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What is Diabetes?
  • Diabetes is a chronic disease in which the pancreas produces little or no insulin, a hormone that helps the body’s tissues absorb glucose (sugar) so it can be used as a source of energy. The condition may also develop if muscle, fat, and liver cells respond poorly to insulin.


  • In people with diabetes, glucose levels build up in the blood and urine, causing excessive urination, thirst, hunger, and problems with fat and protein metabolism.


  • Diabetes usually appears as one of two major types: Type 1 and Type 2 diabetes.
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What is the difference between
Type 1 and Type 2 Diabetes?
  • Type 1 diabetes, formerly called insulin-dependent diabetes mellitus (IDDM) and juvenile-onset diabetes, is when the body does not produce insulin or produces it only in very small quantities.




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What are the symptoms of Diabetes?
  • Common symptoms of diabetes are increased thirst, frequent urination, increased hunger, unusual weight loss, fatigue, and irritability. These symptoms are caused by the body's response to high blood sugar levels.


  • Other signs of diabetes may include:
    • Frequent infections, and cuts and bruises that heal slowly.
    • Blurred vision.
    • Tingling or numbness in the hands or feet.
    • Skin, gum, or bladder infections that recur.
    • Vaginal yeast infections
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Diabetes Treatment

    • To survive, people with Type 1
    • diabetes must have insulin delivered
    • by injections or a pump.


    • Many people with Type 2 diabetes can
    • control their blood glucose by following
    • careful diet and exercise programs,
    • losing excess weight, and taking oral
    • medication.


    • Many people with diabetes also need to
    • take medications to control their cholesterol and blood pressure


    • Diabetes self-management education and regular checkups are  an integral component of medical care.


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Treatment with insulin or oral medications—United States, 1999-2001
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Diabetes Risk Factors
  • Heart disease is the leading cause of diabetes-related deaths.  Adults with diabetes have heart disease death rates about two to four times higher than adults without diabetes.


  • About 65% of deaths among people with diabetes are due to heart disease or stroke.


  • About 73% of adults with diabetes have blood pressure greater than or equal to 130/80 or use prescription medications for hypertension.


  • Diabetes is the leading cause of blindness among adults
  • 20-74 years of age.


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Diabetes Risk Factors
  • Diabetes is the leading cause of renal disease (about 43%).


  • About 60-70% of people with diabetes have mild to severe forms of nervous system damage.


  • More than 60% of non-traumatic lower limb amputations in the United States occur among people with diabetes.



  • Poorly controlled diabetes before conception and during the first trimester of pregnancy can cause major birth defects in 5-10% of pregnancies and spontaneous abortions in 15-20% of pregnancies.


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Diabetes Incidence/Prevalence
  • About 206,000 people under 20 years of age have diabetes.


  • About 8.7% of all people, age 20 years or older, have diabetes.


  • About 18.3% of all people, age 60 years or older, have diabetes.


  • About 17 million people, in the United States, suffer from diabetes.


  • Every year about 1 million people learn that they have diabetes.


  • In the United States, Type 1 diabetes accounts for 5-10% of all diabetes cases (about 4 million people).
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Total Prevalence of Diabetes in People Aged 20 Years or Older, by Age Group—United States, 2002
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Diabetes Mortality
  • Diabetes is the sixth leading cause of death in the United States.


  • Diabetes kills over 400,000 United States residents each year.


  • Death rates are two times higher in African American populations than they are in white populations


  • Overall, the risk for death among people with diabetes is about two times that of people without diabetes.


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Diabetes Disparities
  • Approximately 2.8 million African
  • Americans have diabetes; 13%
  • of all African Americans


  • On average, African Americans
  • are twice as likely to have diabetes
  • as white Americans of similar age.


  • Diabetes-associated renal failure is 2.5 times higher in African American populations than it is in Hispanic populations.


  • 1 in every 4 African American women, over 55 years of age, has diabetes.


  • African Americans with diabetes are more likely to develop diabetes complications and experience greater disability from the complications than white Americans with diabetes.
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Age-Adjusted Total Prevalence of Diabetes in People Aged 20 Years or Older, by Race and Ethnicity—United States, 2002
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Number of New Cases of Diagnosed Diabetes in People Aged 20 Years or Older, by Age Group—United States, 2002
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