PHOM Indicator Profile Report of Diabetes Prevalence
Why Is This Important?More than 150,000 Utahns have been diagnosed with diabetes. Diabetes is a disease that can have devastating consequences. It is the leading cause of non-traumatic lower-extremity amputation and renal failure. It is also the leading cause of blindness among adults younger than 75. It is one of the leading causes of heart disease. Diabetes places an enormous burden on health care resources, approximately $245 billion is spent annually [in direct medical costs ($176 billion) and in indirect costs ($69 billion) such as disability, work loss, and premature death]. (See [https://www.ncbi.nlm.nih.gov/pubmed/23468086 Economic costs of diabetes in the U.S. in 2012]). In Utah, more than a billion dollars each year are spent on direct and indirect costs of diabetes. 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 small steps, such as losing 5-7 percent of their weight or increasing physical activity, can help them delay or prevent developing diabetes.
Data for the local health districts (LHDs) used two years of combined data (2016 and 2017) so that reliable estimates for LHDs could be obtained. Summit County Local Health District had a lower rate than the state. Tooele County and TriCounty Local Health Districts had rates that were higher than the state. The overall rate for the state was 7.7% with two years of data combined (2016-2017).
Data SourceUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
Data Notes"Don't know" and "Refused" responses were eliminated from the denominator. In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Data has been updated from 2011 onward in all chart views to reflect this change. [[br]][[br]]Age-adjusted to U.S. 2000 standard population.
Risk FactorsBeing overweight or obese is a major risk factor for developing diabetes. The risk of developing diabetes can be substantially reduced through weight loss and regular physical activity. The Diabetes Primary Prevention Study (DPP) showed that weight loss and participation in regular physical activity can significantly decrease the risk. The DPP clinical trial included over 3,000 people who had impaired fasting glucose and were at an increased risk for developing diabetes. Participants who engaged in moderately intense physical activity for 30 minutes per day and lost 5 to 7 percent of their body weight decreased their risk of diabetes dramatically. This behavioral activity was effective for all participants in the study, regardless of age or ethnic group (see [http://www.niddk.nih.gov/about-niddk/research-areas/diabetes/diabetes-prevention-program-dpp/Pages/default.aspx]). Some risk factors cannot be modified, such as older age or membership in a minority racial or ethnic group. Nevertheless, risk can be substantially reduced through adhering to a nutritious diet and participating in regular physical activity.
How Are We Doing?The rising prevalence of diabetes in Utah appears to slowing. However, many Utah adults are overweight or obese, and/or lead sedentary lifestyles, adding to the number of people at risk for developing diabetes. A large number of individuals have pre-diabetes. Pre-diabetes is a condition in which blood sugar rates are elevated but not yet high enough to reach the clinical threshold of a diabetes diagnosis. An estimated 86 million Americans age 20 and older have pre-diabetes. Unless those individuals take steps to reduce their risk of diabetes, such as increasing physical activity, eating a more nutritious diet, or losing weight, the majority will have diabetes within 10 years.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program encourages people with diabetes to enroll in a diabetes self-management education class. These classes have been shown to help individuals develop the skills they need to manage their diabetes and are usually taught by dietitians, nurses, or pharmacists, who may also hold the status of Certified Diabetes Educator (CDE). CDEs have considerable expertise in diabetes management and understand what the individual with diabetes is going through. The Utah Arthritis Program supports Chronic Disease Self-Management Programs and Diabetes Self-Management Programs throughout the state. (This program is also called the Living Well with Chronic Conditions Program.) This six-week program is available throughout the state at no cost and taught by community members. Information is available from Nichole Shepard, 801-538-6259, email@example.com. More information is available at [http://livingwell.utah.gov/ livingwell.utah.gov].
Healthy People Objective: Reduce the annual number of new cases of diagnosed diabetes in the populationU.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
Date Indicator Content Last Updated: 11/06/2018
- Age-adjusted Rates by Year, Utah and U.S., 2000-2017
- Utah and U.S. Crude Rates by Year, 2000-2017
- by Local Health District, Utah, 2016-2017
- by Utah Small Area, 2013-2017
- Crude Rates by Age and Sex, Utah, 2016-2017
- by Education, Utah, 2017
- by Income, Utah, 2017
- by Ethnicity, Utah, 2017
- by Race, Utah, 2015-2017