A recent report by Gallup-Healthways found the overall incidence of diabetes in U.S. adult population is growing, up from 10.6 percent in 2008 to 11.5 percent in 2016. The report provides insight into the impact of the disease in 190 communities nationwide and across all 50 states.
The Gallup-Healthways analysis measures the prevalence of diabetes by asking individuals if they have ever in their lifetime been diagnosed with it. Regarding the state-by-state analysis, Utah, Rhode Island and Colorado have the lowest incidence of diabetes in the nation, with less than 8% of their adult populations having been diagnosed with the disease. Alabama and West Virginia have the highest prevalence, both with more than 16% of their residents diagnosed with diabetes.
“The prevalence of diabetes and obesity continue to increase dramatically. We have an epidemic on our hands. Even more alarming is that only half of people with the disease are adequately controlling their glucose, a statistic that has not changed in 10 years despite a plethora of new and effective drugs and devices,” said Steven Edelman, MD, Founder and Director, Taking Control of Your Diabetes (TCOYD). “All of our health care systems need to focus on education, motivation and activation.”
According to the study, the obesity rate in the United States reached 28.3 percent nationally in 2016, an increase of nearly three percentage points since 2008. While not all people with diabetes are obese, and not all who are obese develop it, research shows that about 54 percent of middle-aged Americans who are obese and have not yet developed the disease will do so in their lifetime. This statistic, coupled with rising obesity rates in the U.S., sets the stage for rising rates of diabetes. Additionally, there is the potential for some communities and regions to have populations that are currently under-diagnosed due to healthcare access issues such as lack of health insurance, lack of having a primary care doctor, and inconclusive patient-physician interactions.
The report provides the following best practices for managing diabetes:
Education and Support
Educate and collaborate with physicians, nurses, and patients on the importance of glycemic control in the ambulatory, acute and post-acute settings where decision support is integrated with evidence-based, effective care guidelines. Provide diabetes program offerings that support patient needs across the care continuum.
Deliver quality care including obtaining and maintaining national accreditation and recognition for outpatient prevention and self-management education, providing systemic and concurrent interventions for the hospitalized patient with diabetes, and monitoring the impact of the interventions.
Monitor and Achieve Outcomes
Have access to technology, tools, and resources to develop, implement and integrate a comprehensive initiative that drives outpatient metrics, achieves glycemic targets, shortens inpatient length of stay, reduces readmission rates, reduces postoperative infection rates and hospital-acquired conditions (HAC)—all essential to a successful diabetes management program.
Engage multidisciplinary teams to deliver coordinated care in an environment where patient-centered high-quality care is a priority. Deploy the solution in a targeted manner through people, process, and technology to drive outcomes that support the sustainability of the program.
The EVALIA® Diabetes Risk Profiler provides hospitals and healthcare organizations an online, interactive solution that assesses current and prospective patients’ 8-year risk of developing type 2 diabetes and identifies those who may have metabolic syndrome. The profiler is a web-based health assessment that engages consumers through a concise series of health-related questions and provides a personalized report with easy-to-understand results and subsequent steps or treatment options.