According to the most recent estimates diabetes remains the 5th leading cause of death in the United States. People with diabetes are at higher risk for heart disease, blindness, kidney failure, extremity amputations and other chronic conditions.

Prevalence of Diabetes in the United States (all ages)

Total:	18.2 million people (or 6% of the total US population)
Diagnosed:	13 million people
Undiagnosed:	5.2 million people

Prevalence of Diabetes in Texas and Bexar County (2001)
Diabetes is the 6th leading cause of death in Texas and is the 4th leading cause of death in Bexar County.

Texas, Diagnosed:	1.3 million people (or 8% of the total Texas population)
Texas, Undiagnosed:	Approximately 343,000 Texans remain undiagnosed
Bexar County, Diagnosed:	73,447 people or 7% of the population

Prevalence of Diabetes by Age and Gender

Adults (aged 20 years or older)	18 million (or 8% of population within this age group)
Children (aged 20 years or younger)	210,000 (or .26% of population within this age group)
Seniors (aged 60 years or younger)	8.6 million people (or 18% of population within this age group)
Men (aged 20 years or older)	8.7 million people (or 9% of population within this age group)
Women (aged 20 years or older)	9.3 million people (or 9% of population within this age group)

Prevalence of Diabetes in Adults by Race/Ethnicity

Non-Hispanic Whites:

• 12.5 million people or 8% of the Non-Hispanic Whites population as diabetes.

African Americans:

• 2.7 million people or 11.4% of the African American adult (age 20+) population has diabetes. Approximately 1/3 of this population group doesn't know that they have diabetes.
• African Americans are 1.6 times more likely to have diabetes than non-Hispanic whites.
• African Americans with diabetes are at an increased risk for heart disease, stroke and other macrovascular complications.
• 25% senior (ages 65-74) African Americans have diabetes
• Diabetes is high among adult (age 55+) African American women as one in four has diabetes.
• African Americans experience higher rates of at least four serious complications of diabetes: cardiovascular disease, blindness, amputation and end stage renal disease (kidney failure).

Hispanic/Latino Americans:

• 2 million people or 8% of the Hispanic/Latino American adult (age 20+) population has diabetes.
• Hispanic/Latino Americans are 2 times more likely to have diabetes than non-Hispanic whites.
• With in the subcultures of the Hispanic/Latino Americans, individuals who are Mexican Americans have the highest incidence of diabetes (26%), followed by Puerto Ricans (24%) and persons of Cuban decdnt (16%).
• Hispanic/Latino Americans are 1.5 times more likely to have Type 2 Diabetes than non-Latino whites.
• The prevalence for diabetic retinopathy, an abnormality of the small blood vessels of the retina, in Mexican Americans is 32-40%.
• Diabetes is the leading cause of end stage renal disease, kidney failure, in Hispanic/Latino Americans and those of Mexican American decent are 4.5 to 6.6 times more likely to suffer.

American Indians/Alaska Native Americans:

• Approximately 107,775 (or 15% of Native Americans receive care from Indian Health Service).
• Native Americans are 2.2 times more likely to have diabetes then non-Hispanic white within this age group.

Asian Americans/Native Hawaiian/Pacific Islanders:

• This population is two times more likely to have diabetes than white residents of Hawaii within this age group

Incidence of Diabetes

New Cases per:

1.3 million adult Americans (aged 20 years or older) are diagnosed with diabetes each year

Incidence of Death for People with Diabetes

• Diabetes is the 6 th leading cause of death listed on US death certificates where diabetes is listed as an underlying cause.
• Diabetes is likely to be under reported as a cause of death because many decedents with diabetes do not have the disease entered on their death certificate.

Costs of Diabetes (2002):

Total (direct & indirect):	$132 billion
Direct Medical Costs:	$91.8 billion Diabetes Care = $23.2 billion, Chronic Complications attributable to diabetes = $24.6 billion, and Excess prevalence of general medical conditions = $44.1 billion
Indirect Costs:	$40 billion (disability, work loss, premature mortality)
Inpatient Days:	44 %
Nursing Home Care:	15%
Office Visits:	11%

Sources:

American Association of Diabetes Educators
American Diabetes Association
Centers for Disease Control and Prevention
Health Collaborative
Texas Diabetes Council