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Health Indicator Report of Prediabetes

The threshold for a clinical diagnosis of diabetes is 126 mg/dL (note that a diagnosis for diabetes generally requires at least two blood sugar tests for confirmation of the diagnosis). The American Diabetes Association defines "prediabetes" as a fasting plasma glucose level between 100 mg/dL and 125 mg/dL. A1C tests are commonly used for diagnosing prediabetes (greater than or equal to 5.7% and less than 6.5%). Another test used is the Oral Glucose Tolerance Test. Values between 140 mg/dL and 199 mg/dL indicate prediabetes. Diabetes can be a serious, deadly, and costly disease. Although blood sugar levels for prediabetes do not meet the clinical threshold for a diagnosis of diabetes, individuals with prediabetes still have an increased risk for type 2 diabetes, heart disease, and stroke. These individuals are at a greatly elevated risk for developing diabetes; however, many of them are unaware of their condition. Approximately half of individuals diagnosed with prediabetes progress to overt diabetes within ten years. Steps can be taken to prevent progression. Simple lifestyle changes, such as losing weight, eating more fruits and vegetables, and increasing physical activity, can reduce the risk of conversion to type 2 diabetes. In simple terms, prediabetes is what precedes diabetes. And, if you don't change some behaviors, you may get diabetes. More information about the clinical thresholds for prediabetes can be found at [http://www.diabetes.org/diabetes-basics/diagnosis].

Prediabetes by Age, Utah, 2012-2014

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

Data Interpretation Issues

Data for this indicator come from the Utah Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey that asks adults to self-report whether or not they have certain conditions. Respondents were asked to report if they had ever been told by a health care professional if they had prediabetes. The term "prediabetes" is often called impaired fasting glucose or insulin resistance. It is also sometimes referred to as "borderline diabetes." An individual may actually have "prediabetes" but respond with "No," as he or she may be interpreting the question literally. Respondents who answer "Yes" to the question, "Have you ever been told by a doctor or other health professional that you have prediabetes or borderline diabetes?" are considered to have prediabetes. In addition, individuals who volunteer that they have prediabetes or borderline diabetes but answered "No" in response to the question, "Has a doctor, nurse, or other health professional EVER told you that you had diabetes?" are also counted as having prediabetes.

Definition

Prediabetes is a condition where blood sugar levels are elevated but not high enough to reach a threshold for diabetes.

Numerator

Number of adults who have been told by a doctor they have prediabetes.

Denominator

All Utah adults.

Healthy People Objective D-1:

Reduce the annual number of new cases of diagnosed diabetes in the population
U.S. Target: 7.2 new cases per 1,000 population aged 18 to 84 years
State Target: 7.2 new cases per 1,000 population aged 18 to 84 years

Other Objectives

The current crude rate of prediabetes is 5.3% of adults (BRFSS 2014). A Utah Department of Health objective is to increase the percentage of adults reporting they have been told by a health care provider that they have prediabetes by 1% by July 2015. This increase of 1% does not necessarily reflect an actual increase in the prevalence; but rather, an increase in awareness.

How Are We Doing?

The Centers for Disease Control and Prevention (CDC) estimates that about one-third of U.S. adults (aged 20 and over) have prediabetes. Most people with prediabetes do not know they have it. Prediabetes is a fairly new term, even in the medical field, and the Utah Department of Health is working hard to increase awareness of this condition. Once individuals are aware of that they have prediabetes and an increased risk of developing diabetes and other cardiovascular complications, they can make the necessary lifestyle changes to prevent or at least delay progression to type 2 diabetes.

How Do We Compare With the U.S.?

About 86 million Americans (roughly 35% of adults aged 20 years and older) have prediabetes. The Utah Behavioral Risk Factor Surveillance System measures awareness of prediabetes. Nationally, about one of three adults aged 20 and over, actually have prediabetes but most have not been formally diagnosed. In Utah, about 5.3% of adults have been told by a provider that they have prediabetes (BRFSS 2014). The actual percentage is probably much higher. Adults in the U.S. generally have a higher rate of being diagnosed with prediabetes. National BRFSS data from 2014 indicated that 8.1% of adults in the U.S. had been told by a health care provider that have prediabetes. For the same year in Utah, 5.7% of adults had ever been told by a health care professional that they had prediabetes (age-adjusted rates).

What Is Being Done?

In 2013, the Utah Department of Health (UDOH) received funding to increase awareness of prediabetes. While it may seem counter-intuitive, the UDOH is working towards increasing the prevalence of prediabetes. National data suggest that many individuals have prediabetes but have not been told so by a health care provider. The UDOH is working to increase awareness of this condition among health care providers as well as individuals at risk.

Evidence-based Practices

The Centers for Disease Control and Prevention (CDC) promotes the Diabetes Prevention Recognition Program (DPRP) as part of its efforts to prevent diabetes. The DPRP provides recognition to qualified organizations that can effectively deliver a lifestyle change intervention program. In most states, participants pay to attend the program. The program consists of 16 sessions taught by a trained lifestyle coach. The program includes at least six additional follow-up sessions. DPRP-recognized programs submit reports to DPRP every six months with data on participants' progress. More information is available at [http://www.cdc.gov/diabetes/prevention/recognition/index.htm].

Health Program Information

Increasing awareness of prediabetes is one of many new activities conducted by the new Healthy Living through Environment, Policy and Improved Clinical Care (EPICC) Program. EPICC supports environmental and policy changes that will assist individuals in their efforts to increase physical activity and increase consumption of healthful fruits and vegetables and nutritious beverages. EPICC's ultimate goal is to provide a sustainable environment that promotes healthful behaviors.
Page Content Updated On 12/30/2016, Published on 12/30/2016
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 Thu, 23 March 2017 0:14:50 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, 30 Dec 2016 14:08:08 MST