number: 15.7 million people in the United States which represents
5.9 percent of the population.
10.3 million people
Undiagnosed: 5.4 million people
are 798,000 new cases of diabetes diagnosed each year. Each
day approximately 2,200 people are diagnosed with diabetes.
is the seventh leading cause of death (sixth-leading cause
of death by disease) in the United States.
Prevalence by age
Age 65 years or older: 6.3 million, 18.4 percent of all
people in this age group have diabetes
20 years or older: 15.6 million, 8.2 percent of all people
in this age group have diabetes
age 20: 123,000, 0.16 percent of all people in this age
group have diabetes
Prevalence by sex
people 20 years or older:
7.5 million or 8.2 percent of all men have diabetes
Women: 8.1 million or 8.2 percent of all women have diabetes
Prevalence by race/ethnicity:
people 20 years or older
Non-Hispanic Whites: 11.3 million or 7.8 percent of all
non-Hispanic whites have diabetes
Americans: 2.3 million or 10.8 percent of all African Americans
have diabetes, however, one-third of them do not know it.
African Americans are 1.7 times more likely to have diabetes,
than non-Hispanic whites of similar age. Twenty-five percent
of African Americans between the ages of 65 and 74 have
diabetes. One in four African American women over 55 years
of age has diabetes. African Americans experience higher
rates of amputation than Hispanic or white Americans with
diabetes. They are 1.5 to 2.5 times more likely to suffer
from lower limb amputations.
Americans: 1.2 million or 10.6 percent of Mexican Americans
have diabetes. Approximately 24 percent of Mexican Americans,
26 percent of Puerto Ricans, and 16 percent of Cuban Americans
between the ages of 45 and 74 have diabetes.
Americans are 1.9 times as likely to have diabetes as non-Hispanic
whites of similar age. Hispanic/Latino Americans are almost
twice as likely to have diabetes as non-Hispanic whites
of similar age.
Indians and Alaska Natives: 9 percent of American Indians
and Alaska Natives have diagnosed diabetes. On average,
American Indians and Alaska Natives are 2.8 times as likely
to have diagnosed diabetes as non-Hispanic whites of a similar
of Diabetes Nerve Disease
60-70 percent of people with diabetes have mild to severe
forms of diabetic nerve damage (which often includes impaired
sensation or pain in the feet or hands, slowed digestion
of food in the stomach, etc.) Severe forms of diabetic nerve
damage can lead to lower extremity amputations.
their lifetime, 15 percent of people with diabetes will
experience a foot ulcer and between 14 and 24 percent of
those with a foot ulcer will require amputation. Diabetes
is the leading cause of lower extremity amputations in the
United States occurring among people with diabetes. Each
year, more than 86,000 amputations are performed among people
an amputation, the chance of another amputation within 3
to 5 years is as high as 50 percent. The 5 year mortality
rate after amputation ranges from 39 to 68 percent.
with diabetes are 2 to 4 times more likely to have heart
disease which is present in 75 percent of diabetes-related
deaths. The risk of stroke is 2 to 4 times higher in people
is the leading cause of new cases of end-stage renal disease,
accounting for about 40 percent of new cases.
is the leading cause of new cases of blindness in adults
20 to 74 years of age. Each year 12,000 to 24,000 people
lose their sight because of diabetes.
The total annual cost for the more than $1.1 billion dollars.
This cost does not include surgeons fees, rehabilitation
costs, prostheses, time lost from work, and disability payments.
disease is the most common complication of diabetes leading
to hospitalization. In 1996, foot disease accounted for
6 percent of hospital discharges listing diabetes and lower
extremity ulcers, and in 1996, the average hospital stay
was 13.7 days. The average hospital reimbursement from Medicare
for a lower extremity amputation was $13,512 and from private
insurers $26,126. At the same time, rehabilitation was reimbursed
at a rate of $7,000 to $21,000.
and Medicare 6.3 million of the 38 million people enrolled
in the Medicare program have diabetes.
provides coverage for therapeutic footwear such as depth-inlay
shoes, custom-molded shoes, and shoe inserts for people with
diabetes who qualify under Medicare Part B.
and Treatment of Diabetes
Problems According to the National Diabetes Education Program
(NDEP), a partnership among the National Institutes of Health,
the Centers for Disease Control and Prevention and over
200 organizations, including the American Podiatric Medical
Association, as many as half of the lower extremity amputations
might be prevented through simple but effective foot care
practices. These practices include:
identification of the high risk diabetic foot
diagnosis of foot problems
intervention to prevent further deterioration that may
lead to amputation
education for proper care of the foot and footwear