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National Center for Chronic Disease Prevention and Health Promotion Chronic Disease Prevention Home | Contact Us |
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Diabetes affects more than 17 million Americans and contributes to over 200,000 deaths a year. Diabetes can cause heart disease, stroke, blind-ness, kidney failure, leg and foot amputations, pregnancy complications, and deaths related to influenza and pneumonia. About 5.9 million Americans are unaware they have the disease.
The direct and indirect costs of diabetes are nearly $132 billion a year. The average health care cost for a person with diabetes in 2002 was $13,243, compared with $2,560 for a person without diabetes.
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With FY 2002 funding of $58.3 million, CDC provided limited support to 34 states, 8 territories, and the District of Columbia for core diabetes control programs and more substantive support to 16 states for comprehensive programs.
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New York: Nearly 5% of the state’s adult population has diagnosed diabetes, and more than 285,000 hospitalizations each year are diabetes-related. Over 6,500 of these hospitalizations result in lower-extremity amputations. The CDC-funded New York Diabetes Control Program works with 14 regional community coalitions and three university-based Centers of Excellence. The Centers work with community partners 1) to improve diabetes services and access to care and 2) to overcome socioeconomic, cultural, and language barriers to services. In 2 years, the community and provider-focused interventions have reduced diabetes-related hospitalization rates by 35% and decreased lower-extremity amputation rates by 39%.
North Carolina: Diabetes death rates are 27% higher among African Americans than among whites. Project DIRECT (Diabetes Intervention Reaching and Educating Communities Together) focuses on the African American community in Raleigh and offers a comprehensive approach to reducing risk factors for diabetes, promoting early diagnosis, and improving the quality of care and self-management practices of patients.
In its first year, Project DIRECT increased foot care counseling of diabetes patients from about 20% to 50%. Chart audits document sustained improvements in home blood glucose monitoring, diabetes education, and diabetes-related screenings.
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Privacy
Policy | Accessibility This page last reviewed August 10, 2004 United
States Department of Health and Human Services |
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