In Minnesota, Will Prediabetes Overtake Diabetes

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In Minnesota, Will Prediabetes Overtake Diabetes?

• Nagi Salem, PhD
• Jay Desai

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Framework

• Who is at risk?
• Who reports being diagnosed?
• What are their risk behaviors?R
• What are their risk factors?
• Care practices?
• Health status and Comorbidities?

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Whos at risk?
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Risk factors for diabetes

• Prediabetes (IFG and/or IGT)
• 45 years of age
• Family history of diabetes
• Non-white
• Sedentary
• Overweight or obese
• High blood pressure
• High cholesterol (Triglycerides, low HDL)
• History of gestational diabetes
• History of CVD

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Blood Glucose Testing2006 (past 3 yrs) 2007
(past 1 yr)
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Blood glucose testing in past 3 years by sex
within at risk populations
(a) Cost-effectiveness analyses by Hoerger et al
(2007)
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Who is diagnosed?
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Diabetes Prediabetes 2007
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Age 1st Told Prediabetes (2007)

• Age 1st Told Prediabetes Diabetes
• lt20 6.8 8.5
• 21-30 14.0 5.4
• 31-40 18.8 10.4
• 41-50 17.4 25.3
• 51-60 19.2 27.4
• 61-70 13.6 11.9
• 71-80 7.7 9.4
• 81 2.4 1.3

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Duration of Prediabetes Diabetes

• Duration Prediabetes() Diabetes()
• 2006 2007 2006 2007
• 0 yr 19.6 17.1 2.6 4.3
• 1 yr 25.2 19.3 9.8 6.5
• 2 yrs 15.9 12.5 9.4 8.0
• 3 yrs 8.2 9.8 8.1 8.3
• 4 yrs 5.3 3.4 6.8 8.1
• 5 yrs 6.9 2.8 5.9 5.7
• 6 yrs 18.2 35.0 59.5 59.2
• Range (yrs) 6-49 6-56 6-59 6-62

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Self-reported Diabetes PrediabetesRisk
Behaviors

• Smoking status
• Physical activity
• Diet
• Sleep

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Current Smoker
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Physical Activity

• Diabetes Prediabetes Other
• No LTPA
• Total 30 17 16
• Men 25 14 14
• Women 36 18 17
• Moderate PA
• Total 40 48 50
• Men 48 41 50
• Women 30 52 49
• Vigorous PA
• Total 11 13 24
• Men 13 6 25
• Women 8 17 23

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Increased Walking in the Past 12 Months
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Hours of TV Viewing per Day
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Hours of Computer Use per Day
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Hours of Sleep per 24-hour Period
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Daily Consumption of 5 or More Fruits or
Vegetables
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In past 12 months, increased consumption of
fruits and vegetables
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Reduced calories in the past 12 months
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Risk Factors

• High Blood Pressure
• High Cholesterol
• Weight status

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High Blood Pressure Cholesterol

• Diabetes Prediabetes Other
• Told High BP
• Total 65 42 18
• Men 60 50 18
• Women 72 36 18
• Told High Cholesterol
• Total 60 38 30
• Men 55 46 34
• Women 66 33 27

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Weight Status
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Care Practices

• Insurance Coverage
• Routine check-up in the past 12 months
• Regular health care provider
• Blood glucose test in the past 12 months
• Blood cholesterol checked in the past 12 months
• Dental visit in the past 12 months
• Flu shot

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Health Care

• Diabetes Prediabetes Other
• Health insurance
• Total 98 94 91
• Men 98 97 89
• Women 98 92 93
• Regular health provider
• Total 97 86 78
• Men 96 91 70
• Women 98 84 86
• Routine check-up in past 12 months
• Total 92 73 68
• Men 92 77 58
• Women 93 71 78

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Among persons self-reporting prediabetes, annual
cholesterol glucose test
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Annual Dental Care

• Diabetes Prediabetes Other
• Any dental visit
• Total 71 76 78
• Men 68 80 76
• Women 76 72 81
• Dental cleaning
• Total 73 78 78
• Men 68 84 75
• Women 80 72 82

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Annual flu shot
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Health Status Comorbidity

• Health status
• Limitation of activities
• Cardiovascular disease
• Arthritis
• Asthma
• Mental health

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Health Status Limitations
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Cardiovascular Disease
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Arthritis
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Asthma
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Mental Health Men
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Mental Health Women
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Summary