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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. In 2017, in Utah, diabetes as a cause of death dropped from seventh to eighth place.

How Are We Doing?

Utah death rates from diabetes have declined 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 2017, in the U.S., the age-adjusted rate was 21.5 per 100,000 population. For Utah in 2017 the rate was 22.9. In 2017, diabetes was listed as the underlying cause for 596 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 and Support (DSMES) 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. A list of DSMES programs in Utah is available at [http://livingwell.utah.gov/ livingwell.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]] [http://www.diabetes.org/][[br]] 888-DIABETES Association of Diabetes Educators [[br]] [http://www.diabeteseducator.org][[br]] 800-338-3633 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] Also see [http://livingwell.utah.gov/ livingwell.utah.gov] for a list of diabetes education classes in Utah.

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

In 2017 diabetes was the eighth leading cause of death in Utah and seventh in the nation. People of minority race (particularly American Indian and Pacific Islander) had an increased risk of dying from diabetes.

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, 2015-2017

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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. There was considerable variation in age-adjusted death rates by local health district. TriCounty, San Juan, and Tooele had the highest rates.
Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River27.022.232.5
Central25.719.832.9
Davis County24.220.828.0
Salt Lake County25.723.827.7
San Juan38.522.761.1
Southeast21.214.330.2
Southwest17.014.320.0
Summit11.75.023.2*
Tooele31.422.742.2
TriCounty42.832.755.0
Utah County22.419.625.5
Wasatch18.79.732.8
Weber-Morgan24.821.228.8
State of Utah24.022.925.2

Data Notes

Age-adjusted to the 2000 U.S. standard population using 11 age groups. *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is unreliable.

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 2017


Diabetes as an Underlying Cause of Death by Utah Small Area, 2013-2017

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confidence limits

Because the number of deaths from diabetes is relatively small, this chart uses five years of death data to obtain reliable death rates. Still, 19 small areas have estimates that do not meet UDOH standards for reliability.
Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 100
Brigham City31.922.444.1
Box Elder Co (Other) V236.220.958.4
Tremonton34.021.451.2
Logan V228.621.038.0
North Logan19.310.732.1
Cache (Other)/Rich (All) V226.016.039.9
Hyrum18.24.747.9*
Smithfield23.511.642.6*
Ben Lomond27.721.535.3
Weber County (East)14.79.321.9
Morgan County9.92.625.8*
Ogden (Downtown)39.229.351.4
South Ogden24.017.332.4
Roy/Hooper29.422.038.5
Riverdale30.922.241.8
Clearfield Area/Hooper39.931.050.7
Layton/South Weber27.421.434.7
Kaysville/Fruit Heights19.312.528.4
Syracuse23.412.141.0
Centerville17.79.829.3
Farmington11.35.121.5*
North Salt Lake12.95.326.3*
Woods Cross/West Bountiful15.04.735.7*
Bountiful24.118.830.5
SLC (Rose Park)31.222.142.7
SLC (Avenues)9.34.916.1
SLC (Foothill/East Bench)8.54.414.7
Magna49.034.168.2
SLC (Glendale) V254.538.774.7
West Valley (Center)40.030.851.1
West Valley (West) V250.932.276.5
West Valley (East) V236.427.946.7
SLC (Downtown) V236.827.747.9
SLC (Southeast Liberty)16.38.428.6
South Salt Lake63.449.080.6
SLC (Sugar House)23.516.931.8
Millcreek (South)8.24.613.5
Millcreek (East)13.48.121.0
Holladay V220.314.527.6
Cottonwood19.714.725.7
Kearns V237.626.551.9
Taylorsville (E)/Murray (W)31.623.142.1
Taylorsville (West)27.819.738.2
Murray25.818.934.4
Midvale36.226.748.0
West Jordan (Northeast) V231.020.245.4
West Jordan (Southeast)24.615.836.4
West Jordan (W)/Copperton35.119.757.7
South Jordan V227.219.636.6
Daybreak48.415.6113.5*
Sandy (West)25.016.935.7
Sandy (Center) V229.720.341.9
Sandy (Northeast)18.711.429.0
Sandy (Southeast)10.95.419.5
Draper28.217.842.4
Riverton/Bluffdale27.117.739.8
Herriman29.514.852.7
Tooele County (Other)15.97.330.2*
Tooele Valley31.223.141.3
Eagle Mountain/Cedar Valley23.55.365.7*
Lehi24.816.535.8
Saratoga Springs21.26.053.4*
American Fork30.722.241.4
Alpine10.72.927.4*
Pleasant Grove/Lindon21.414.830.0
Orem (North)23.715.734.2
Orem (West)25.016.436.6
Orem (East)22.514.533.3
Provo/BYU17.511.725.2
Provo (West City Center)36.324.152.4
Provo (East City Center)29.414.453.5*
Salem City12.33.331.5*
Spanish Fork24.415.836.0
Springville24.115.635.4
Mapleton18.36.540.4*
Utah County (South) V240.820.572.8
Payson22.413.235.4
Park City7.11.620.0*
Summit County (East)32.617.854.7
Wasatch County31.220.944.8
Daggett and Uintah County42.332.454.1
Duchesne County37.325.353.0
Nephi/Mona24.911.347.7*
Delta/Fillmore13.15.625.8*
Sanpete Valley18.911.130.1
Central (Other)30.121.041.9
Richfield/Monroe/Salina38.826.854.4
Carbon County30.220.942.2
Emery County7.52.019.6*
Grand County15.97.429.8*
Blanding/Monticello36.220.260.0
San Juan County (Other)53.729.789.3
St. George16.913.620.8
Washington Co (Other) V226.014.343.4
Washington City15.19.223.4
Hurricane/La Verkin20.413.329.9
Ivins/Santa Clara23.113.536.9
Cedar City18.812.926.6
Southwest LHD (Other)23.616.333.1
State of Utah25.124.226.0

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 the Methodology and Guidelines page: [https://ibis.health.utah.gov/resource/Guidelines.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 2017


Diabetes as an Underlying Cause of Death, Utah and U.S., 1999-2017

::chart - missing::
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.
Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 38
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
Utah201125.823.728.0
Utah201224.622.526.8
Utah201325.423.427.6
Utah201424.222.326.3
Utah201524.722.826.8
Utah201624.522.626.6
Utah201722.921.124.9
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.200424.724.624.9
U.S.200524.924.825.1
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
U.S.201521.321.121.4
U.S.201621.020.921.2
U.S.201721.521.321.6

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 are available through CDC WONDER Online Database

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 2017
  • 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 by Race, Utah, 2015-2017

::chart - missing::
confidence limits

American Indian and Native Hawaiian/Pacific Islander Utahns had exceptionally high death rates due to diabetes.
RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan52.536.473.2
Asian17.011.224.9
Black46.128.969.7
Pacific Islander60.439.987.8
White22.521.523.6
All Races23.322.224.4

Data Notes

All races may be of Hispanic/Latino or non-Hispanic/Latino ethnicity.[[br]] Data shown are for 2015-2017 (combined years) and age-adjusted to the 2000 U.S. standard population using three age categories (0-44, 45-64, 65 and over).

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 2017


Death Rates for Diabetes as an Underlying Cause of Death by Ethnicity, Utah, 2015-2017

::chart - missing::
confidence limits

Members of the Hispanic population had a slightly higher age-adjusted death rate than members of the non-Hispanic population.
Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic26.622.131.6
Non-Hispanic23.122.024.2
All Utahns23.322.224.4

Data Notes

Age-adjusted to the 2000 U.S. population using three age groups (0-44, 45-64, 65 and over).

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 2017

References and Community Resources

American Diabetes Association[[br]] [http://www.diabetes.org][[br]] [[br]] Division of Diabetes Translation, Centers for Disease Control and Prevention[[br]] [http://www.cdc.gov/diabetes][[br]] [[br]] CDC Wonder, [http://wonder.cdc.gov][[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.

Page Content Updated On 12/18/2018, Published on 12/19/2018
Healthy Living Through Environment, Policy and Improved Clinical Care (EPICC), Bureau of Health Promotion, Division of Disease Control and Prevention, Utah Department of Health, Salt Lake City, UT 84114-2107, Contact: Brenda Ralls, 801-538-6083, Email: bralls@utah.gov or McKell Drury, 801-538-6896, Email: mdrury@utah.gov
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 Wed, 21 August 2019 13:55:27 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 20 Jun 2019 13:03:27 MDT