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The Public Health Response to Diabetes—Two Steps Forward, One Step Back
Edward W. Gregg, PhD;
Ann L. Albright, PhD
JAMA. 2009;301(15):1596-1598.
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New national estimates from 2005-2006 indicate that 13% of US adults have diabetes,1 and the incidence of diagnosed diabetes has doubled during the past decade.2 Furthermore, recent county estimates highlight some of the most affected geographical areas, including the coastal Carolinas, the deep South, and regions of Appalachia and along the Mississippi River, underscoring the diverse cultural factors underlying type 2 diabetes risk.3 The implications of increased diabetes prevalence are extensive due to the well-known risks of cardiovascular disease (CVD), vision loss, amputation, end-stage renal disease (ESRD), disability, and mortality.4
Diabetes is a classic public health problem in several respects. Optimal population-level prevention of complications is difficult to achieve by individual clinicians and patients alone; it instead requires integrated disease management and organized systems of care.5 Additionally, the magnitude and persistence of the increases in obesity and type 2 diabetes suggest that . . . [Full Text of this Article] Recent Trends in National Diabetes-Related Morbidity
Author Affiliations: Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
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