DefinitionDiabetes as the underlying cause of death refers to the first-listed cause of death with ICD-10 codes E10-E14.
NumeratorNumber of deaths with diabetes as the underlying cause of death.
DenominatorNumber 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.
Healthy People Objective D-2.1:(Developmental) Reduce the rate of all-cause mortality among the population with diabetes
U.S. Target: Developmental
How Are We Doing?Utah death rates from diabetes were in decline from 1999 to 2008. From 2009 to 2017 death rates from diabetes have remained relatively the same. However, since 2018 the death rates have been increasing slightly.
How Do We Compare With the U.S.?Between 1999 to 2008 rates for diabetes deaths in Utah were consistently higher than those for the U.S. However, since 2008 Utah had similar death rates for diabetes compared to 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 2018 the rate was 23.5. In 2018, diabetes was listed as the underlying cause for 629 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 Healthy Environments Active Living ([https://heal.health.utah.gov/ HEAL]) Program promotes diabetes education throughout the state.
Staff from the HEAL Program meet with representatives from local health insurance plans to discuss opportunities for quality improvement in treatment for their clients with diabetes.
The HEAL program is working statewide to increase the number of locations that offer DSME and also promote DSME to eligible participants.
National DPP is also an evidence-based program to prevent type 2 diabetes. The HEAL program works with statewide partners to promote the National DPP to eligible Utahns and also is working to expand National DPP sites across the state.
Evidence-based PracticesDiabetes Self-Management Education and Support ([https://www.cdc.gov/diabetes/managing/education.html 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 Care and Education Specialists. A list of DSMES programs available in Utah is available at [https://livingwell.utah.gov/program.php?grp=diab] or [https://heal.health.utah.gov/dsmes-programs/].
Health Program InformationStaff from the [https://heal.health.utah.gov/ HEAL] Program work with health care providers, including diabetes educators, dietitians, pharmacists, community health centers, community health workers, work-sites, and health plans to improve the care provided to Utahns with diabetes.
Originally known as EPICC, (The Healthy Living through Environment, Policy, and Improved Clinical Care Program), the Healthy Environments Active Living (HEAL) Program is a program within the Utah Department of Health Bureau of Health Promotion. HEAL focuses on enabling education and engaged change for public health by engaging its three main audiences: individuals, partners, and decision-makers. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites.