org]

Health Program Information

EPICC works with health care providers, including diabetes educators, community health centers, and health plans to improve the care provided to Utahns with diabetes.


Related Indicators

Relevant Population Characteristics

Diabetes is the sixth leading cause of death in Utah and seventh in the nation. People who are of minority race or ethnicity (particularly African American, Hispanic/Latino, or Native American) have an increased risk of dying from diabetes. Rates of death for diabetes tend to be higher for females than for males.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Regular check-ups and laboratory exams are essential for detecting early signs of complications. With adequate preventive care and regular routine physician visits, some diabetes deaths could be prevented. Many diabetes-related problems, such as hypertension and early end-stage renal disease, go undetected and are diagnosed only after serious complications have developed. This issue is particularly pronounced among people without insurance who often do not have the resources to seek regular, routine care for their diabetes.

Related Health Care System Factors Indicators:


Risk Factors

Risk factors for diabetes include age, obesity, sedentary lifestyle, family history, hypertension, and dyslipidemia. The more risk factors a person has, the greater his or her chance of developing diabetes. Prediabetes is a condition in which a person's blood sugar levels are elevated but not quite high enough to meet the clinical threshold for diabetes. Unless steps are taken, most people with prediabetes will develop type 2 diabetes. Having had gestational diabetes during pregnancy is also a risk factor for developing type 2 diabetes.

Related Risk Factors Indicators:


Health Status Outcomes

Uncontrolled diabetes can lead to debilitating health problems. People with diabetes have an excess risk for kidney failure, blindness, non-traumatic lower extremity amputations, and neuropathy (nerve damage). People with diabetes are more likely to report their health as "fair" or "poor" than people without diabetes.

Related Health Status Outcomes Indicators:




Graphical Data Views

Diabetes as an Underlying Cause of Death by Local Health District, Utah, 2013-2015

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confidence limits

The estimates for the local health districts use three years of combined data so that reliable estimates could be obtained.
Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 14
Bear River24.820.030.2
Central21.716.228.3
Davis County23.319.927.1
Salt Lake County26.724.728.8
San Juan53.133.180.9
Southeast20.913.830.2
Southwest17.815.021.1
Summit16.07.929.1
Tooele24.416.634.6
TriCounty38.829.250.6
Utah County24.521.427.8
Wasatch43.226.566.5
Weber-Morgan25.221.529.3
State of Utah24.723.526.0

Data Notes

Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries. Age-adjusted to the 2000 U.S. standard population using 11 age groups.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • National Center for Health Statistics


Diabetes as an Underlying Cause of Death by Utah Small Area, 2013-2015

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confidence limits

{{style color:red NOTE: We are in the process of updating the Utah Small Areas. This graph view depicts the old Small Areas. This graph view will be updated to the new Small Areas soon.}} Because the number of deaths from diabetes is relatively small, this chart uses three years of death data to obtain reliable death rates.
Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 64
Brigham City33.921.551.0
Box Elder Co (Other)34.721.952.2
Logan21.214.230.4
Cache Co (Oth)/Rich Co (All)23.114.036.0
Ben Lomond30.522.041.2
Morgan Co (All)/Weber Co (E)12.46.920.7
Ogden (Downtown)36.424.552.0
South Ogden23.114.834.3
Roy/Hooper26.217.238.0
Riverdale33.822.149.5
Clearfield/Hill AFB40.428.755.2
Layton25.618.035.2
Syracuse/Kaysville19.812.330.2
Farmington/Centerville12.46.321.7
Woods Cross/North Salt Lake11.84.525.3Unreliable estimate
Bountiful26.919.436.3
SLC (Rose Park)37.324.354.6
SLC (Avenues)13.16.423.8Unreliable estimate
SLC (Foothill/U of U)8.33.416.7Unreliable estimate
Magna57.536.685.8
SLC (Glendale)57.839.681.7
West Valley (West)36.026.148.5
West Valley (East) V237.526.551.6
SLC (Downtown)33.724.146.0
South Salt Lake68.249.392.1
Millcreek18.712.926.1
Holladay16.011.222.3
Cottonwood20.814.329.3
Kearns V236.022.355.0
Taylorsville (E)/Murray (W)34.423.049.4
Taylorsville (West)24.114.737.2
Murray23.415.134.8
Midvale28.217.742.5
West Jordan (NE) V236.821.059.7
West Jordan (SE)29.817.048.4
West Jordan (W)/Copperton31.513.063.9unreliable estimate
South Jordan23.915.335.7
Sandy (Center)28.920.639.4
Sandy (NE)20.210.535.0
Sandy (SE)9.93.422.3Unreliable estimate
Riverton/Draper27.018.837.7
Tooele Co25.217.135.7
Lehi/Cedar Valley27.917.642.0
American Fork/Alpine27.618.339.8
Pleasant Grove/Lindon25.015.737.8
Orem (North)23.913.838.5
Orem (West)29.717.746.8
Orem (East)25.414.541.4
Provo (North)/BYU21.613.233.4
Provo (South)36.723.454.9
Springville/Spanish Fork23.116.331.9
Utah Co (South)26.515.442.4
Summit Co18.18.633.4
Wasatch Co40.224.961.6
TriCounty LHD38.328.850.0
Juab/Millard/Sanpete Co17.611.525.9
Sevier/Piute/Wayne Co32.121.246.5
Carbon/Emery Co23.815.135.8
Grand/San Juan Co36.523.953.4
St George18.914.324.4
Washington Co (Other)19.614.126.4
Cedar City17.110.027.2
Southwest LHD (Other)21.512.833.9
State25.524.326.8

Data Notes

Age-adjusted to the 2000 U.S. standard population using 11 age groups. Unreliable Estimates: Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2015


Diabetes as an Underlying Cause of Death, Utah and U.S., 1999-2015

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confidence limits

Diabetes death rates for Utah have exceeded rates for the U.S. In general, death rates for diabetes for both the U.S. and Utah have been declining. Diabetes death rate for U.S. for 2015 are currently not available.
Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 33
Utah199931.929.034.9
Utah200034.331.437.4
Utah200132.229.435.1
Utah200231.829.134.7
Utah200331.328.634.1
Utah200428.626.131.3
Utah200530.928.333.6
Utah200626.824.529.3
Utah200728.626.231.1
Utah200823.821.626.0
Utah200922.320.324.5
Utah201022.420.424.6
Utah201125.723.628.0
Utah201224.622.526.7
Utah201325.323.327.5
Utah201424.122.226.2
Utah201524.622.626.6
U.S.199925.024.825.2
U.S.200025.024.925.2
U.S.200125.425.225.5
U.S.200225.625.425.8
U.S.200325.525.325.7
U.S.200424.524.624.9
U.S.200524.724.825.1
U.S.200623.623.423.7
U.S.200722.822.622.9
U.S.200822.021.922.2
U.S.200921.020.921.2
U.S.201020.820.721.0
U.S.201121.621.521.8
U.S.201221.221.021.3
U.S.201321.221.021.3
U.S.201420.920.821.1

Data Notes

Age-adjusted to the 2000 U.S. standard population using 11 age groups. [[br]] ICD-10 codes were used to define causes of death beginning in 1999. [[br]] For U.S. data for years 1999-2014 are available through CDC WONDER Online Database, Underlying Cause of Death 1999-2014, Centers for Disease Control and Prevention, National Center for Health Statistics.[[br]] U.S. data for all other years is drawn from the Centers for Disease Control and Prevention (CDC), National Center for Health Statistics, Division of Vital Statistics, National Vital Statistics Report available at [http://www.cdc.gov/nchs].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • U.S. Centers for Disease Control and Prevention, on-line data - CDC WONDER
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Diabetes as an Underlying Cause of Death (Age-adjusted Rates) by Race, Utah, 2013-2015

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confidence limits

American Indian and Native Hawaiian/Pacific Islander Utahns have exceptionally high death rates due to diabetes. Data shown are for 2013-2015 (combined years) and age-adjusted to the 2000 U.S. standard population using three age categories.
RaceDeaths per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan63.445.247.2
Asian23.415.833.5
Black27.514.647.2
Pacific Islander70.946.3104.0
White22.921.824.0
All Races23.622.424.7

Data Notes

All races may be of Hispanic/Latino or non-Hispanic/Latino ethnicity.[[br]] Age-adjusted using 3 age groups.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015


Age-adjusted Death Rates for Diabetes as an Underlying Cause of Death by Ethnicity, Utah, 2015

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confidence limits

Although Hispanic adults have a higher diabetes death rate than non-Hispanic adults, the differences are not statistically significant.
Hispanic EthnicityDeaths per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic37.127.050.0
Non-Hispanic24.022.026.1
All Utahns24.622.626.6

Data Notes

Age-adjusted to the 2000 U.S. population using 10 age groups.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015

References and Community Resources

American Diabetes Association[[br]] 1-888-DIABETES[[br]] Salt Lake City, UT 84102[[br]] (801) 363-3024[[br]] [http://www.diabetes.org] __References:__[[br]] 1. Utah Death Records, Office of Vital Records and Statistics, Utah Department of Health[[br]] 2.CDC Wonder, [http://wonder.cdc.gov][[br]] 3. American Diabetes Association, Clinical Practice Recommendations, 2006. Vol 29 Supplement 1, Jan. 2006.[[br]] 4. National Vital Statistics Reports, Vol. 63, No. 9, August 31, 2015, Table 5. Death rates by age, and age-adjusted death rates, for the 15 leading causes of death in 2012: United States.[[br]]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 12/02/2016, Published on 12/15/2016
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 15 October 2018 6:26:19 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:44 MDT