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Diabetes trends in the U.S.: 1990-1998.
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OBJECTIVE: To examine trends in diabetes prevalence in the U.S. RESEARCH DESIGN AND METHODS: This study was conducted via telephone surveys in states that participated in the Behavioral Risk Factor Surveillance System between 1990 and 1998. The participants consisted of noninstitutionalized adults aged 18 years or older. The main outcome measure was self-reported diabetes. RESULTS: The prevalence of diabetes rose from 4.9% in 1990 to 6.5% in 1998--an increase of 33%. Increases were observed in both sexes, all ages, all ethnic groups, all education levels, and nearly all states. Changes in prevalence varied by state. The prevalence of diabetes was highly correlated with the prevalence of obesity (r = 0.64, P<0.001). CONCLUSIONS: The prevalence of diabetes continues to increase rapidly in the U.S. Because the prevalence of obesity is also rising, diabetes will become even more common. Major efforts are needed to alter these trends.
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“The majority of insulin resistant individuals, both diabetic and nondiabetics, are overweight or obese [58]”
From Pathogenesis of insulin resistance in skeletal muscle (2010) · cites this paper as [58]
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“This overall increase in diabetes prevalence reflects an increase in type 2 diabetes (which accounts for 90% to 95% of all diagnosed cases) due to the epidemic increase in excess body weight occurring in the US population during that period.”
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“Diabetes has been increasing disproportionately especially among minority groups in the United States [17].”
Nadkarni, A., Kucukarslan, S. N., Bagozzi, R. P., Yates, J. F., & Erickson, S. R. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.09.027 · Cited by 11
Mustafina, S. V., Malyutina, S. K., Rymar, O. D., Shcherbakova, L. V., Bobák, M., & Voevoda, M. I. (2015) · Obesity and metabolism · doi:10.14341/omet2015414-28 · Cited by 11
Microalbuminuria and diabetic cardiovascular disease
MacIsaac, R. J., & Cooper, M. E. (2003) · Current Atherosclerosis Reports · doi:10.1007/s11883-003-0005-2 · Cited by 11
Morrison, J. A., Glueck, C. J., Daniels, S. R., & Wang, P. (2010) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2010.04.030 · Cited by 11
GDM: Postpartum management to reduce long-term risks
Khandelwal, M. (2008) · Current Diabetes Reports · doi:10.1007/s11892-008-0051-9 · Cited by 11
Shlipak, M. G. (2009) · PubMed Central · Cited by 11
Sprague, R. S., Stephenson, A. H., Bowles, E. A., Stumpf, M., Ricketts, G., & Lonigro, A. J. (2007) · Springer eBooks · doi:10.1007/978-0-387-34817-9_18 · Cited by 10
Doggrell, S. A. (2002) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.3.7.1011 · Cited by 11
Yusufi, F. N. K., Ahmed, A., Ahmad, J., Alexiou, A. T., Ashraf, G. M., & Yusufi, A. N. K. (2022) · Endocrine Metabolic & Immune Disorders - Drug Targets · doi:10.2174/1871530322666220827161236 · Cited by 11
The SPINK1 N34S mutation is not associated with Type 2 diabetes mellitus in a population of the USA
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Low-Fat Diets for Diabetes Prevention
Mayer‐Davis, E. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.4.613 · Cited by 10
Hosler, A. S., & Melnik, T. A. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.8.1279 · Cited by 10
Trend Analyses of Insulin Delivery Systems in the United States
Lee, L. J., Li, Q., Reynolds, M. W., & Engelman, W. (2011) · Journal of Diabetes Science and Technology · doi:10.1177/193229681100500512 · Cited by 10
Drieskens, S., der Heyden, J. V., Demarest, S. S., & Tafforeau, J. (2014) · Archives of Public Health · doi:10.1186/2049-3258-72-18 · Cited by 10
“Obesity results from an imbalance between dietary intakes and energy expenditure through physical activity [14,15].”
BackgroundSpecialist and Generalist Care for Type 1 Diabetes Mellitus
Zgibor, J. C., & Orchard, T. J. (2004) · Disease Management & Health Outcomes · doi:10.2165/00115677-200412040-00003 · Cited by 10
Epidemiology, costs, consequences, and pathophysiology of type 2 diabetes: an american epidemic.
Blonde, L. (2001) · Europe PMC (PubMed Central) · Cited by 10
Metadata
- Authors
- Mokdad, A. H., Ford, E. S., Bowman, B. A., Nelson, D. E., Engelgau, M. M., Vinicor, F., & Marks, J. S.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2000-09-01
- Volume
- 23
- Issue
- 9
- Pages
- 1278-1283
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2126115073
- Cited by
- 1,042
- References
- 16
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 8 · 2023: 5 · 2022: 12 · 2021: 14 · 2020: 6 · 2019: 12 · 2018: 12 · 2017: 17 · 2016: 20 · 2015: 15 · 2014: 32 · 2013: 27 · 2012: 30
- FWCI
- 61.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes prevalence, temporal trends, obesity, self-reported diabetes, Behavioral Risk Factor Surveillance System, state-level variation, ethnic differences, educational attainment, United States
- MeSH terms
- Adult, Age Factors, Aged, Body Weight, Demography, Diabetes Mellitus, Educational Status, Female, Humans, Male, Middle Aged, Obesity, Risk Factors, Sex Factors, Smoking, United States, Racial Groups
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