1. Source: CDC, National Diabetes Statistics Report, 2014
Case for Change
Why diabetes?
Affects 29.1 million Americans, 9.3% of total population
20 million of those are undiagnosed
30% of Americans age 65 and older have diabetes
Type 1 accounts for 1.25 million diagnoses
1.4 million Americans are diagnosed every year
86 million Americans age 20+ are estimated to have pre-diabetes
7th leading cause of death in the United States (2010)
69,071 death certificates listed diabetes as the underlying cause of death
234,051death certificates listed diabetes as contributing cause of death
Source: CDC, National Diabetes Statistics Report, 2014

2. Source: CDC’s Division of Diabetes Translation
Source: CDC’s Division of Diabetes Translation. United States Surveillance System available at hppt://

3. Source: CDC’s Division of Diabetes Translation
Source: CDC’s Division of Diabetes Translation. United States Surveillance System available at hppt://

4. Note: Major changes in the survey methodology occurred in 2011.
Source: CDC’s Division of Diabetes Translation. United States Surveillance System available at hppt://
Note: Major changes in the survey methodology occurred in 2011.

5. Cardiovascular Disease
Case for Change
Control Among Persons Diagnosed with Type 2 Diabetes
48.3% are within control, A1c ≤ 7.0%
More than half are uncontrolled
21.4% with an A1c range of %
13.7% with an A1c range of %
16.6% with an A1c>9.0%
Comorbidities and Complications, Patients with Type 2 DM (2015)
Cardiovascular Disease
Hypoglycemia
Nephropathy
Neuropathy
PAD
Retinopathy
48.8%
9.1%
35.6%
36.3%
15.0%
18.0%
Source: IMS Health©, Type 2 Diabetes Data Brief, 2016

6. Case for Change Cost of Diabetes
$245 billion total estimated costs (2012) ($174 billion in 2007)
$176 billion in direct medical expenses
Hospital inpatient care – 43%
Prescription medications – 18%
Anti-diabetic agents and supplies – 12%
Physician office visits – 9%
Nursing/residential facility stays – 8%
$69 billion in reduced productivity
$1 out of every $5 spent on healthcare in the US is spent by persons with diagnosed diabetes, 50¢ directly on diabetes care
Diabetes increases patient medical expenditures by 2.3x
Source: American Diabetes Association, Economic Cost of Diabetes in the US in 2012, Diabetes Care, March 2013

7. Source: IMS Health©, Type 2 Diabetes Data Brief, 2016
Case for Change
Complications from Diabetes
Emergency Department (ED) utilization by patients with Type 2 diabetes ( ):
18% of patients have at least on ED visit in two years
Average ED visits per patient is 2.1
Readmission rates for patients with Type 2 diabetes ( ):
Three-day readmissions: 8.9%
30-day readmissions: 18.2%
Average facility charges for patients with Type 2 diabetes (2015):
Inpatient: $43,183
Outpatient: $12,253
Source: IMS Health©, Type 2 Diabetes Data Brief, 2016

8. Case for Change Effects on Community Vitality
Absenteeism stemming from unhealthy workforce costs $153 billion annually in lost productivity
Average unhealthy work days per year per full-time employee:
Health Status
Average
Unhealthy Days
Share of US Workforce
Cost of Lost Productivity
Normal weight, No chronic conditions
(only 14% of the workforce population)
4 days / year
14%
Baseline
Overweight, No chronic conditions
4.32 days / year
18%
$513,544,375
Overweight/obese, 1-2 chronic conditions
13 days / year
30%
$32,156,821,142
Above-normal weight, 3+ chronic conditions
42 days / year
$81,313,839,758
Additional workforce productivity losses:
Normal weight, 1-2 conditions: 15%, 13 days, $15,563,165,458
Normal weight, 3+conditions: 5%, 42 days, $23,850,678,489
Source: Gallup-Healthways Well-Being Index, 2011

9. Case for Change Effects on Community Vitality
Health-Related Quality of Life and Well-Being is a multi-dimensional concept to assess population health and overall perceived quality of life
Includes physical, mental, emotional, and social functioning
Looks at life expectancy, causes of death, and focuses on effect of health status on quality of life, such as:
Positive evaluations of daily life – when one feels healthy, satisfied/content with daily life, quality of relationships, positive emotions, resilience, etc.
Individual assessment of health status on social participation – includes education, employment, civic, social, and leisure activities.
Citizens and community members who have improved health status are able to better engage in activities of daily life, be involved in their community, and enjoy greater quality of life
Additional workforce productivity losses:
Normal weight, 1-2 conditions: 15%, 13 days, $15,563,165,458
Normal weight, 3+conditions: 5%, 42 days, $23,850,678,489
Source: HealthyPeople.Gov, Health-Related Quality of Life and Well-Being, 2017

10. Case for Change Today alone, diabetes will be responsible for:
200 amputations
136 end-stage kidney disease treatments
1,795 cases of sever retinopathy

11. Source: American Diabetes Association, 2015