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The Burden of Diabetes

In Wilson County, North Carolina 2010









www.ncdiabetes.org

Percentage and Estimated Number of Adults* with

Some Form Of Hypoglycemia, Wilson County, 2008







Conditions Rate Number



Prediabetes 6.0% 3,499

Diagnosed Diabetes 9.3% 5,424

Undiagnosed Diabetes 2.2% 1,283

Gestational Diabetes** 9.4% 1,317

Source: NC BRFSS 2008, State Center for Health Statistics, DHHS

Notes: Estimated numbers based on state prevalence.

*Ages 18+

**Gestational Diabetes: Women of fertile age (18-44 years old), Source: Pregnancy Risk Assessment Monitoring

System (PRAMS), 2007.





The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 2

Percentage and Estimated Number of Adults With

Diagnosed Diabetes by Age, Wilson County, 2008





Age Rate Number



18-44 3.1% 858



45-64 12.9% 2,650



65+ 21.1% 2,134



Overall 9.3% 5,424



Source: NC BRFSS 2008, State Center for Health Statistics, DHHS

Notes: Estimated numbers based on state prevalence.









The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 3

Percentage and Estimated Number of Adults who did

not Receive Preventive Care, Wilson County, 2008





Preventive Care Practices Rate Number

No Diabetes Education Classes 45.4 % 2,462

Less than two A1c Exams in the 24.2 % 1,313

Previous Year

No Dilated Eye Exam in the Previous 30.4 % 1,649

Year

No Flu Shot in the Previous Year 36.4 % 1,974

No Pneumococcal Vaccine 46.2 % 2,506

Source: NC BRFSS 2008, State Center for Health Statistics, DHHS

Notes: Estimated numbers based on state prevalence .









The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 4

Impact of Diabetes, Wilson County, 2008





Indicator Rate Number

Diabetic Retinopathy 17.2% 933



Kidney Disease 8.8% 477



Hospitalization or Emergency Visit 5.4% 293

Due to Diabetes

Visual Impairment (Age 40+)* 41.4% 2,245



All Permanent Teeth were Removed 17.5% 949

due to Tooth Decay or Gum Disease

*2006 BRFSS;

Source: NC BRFSS 2008, State Center for Health Statistics, DHHS.

Notes: Estimated numbers based on state prevalence.









The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 5

Percentage and Estimated number of Adults With

Diabetes at Risk of or with Cardiovascular Disease

(CVD), Wilson County, 2007





CVD Risk Factors/Conditions Percentage Estimated Number



With Hypertension 68.8% 3,732



With High Cholesterol 65.6% 3,558



With a History of CVD 29.3% 1,589



Current Smoker 17.5% 949



Without Aspirin Therapy 41.8% 2,267

Source: NC BRFSS 2007, State Center for Health Statistics, DHHS

Notes: Estimated numbers based on state prevalence.







The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 6

Percentage and Estimated Number of Adults with

Diabetes at risk of Complications due to

Lifestyle or Socioeconomic Factors

Wilson County, 2008

Lifestyle or Socioeconomic Factors Rate Number



Overweight/Obese 85.3% 4,627

Consumed Less Than Five Fruits and

Vegetables* 79.6% 4,317



No Moderate Physical Activity* 68.7% 3,726

Could not Buy Test Strips or Medicines

Due to Lack of Money in the Previous 13.3% 721

Year

*2007 BRFSS

Source: NC BRFSS 2008, State Center for Health Statistics, DHHS

Notes: Estimated numbers based on state prevalence.





The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 7

Diabetes-Related Hospital Discharges, Wilson

County, 2007





Discharge Codes Number of Costs

discharges

Primary Diagnosis of Diabetes 158 $2,359,789

Any Mention of Diabetes 2,310 $54,129,604

Heart Attacks 467 $16,208,878

Stroke 95 $1,742,389

Lower-Limb Amputations (LEA) 31 $1,026,911

Renal Dialysis/Kidney

124 $3,497,977

Transplants

Source: 2003-2007 NC Hospital Discharge data. State Center for Health Statistics, DHHS

All ages





The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 8

Diabetes-Related Hospital Discharges, Age-Adjusted

Hospitalization Rates and Costs, Wilson County, 2003-

2007



Discharges Diabetes as Any Mention

Principal of Diabetes

Diagnosis

Total Discharges 664 11,103



Age-Adjusted 168.6 2,726.0

Hospitalization Rate

Total Costs $9,899,240 $228,884,231



Source: NC Hospital Discharge data. State Center for Health Statistics, DHHS

All ages









The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 9

Number of Deaths and Age-Adjusted Death Rates

(per 100,000 Population) with Diabetes as the

Primary Cause of Death by Race and Sex,

Wilson County, 2003-2007



Race/Sex Number of Deaths Age-Adjusted Death

Rate

Total 149 37.0

Race

White 80 29.3

African American 69 54.1

Sex

Male 74 45.3

Female 75 30.7

Source: NC Resident Death Certificates, 2003-2007, State Center for Health Statistics, DHHS





The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 10

Number of Deaths and Age-Adjusted* Death Rates with

Diabetes as any Listed Cause of Death by Race and

Sex, Wilson County, 2003-2007



Race/Sex Number of Deaths Age-Adjusted Death

Rate (%)

Total 529 131.1

Race

White 305 110.3

African American 224 178.6

Sex

Male 259 161.8

Female 270 109.5

Source: NC Resident Death Certificates, 2003-2007, State Center for Health Statistics, DHHS

*Age adjusted death rates using 2000 US estimated population





The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 11

Contact Information

Diabetes Prevention and Control Program

Chronic Disease and Injury Section

North Carolina Division of Public Health

North Carolina Department of Health and Human Services

Phone: 919-707-5340

Fax: 919-870-4801

Website: www.ncdiabetes.org









The Burden of Diabetes In Wilson County, North Carolina 2010

January 2010 North Carolina Diabetes Prevention and Control Program 12



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