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Posted: March 04, 2008

Number of Older Adults with Diabetes Jumps by Nearly a Quarter

The incidence of diabetes is fast on the rise in the United States, and especially so in Americans older than 65, where the number of newly diagnosed cases jumped by nearly a quarter in just 10 years ending in 2005, according to findings published in the journal Archives of Internal Medicine.
“The prevalence of diabetes mellitus is increasing, in part because of population aging, but also in younger persons,” according to background information in the article. The high rate of existing diabetes also contributes to a high rate of diabetes-related complications and premature death.
The journal article reported that diabetes is made worse in the US because those diagnosed with the disease don’t actively manage their condition. “Awareness of the importance of active monitoring and management of diabetes has become more widespread; however, adherence to recommended practices remains low,” the article said.
Frank A. Sloan, Ph.D., and colleagues at the Duke University Medical Center in Durham, North Carolina, analyzed Medicare program data for patients first diagnosed with diabetes during 1994 (33,164 patients), 1999 (31,722 patients) and 2003 (40,058 patients). This data was compared with that of two control groups consisting of people without the disease who were of similar race and ethnicity to those with diabetes. Death and complications of diabetes such as cardiovascular, cerebrovascular (damage to blood cells in the brain), ophthalmic (eye), renal (kidney) and lower extremity events also were recorded.
“The annual incidence of diabetes increased by 23% between 1994 to 1995 and 2003 to 2004, and prevalence increased by 62%,” the authors write. After diagnosis, the death rate in patients having diabetes decreased by 8.3% during the period, when compared with those who were not diagnosed with the disease.
Most patients with diabetes experienced at least one complication within the next six years; for example, almost half had congestive heart failure. “Complication rates among persons diagnosed as having diabetes generally increased or stayed the same compared with those in the control groups during 1994 to 2004 except for ophthalmic [eye] diseases associated with diabetes,” the authors note. “In some cases, most notably renal events, including the most serious complications, there were increases in prevalence in both the diabetes and control groups.”
“Overall, our findings emphasize the overwhelming burden of diabetes, including the near 90% prevalence of an adverse outcome and many serious and resource-consuming outcomes, such as coronary heart failure, myocardial infarction [heart attack] and stroke,” the authors conclude.
The authors also zeroed in on the impact for older diabetics: “The burden of financing and providing medical care for persons older than 65 in the United States having diagnosed diabetes is growing rapidly as a result of increased incidence and, especially, prevalence of diagnosed diabetes, decreased mortality and overall lack of improvement in rates of complications in persons having diagnosed diabetes.”
The study was supported by a grant from the National Institutes of Aging.

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