1905 Death Certificates

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					     The Burden of Diabetes
In Davidson County, North Carolina 2010




      www.ncdiabetes.org
        Percentage and Estimated Number of Adults* with
       Some Form Of Hypoglycemia, Davidson County, 2008



        Conditions                                                  Rate                      Number

        Prediabetes                                                6.0%                          7,147
        Diagnosed Diabetes                                         9.3%                         11,078
        Undiagnosed Diabetes                                       2.2%                          2,621
        Gestational Diabetes**                                     9.4%                          2,615
       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 Davidson 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, Davidson County, 2008


          Age                                            Rate                           Number

          18-44                                          3.1%                                 1,752

          45-64                                         12.9%                                 5,383

          65+                                           21.1%                                 4,401

          Overall                                        9.3%                                 11,078

         Source: NC BRFSS 2008, State Center for Health Statistics, DHHS
         Notes: Estimated numbers based on state prevalence.




                             The Burden of Diabetes In Davidson 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, Davidson County, 2008


     Preventive Care Practices                                                Rate            Number
     No Diabetes Education Classes                                          45.4 %             5,029
     Less than two A1c Exams in the                                         24.2 %             2,681
     Previous Year
     No Dilated Eye Exam in the Previous                                    30.4 %             3,368
     Year
     No Flu Shot in the Previous Year                                       36.4 %             4,032
     No Pneumococcal Vaccine                                                46.2 %             5,118
    Source: NC BRFSS 2008, State Center for Health Statistics, DHHS
    Notes: Estimated numbers based on state prevalence .




                             The Burden of Diabetes In Davidson County, North Carolina 2010
January 2010                    North Carolina Diabetes Prevention and Control Program                 4
          Impact of Diabetes, Davidson County, 2008


     Indicator                                                              Rate              Number
     Diabetic Retinopathy                                                  17.2%               1,905

     Kidney Disease                                                         8.8%               975

     Hospitalization or Emergency Visit                                     5.4%               598
     Due to Diabetes
     Visual Impairment (Age 40+)*                                          41.4%               4,586

     All Permanent Teeth were Removed                                      17.5%               1,939
     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 Davidson 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), Davidson County, 2007


         CVD Risk Factors/Conditions                      Percentage           Estimated Number

         With Hypertension                                    68.8%                          7,622

         With High Cholesterol                                65.6%                          7,267

         With a History of CVD                                29.3%                          3,246

         Current Smoker                                       17.5%                          1,939

         Without Aspirin Therapy                              41.8%                          4,631
        Source: NC BRFSS 2007, State Center for Health Statistics, DHHS
        Notes: Estimated numbers based on state prevalence.



                            The Burden of Diabetes In Davidson 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
                    Davidson County, 2008
   Lifestyle or Socioeconomic Factors                                            Rate         Number

   Overweight/Obese                                                             85.3%          9,450
   Consumed Less Than Five Fruits and
   Vegetables*                                                                  79.6%          8,818

   No Moderate Physical Activity*                                               68.7%          7,611
   Could not Buy Test Strips or Medicines
   Due to Lack of Money in the Previous                                         13.3%          1,473
   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 Davidson County, North Carolina 2010
January 2010                    North Carolina Diabetes Prevention and Control Program                 7
                 Diabetes-Related Hospital Discharges,
                        Davidson County, 2007


       Discharge Codes                                            Number of                      Costs
                                                                  discharges
       Primary Diagnosis of Diabetes                                        277                $4,313,251
       Any Mention of Diabetes                                             3,178               $59,439,604
       Heart Attacks                                                        559                $12,965,572
       Stroke                                                               139                $2,079,719
       Lower-Limb Amputations (LEA)                                          42                $1,549,974
       Renal Dialysis/Kidney
                                                                            129                $3,241,354
       Transplants
      Source: 2003-2007 NC Hospital Discharge data. State Center for Health Statistics, DHHS
      All ages


                             The Burden of Diabetes In Davidson County, North Carolina 2010
January 2010                    North Carolina Diabetes Prevention and Control Program                       8
        Diabetes-Related Hospital Discharges, Age-Adjusted
         Hospitalization Rates and Costs, Davidson County,
                             2003-2007

     Discharges                                          Diabetes as                      Any Mention
                                                          Principal                       of Diabetes
                                                          Diagnosis
     Total Discharges                                            1,349                            15,437

     Age-Adjusted                                                168.6                           1,855.6
     Hospitalization Rate
     Total Costs                                           $17,956,368                         $250,093,438

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




                              The Burden of Diabetes In Davidson 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,
                     Davidson County, 2003-2007

   Race/Sex                                 Number of Deaths                      Age-Adjusted Death
                                                                                        Rate
   Total                                                 231                                    27.9
   Race
      White                                              199                                    26.2
      African American                                    31                                    47.7
   Sex
      Male                                               121                                    33.3
      Female                                             110                                    23.3
  Source: NC Resident Death Certificates, 2003-2007, State Center for Health Statistics, DHHS


                              The Burden of Diabetes In Davidson 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, Davidson County, 2003-2007

   Race/Sex                                 Number of Deaths                      Age-Adjusted Death
                                                                                       Rate (%)
   Total                                                 831                                    101.5
   Race
     White                                               735                                    97.7
     African American                                     92                                    147.7
   Sex
     Male                                                422                                    124.0
     Female                                              409                                    85.3
  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 Davidson 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 Davidson County, North Carolina 2010
January 2010       North Carolina Diabetes Prevention and Control Program        12

				
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