DefinitionPercentage of Utah adults (18+) diagnosed with diabetes.
NumeratorNumber of Utah adults who reported being told by a health care professional that they have diabetes (excludes women who were told they had diabetes only during pregnancy or those who reported they had "borderline" or prediabetes).
DenominatorUtah adults 18 and over.
Data Interpretation IssuesThe Behavioral Risk Factor Surveillance System (BRFSS) is the primary source for estimating diabetes prevalence for Utah. The BRFSS is a telephone survey (with interviews using both landline and cell phones) that includes only adults 18 and over.
Why Is This Important?More than 180,000 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. Nationally, approximately $245 billion is spent annually: $176 billion in direct medical costs and $69 billion in indirect medical costs (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 is spent on direct and indirect medical costs of diabetes.
Currently, about 80 million Americans aged 20 and older have prediabetes, 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.
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 ObjectivesHealthy People 2030 (HP 2030) emphasizes reducing the incidence of diabetes. HP 2030 Objective D-01 is "Reduce the number of diabetes cases diagnosed yearly."
How Are We Doing?The rising prevalence of diabetes in Utah appears to be 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 prediabetes. Prediabetes 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 prediabetes. 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.
How Do We Compare With the U.S.?According to the 2020 Behavioral Risk Factor Surveillance System (BRFSS), Utah adults have an age-adjusted rate of 8.6% of diagnosed with diabetes, compared to the U.S. age-adjusted rate of 10.0%.
(Note: An age-adjusted rate is an artificial rate that "adjusts" for differences in age distributions between populations).
What Is Being Done?The Healthy Environments Active Living (HEAL) 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, firstname.lastname@example.org. More information is available on the [http://livingwell.utah.gov/ Living Well Utah website].
The HEAL program is working statewide to increase the number of locations that offer DSME and also promote DSME to eligible participants.
The 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 Classes have been shown to improve blood sugar control among participants. In Utah, programs are available that are recognized by the American Diabetes Association or certified by the American Association of Diabetes Educators. Information on classes in Utah is available on the [http://livingwell.utah.gov/ Living Well Utah website].
Health Program InformationThe Utah Department of Health Resource Line can provide information about enrolling in diabetes self-management classes. Call 1-888-222-2542 for more information.
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.
The HEAL Program aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control.
The primary program strategies include:
*Increasing healthy nutrition and physical activity environments in K-12 schools
*Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool)
*Increasing healthy nutrition and physical activity environments in worksites
*Improving awareness of prediabetes and hypertension for Utahns
*Improving the quality of medical care for people with diabetes and hypertension
*Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension
*Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity.
*Improving care and management of students with chronic conditions in Utah schools