The cost of diabetes care-an elephant in the room
Abstract
Everyone dealing with health care today knows there is an elephant in the room, impossible to miss but frequently ignored—the cost of diabetes care. Although clinicians and scientists may wish to neglect the financial side of diabetes care and focus on less contentious and more familiar matters, this option is no longer viable. For people with diabetes and their families, the elephant stands in the way every day, and for those who plan health services and payment, it is a major concern. Fortunately, the scientific methods used in epidemiologic, clinical, and health services research can be applied to the economics of diabetes care. Collecting observations, identifying patterns, forming hypotheses, and prospectively testing the hypotheses can be just as relevant when one of the variables examined is the cost of care. It is the mission of Diabetes Care to present the best scientific studies related to diabetes. This issue of Diabetes Care has a special section focused on the economic impact of diabetes, including studies designed to understand it and to assess potential solutions. The American Diabetes Association (ADA) has previously reported the costs of diabetes in the U.S. for the years 2002 (1), 2007 (2), and 2012 (3). This issue of Diabetes Care includes a 2017 update (4). Because the methods used in these analyses are similar, comparisons are possible. The most noteworthy findings from the current report are the continuing increase and the remarkable magnitude of the tot…
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Costs for noninsulin and insulin diabetes medications have increased dramatically over the past two decades.
“Costs for noninsulin and insulin diabetes medications have increased dramatically over the past two decades, and an increasing proportion of cost is now passed on to people with diabetes and their families (194).”
From 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025 (2025) · cites this paper as [194]
An increasing proportion of diabetes medication costs is now passed on to people with diabetes and their families.
“Costs for noninsulin and insulin diabetes medications have increased dramatically over the past two decades, and an increasing proportion of cost is now passed on to people with diabetes and their families (194).”
From 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025 (2025) · cites this paper as [194]
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- Authors
- Riddle, M. C., & Herman, W. H.
- Affiliations
- Oregon Health & Science University (US)
- University of Michigan (US)
- Corresponding author
- Riddle, Matthew C.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2018-04-12
- Volume
- 41
- Issue
- 5
- Pages
- 929-932
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2801768830
- Cited by
- 191
- References
- 26
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 23 · 2023: 32 · 2022: 31 · 2021: 37 · 2020: 39 · 2019: 14 · 2018: 2
- FWCI
- 35.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes care costs, economic burden of diabetes, health care expenditure, health care payment, health planning
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