Diagnosed diabetes cost the United States an estimated $245 billion in 2012, according to new research released by the American
Diabetes Association (ADA) this week. The new figure represents a 41% rise in five years. In 2007, when the cost were last estimated, it came to
A report on the research, commissioned by the ADA, was published online before print in Diabetes Care on 6 March.
The study examines the increased financial cost, use of health resources and productivity that is lost due to diabetes in 2012, and breaks down the
figures by gender, race/ethnicity, for the whole country and state by state.
The $245 billion includes $176 in direct medical costs (such as hospital and emergency care, visits to the doctor, and medications), and an
estimated $69 billion resulting from indirect costs like absenteeism, reduced productivity, diabetes-related job loss, and productivity loss due to
The rate of diabetes has reached epidemic proportions in the US, where nearly 26 million adults and children have the serious, life-threatening
disease, and another 79 million are estimated to have prediabetes, a cluster of risk factors that puts them at greater risk for developing type 2
Robert Ratner, ADA's Chief Scientific & Medical Officer, says in a statement:
"As the number of people with diabetes grows, so does the economic burden it places on this country."
The study finds that medical expenditure for people with diabetes is about 2.3 times higher than for people who don't have the disease and
that the main driver of the increased overall financial burden on the country is the rise in proportion of the population that has the
"The cost of diabetes is rising at a rate higher than overall medical costs with more than one in 10 health care dollars in the country being spent
directly on diabetes and its complications, and more than one in five health care dollars in the US going to the care of people with diagnosed
diabetes," says Ratner.
He also explains that one of the key factors behind the increase is that there are now many more people being treated for diabetes in the US than
But, he also points out that while treating the disease is expensive, the main driver of cost is the increase in prevalence and the fact it is rising
The report also shows that:
64% of diabetes care in the US is met by government insurance (Medicare, Medicaid and the military).
Cost per head in 2007 was $6,649, compared with $7,900 in 2012; an increase of 19% over five years.
Cost per head is higher for women than for men ($8,331 and $7,458 respectively).
Cost per head is higher among non-Hispanic blacks ($9,540) than among non-Hispanic whites ($8,101), and lower among Hispanics
California is the state with largest number of people with diabetes and carries the highest cost burden of $27.6 billion.
But, even though Florida has a smaller population than California, Texas and New York, at $18.9 billion it has the second highest cost burden
The study concludes that these figures show the "substantial burden that diabetes imposes on society".
However, it points out the disease also imposes other, less obvious burdens on society, such as pain and suffering, the care provided by unpaid
caregivers, and the costs associated with undiagnosed diabetes.
Looking to the future, it doesn't look like the figures are going to level off anytime soon.
"Recent estimates project that as many as one in three American adults will have diabetes in 2050," says Ratner.
"These numbers are alarming and further highlight the need for our nation to address this epidemic," he urges.
Visit our diabetes section for the latest news on this subject.
"Economic Costs of Diabetes in the U.S. in 2012"; Scientific Statement from American Diabetes Association; Diabetes
Care, published online ahead of print 6 March 2013; 10.2337/dc12-2625; Link to Abstract.
Additional source: American Diabetes Association.
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Diabetes - diet and exercise
posted by mic on 13 Mar 2013 at 8:31 pm
The article says 64% is paid for by Medicare/medical... As a nurse I can tell you most people with type 2 diabetes can control it with DIET and EXERCISE...If you choose this route, you live longer and keep all your limbs. If it is left uncontrolled, all your body systems age way faster including your cardiac...your circulation decreases. you get a cut on your foot that wont heal. you get your foot cut off. that doesnt heal, so they have to go higher. I really think people should hear the FACTS of what is likely to happen to them if they dont control the diabetes. Type 1 we dont know how they get it, no way to cure it, but they still have to control the sugar or they will die. It's your choice how you want your life to go.
I certainly hope this is a poor attempt at a political parody rather than an actual seriously held belief. Healthcare costs are going to continue to rise as the Baby Boomers age and need increased medical care.
We need to address ways to mitigate the rising healthcare costs of diseases like diabetes, heart disease, cancer, etc. through education about prevention and effective ways to treat these illnesses. What the hell does "abortion costs" mean?
I was a Social Worker for 10 years dealing in abuse/neglect cases and I saw first-hand the cost to children and families from dysfunctional issues like mental illness and poverty that "cost" far more than an abortion. Why are a collection of cells considered more valuable than actual children is something that puzzles me. I would have more respect for the "pro-life" people if they showed anywhere near the same concern for our children that they do for a fetus. Also, "unhealthy lifestyle of homosexuality?"
It sounds like you have never met an evidence-based fact and are speaking from a wholly manufactured alternate reality where superstitious belief trumps the actual real-world issue faced by our fellow citizens.
Your lack of human empathy and scientific understanding boggles the mind and is frightening to think such people are allowed to vote. Ignorance is the most pernicious threat to our country in overcoming the many serious issues that we need to address as a nation.Clearly, evidence-based education is desperately needed by more than just those who suffer from a physical ailment.
Two slices of whole-wheat bread skyrockets blood sugar higher and faster than does pure sugar. The "healthy whole grain" campaign is a huge contributor to the diabetes problem. The food pyramid is upside down. What was freaky that a local clinic had free magazines for diabetics featuring recipes requiring wheat. Oh, and ways to purchase more blood sugar testing supplies. Not a conspiracy theorist, here, but did the math.
Some have legit reasons, most are just plain lazy - diabetes type 2
posted by Ian on 7 Mar 2013 at 4:26 pm
Ive known quite a few people who were healthy up until around 19, then they decided to eat everything they see in front of them, and not exercise, then wonder why they have diabetes? Simple changes of lifestyle and doing things besides watching movies and driving your car will prevent this from happening.
Yes diabetes is expensive but the answer is not to cut back on costly therapies but instead to expand them. Yes test strips are expensive but cheaper then the heart disease that diabetics get without using them. Non invasive blood glucose testing is expensive and not covered by most insurance but with this new technology the costly compilations would vastly decease. It much cheaper to pay for such devices now then pay for the heart attacks and disabilities that will occur with using them. Pay now or much more later
Articles like these give the impression that the tax payer is footing the bill for diabetes when it is actually paid by millions of people buying the meds, monitoring tools and doctor visits. It would be nice to see an article canted in THAT direction now and again rather than as a public cost covered by tax payers.
Never be a cure for diabetes - most cases of type 2 are 100% preventable
posted by burdorfk on 7 Mar 2013 at 2:35 pm
I agree that there will never be a cure for diabetes but I don't agree with your theory as to why. In this country we rely too heavily on convenience (fast food, sedentarism, pre-made and high processed foods, sugary drinks)and lack the self control and discipline to do what we already know to keep ourselves healthy-mainly eating right and exercise. IN GENERAL, most of the cases in the US of type II Diabetes are 100% preventable. It is just a lack of education and the application of that education.
These comments show why there will never be a cure for Diabetes. Too much blame on Doctors, Hospitals, and Drug Companies and no reason to put down the supersized soda and fast food or even get off the couch since the Government will come to you and handle most of the expenses...
Just kidding. There should totally be a junk food tax. Instead of telling people they can't eat it, (let them eat cake!), just create a tax that is contributed to a medical fund. We don't want to pay for other people, so let's pay for our own behavior fairly.
sitting in front of a computer, is that good for you, are kids just laying around playing video games are you watching football all weekend with your feet up in your lazy boy, yeah we better control freedom,
It appears that health costs are now linked to an entire nation, let me guess, how can we regulate this or in other words, Control. Pass personal laws, jail time for inappropriate diet not authorized by the First Lady. How about abortion costs?
How about the unhealthy lifestyle of homosexuality? Responsibility for health care was seized by the Obama administration, they can now attempt greater Control!!
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