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Show Chronic Diseases Diabetes Meilitus (ICD-9 Codes: 250- 250.9; ICD-10 Codes: E10-E14) Compiled by Lisa Hyde, Juliana Preston, and Ara Serjoie 2001 Utah Diabetes Meilitus Deaths: 509 Diabetes meilitus (type 2), a chronic disease with no cure, is the sixth leading cause of death in Utah and the U.S. An estimated 16 million people in the U.S. and 120,000 people in Utah have diabetes, 30% of whom remain undiagnosed and untreated. Type 2 diabetes affects 90%-95% of people with diabetes and is linked to obesity and physical inactivity. Annually, medical and lost productivity costs due to diabetes are estimated to be greater than $100 billion. Mortality rates for diabetes meilitus have steadily increased in Utah and the U.S. (Figure 1). hi 1989, a "Death Subgroup" field was added to national and state death certificate procedures, which led to a significant rise in recorded diabetes deaths. Utah's Diabetes mortality rate was 32.3 per 100,000 population in 2001, a slight decrease from 34.4 in 2000. Since 1990, male mortality rates have been consistently higher than female rates in Utah and the U.S (Table 1). The Utah Diabetes Control Program is currently working on: 1) a statewide diabetes surveillance system, 2) a Utah certification of diabetes self management training program, 3) a diabetes primary care process improvement project, 4) insurance coverage and reimbursement for diabetes, 5) diabetes care through Medicaid and Managed Care Organizations, and 6) public awareness. Table 1. Diabetes Mortality, Utah and U.S., 1980-2000a. Utah U.S. Year Male Female Total Total 1980 21.5 18.8 20.1 18.1 1981 18.4 18.3 18.1 17.6 1982 16.7 23.1 20.4 17.2 1983 17.8 21.2 19.9 17.6 1984 20.7 20.6 20.6 17.2 1985 20.8 20.9 20.8 17.4 1986 23.1 20.5 21.3 17.2 1987 17.9 19.4 19.1 17.5 1988 18.7 20.7 20.0 18.0 1989 26.0 28.9 27.8 20.5 1990 26.7 24.9 25.8 20.7 1991 28.0 27.2 27.5 20.7 1992 31.4 26.9 29.1 20.8 1993 27.3 27.3 27.2 22.0 1994 29.6 23.3 26.1 22.7 1995 31.9 30.2 31.3 23.4 1996 33.0 29.0 30.6 24.0 1997 31.3 30.4 30.7 23.9 1998 33.7 31.1 32.5 24.2 1999 32.9 30.8 31.9 25.2 2000 39.0 31.0 34.4 25.0 2001 34.7 30.7 32.3 25.2b Age adjusted to 2000 standard population bCDC 2001 Preliminary Data Figure 1. Mortality per 100,000 Population by Diabetes Meilitus, Utah and U.S., 1980-2001. 000 40 8 30 per 20 10 Utah - - - -U.S. 1980 1982 1984 1986 1988 1990 1992 Year 1994 1996 1998 2000 Sources: Utah: Utah Department of Health. IBIS Query System (IBIS-PH) [Online] hl£^ii£a!&^ Retrieved 3/14/2003. U.S and Utah: Department of Health and Human Services, Centers for Disease Control and Prevention. CDC Wonder [Online]; (log in as anonymous user) k^ ^v* s *¦ ¦¦ s\ _j ^_A- Retrieved 3/14/2003. Additional Resources: National Center for Chronic Disease Prevention & Health Promotion: Diabetes. Utah's Health: An Annual Review Volume DC 97 |
