Epidemiology of Diabetes and Diabetes-Related Complications
Open accessAbstract
In 2005, it was estimated that more than 20 million people in the United States had diabetes. Approximately 30% of these people had undiagnosed cases. Increased risk for diabetes is primarily associated with age, ethnicity, family history of diabetes, smoking, obesity, and physical inactivity. Diabetes-related complications—including cardiovascular disease, kidney disease, neuropathy, blindness, and lower-extremity amputation—are a significant cause of increased morbidity and mortality among people with diabetes, and result in a heavy economic burden on the US health care system. With advances in treatment for diabetes and its associated complications, people with diabetes are living longer with their condition. This longer life span will contribute to further increases in the morbidity associated with diabetes, primarily in elderly people and in minority racial or ethnic groups. In 2050, the number of people in the United States with diagnosed diabetes is estimated to grow to 48.3 million. Results from randomized controlled trials provide evidence that intensive lifestyle interventions can prevent or delay the onset of diabetes in high-risk individuals. In addition, adequate and sustained control of blood sugar levels, blood pressure, and blood lipid levels can prevent or delay the onset of diabetes-related complications in people with diabetes. Effective interventions, at both the individual and population levels, are desperately needed to slow the diabetes epidemic and reduce diabetes-related complications in the United States. This report describes the current diabetes epidemic and the health and economic impact of diabetes complications on individuals and on the health care system. The report also provides suggestions by which the epidemic can be curbed.
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More than 35% of individuals with type 2 diabetes are co-diagnosed with ASCVD, HF or CKD.
“Because of the shared pathophysiological mechanisms underpinning the development of type 2 diabetes and cardiorenal conditions, coupled with the micro- and macrovascular consequences of chronic unmitigated hyperglycaemia, more than 35% of individuals with type 2 diabetes are co-diagnosed with atherosclerotic cardiovascular disease (ASCVD), congestive heart failure (HF) or chronic kidney disease (C”
From Racial and ethnic disparities in the uptake of SGLT2is and GLP-1RAs among Medicare beneficiaries with type 2 diabetes and heart failure, atherosclerotic cardiovascular disease and chronic kidney disease, 2013–2019 (2025) · cites this paper as [1]
The Heart Disease and Stroke and Nephropathy (Renal Disease) sections discuss cardiovascular and kidney complications of diabetes, but neither gives the proportion of people with type 2 diabetes co-diagnosed with ASCVD, heart failure, or CKD. Searches for “more than 35%” and the named conditions found no passage establishing that figure. (LLM, conf=0.75)
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“With advances in the care and treatment of type 2 diabetes and its complications, people with diabetes can live with their condition for longer (Deshpande et al., 2008; Liu et al., 2010).”
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A Roadmap to an Equitable Digital Diabetes Ecosystem
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Does the encounter type matter when defining diabetes complications in electronic health records?
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- Authors
- Deshpande, A. D., Harris-Hayes, M., & Schootman, M.
- Affiliations
- Washington University in St. Louis (US)
- M Harris-Hayes, PT, DPT, OCS, is Assistant Professor, Program in Physical Therapy, Washington University School of Medicine.
- Corresponding author
- Deshpande, Anjali D
- ORCID
- Schootman, Mario
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-11-01
- Volume
- 88
- Issue
- 11
- Pages
- 1254-1264
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- PMC
- PMC3870323
- OpenAlex
- W2165560933
- Cited by
- 1,773
- References
- 87
- Citations by year
- 2026: 86 · 2025: 180 · 2024: 247 · 2023: 219 · 2022: 207 · 2021: 160 · 2020: 119 · 2019: 74 · 2018: 71 · 2017: 76 · 2016: 58 · 2015: 47 · 2014: 59 · 2013: 48 · 2012: 28
- FWCI
- 4.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Physical Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR000448)
- National Center for Research Resources (UL1RR024992)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- diabetes epidemiology, diabetes complications, cardiovascular disease, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, lower limb amputation, economic burden of diabetes, diabetes prevention, intensive lifestyle intervention, glycemic control, blood pressure control, lipid control, diabetes prevalence projections, health disparities, diabetes risk factors
- MeSH terms
- Cardiovascular Diseases, Diabetes Mellitus, Diabetic Retinopathy, Humans, Risk Factors, United States, Incidence, Prevalence, Peripheral Vascular Diseases, Age Distribution, Diabetes Complications
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