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Health Indicator Report of Prediabetes

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. A1C levels greater than or equal to 5.7% and less than 6.5% are used to indicate prediabetes. Another test used is the Oral Glucose Tolerance Test. Values between 140 mg/dL and 199 mg/dL indicate prediabetes. 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 heart disease, stroke, and type 2 diabetes. However, many people with prediabetes are unaware of their condition. Once individuals are aware of that they have prediabetes and of their increased risk of developing diabetes and cardiovascular complications, they can make the necessary lifestyle changes to prevent or at least delay progression to type 2 diabetes. Steps can be taken to prevent progression to diabetes. Simple lifestyle changes, such as losing weight, eating more fruits and vegetables, and increasing physical activity, can reduce the risk of developing type 2 diabetes. Without making lifestyle changes, approximately half of individuals diagnosed with prediabetes progress to diabetes within ten years. More information about the clinical thresholds for prediabetes can be found at [http://www.diabetes.org/diabetes-basics/diagnosis].
Higher rates in the graph may indicate higher prevalence of prediabetes; however, higher rates may also mean that some local health districts have higher detection rates of prediabetes.

Prediabetes Age-adjusted Rates by Local Health District, Utah, 2014 and 2016-2017

Notes

In 2016, Utah BRFSS modified its methodology for age adjustment to increase precision of the estimates. With this change Utah data is more consistent with both the U.S. and other states using IBIS. Data used in graphs from 2011 forward have been updated to reflect this change.   [[br]][[br]]Age-adjusted to U.S. 2000 standard population. *Use caution in interpreting. The estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

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 respondents 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 the health care provider may not have actually said he/she had prediabetes.

Definition

Percentage of adults who have ever been told by a doctor or other health professional that they have prediabetes or borderline diabetes. Prediabetes is a condition in which an individual's blood sugar level is elevated but not high enough to reach a clinical diagnosis 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

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. The Utah Department of Health (UDOH) has been working to increase awareness of prediabetes. In 2013, 5.8% of adults reported they had been told by a health care provider that they had prediabetes. Data collected in 2017 (Behavioral Risk Factor Surveillance System) showed this percentage increased to 8.1% (crude rates). While this increased rate may be partly due to a true increase, it is also likely reflects the increased awareness by providers and patients.

How Do We Compare With the U.S.?

Adults in the U.S. generally have a higher rate of being diagnosed with prediabetes than adults in Utah. National data from 2017 Behavioral Risk Factor Surveillance System (BRFSS) indicated that 10.2% (crude rate) of adults in the U.S. had been told by a doctor or other health professional that have prediabetes. In Utah, about 8.1% (crude rate) of adults have been told by a provider that they have prediabetes (BRFSS 2017). The actual percentages in Utah and in the U.S. are probably much higher. About 86 million Americans (roughly 35% of adults aged 20 years and older) may actually have prediabetes.

What Is Being Done?

In 2013, the Utah Department of Health (UDOH) received funding to increase awareness of prediabetes. While it may seem counterintuitive, the UDOH is working towards increasing the rate of prevalence of prediabetes in the Behavioral Risk Factor Surveillance System. National data suggest that many individuals have prediabetes but have not been told so by a health care provider and are not aware they have it. 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].

Available Services

You can find and enroll in National Diabetes Prevention Program, an evidence-based health program for prediabetes at [http://livingwell.utah.gov/ws_find.php].

Health Program Information

Increasing awareness of prediabetes is a primary goal for the 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 11/14/2018, Published on 11/15/2018
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 Mon, 17 December 2018 1:23:20 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, 15 Nov 2018 12:21:23 MST