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Diabetes

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Glycemic control, adults with diagnosed diabetes, 2005–08 and 2009–12

Increase Desired (objective D-5.2) || Decrease Desired (objective D-5.1)

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTE: Data are for the proportion of adults aged 18 and over with diagnosed diabetes who had an HbA1c value less than 7 percent (objective D-5.2) and those who had an HbA1c value greater than 9 percent (objective D-5.1), and are age adjusted using the year 2000 standard population. 

Confidence Interval= 95% confidence interval.

Between 2005–08 and 2009–12, the proportion of adults aged 18 and over with diagnosed diabetes who had an HbA1c value less than 7 percent (objective D-5.2) decreased 9.9%, from 53.5% to 48.2% (age adjusted), away from the Healthy People 2020 target of 58.9% (age adjusted), although this decrease was not statistically significant. On the other hand, the proportion of adults with diagnosed diabetes who had an HbA1c value greater than 9 percent (objective D-5.1) increased 17.3%, from 17.9% to 21.0% (age adjusted), away from the 2020 target of 16.1% (age adjusted), although this increase was not statistically significant.

Revised: Monday, August 25, 2014

Diagnosed diabetes, adults, 2009–12

Increase Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 20 and over with diabetes (diagnosed or undiagnosed) who reported ever being diagnosed with diabetes, and are age adjusted using the year 2000 standard population. Undiagnosed diabetes is defined as persons who do not report ever being diagnosed with diabetes and who have a fasting blood glucose level greater than or equal to 126mg/dl or an HbA1c level greater than or equal to 6.5%. Data by education are for persons aged 25 and over.

Confidence Interval= 95% confidence interval.

In 2009–12, 67.7% (age adjusted) of adults aged 20 and over with diabetes (diagnosed or undiagnosed) reported ever being diagnosed with diabetes. This rate varied by sex and education. For example: 

  • 65.1% (age adjusted) of males aged 20 and over with diabetes were ever diagnosed with diabetes, compared with 71.3% of females with diabetes, although this difference was not statistically significant.

  • 66.3% (age adjusted) of adults aged 25 and over with diabetes who had less than a high school education were ever diagnosed with diabetes, compared with 76.6% of those who had a college degree or higher, although this difference was not statistically significant.

Revised: Monday, August 25, 2014

Prevention behaviors, adults at high risk for diabetes, 2005–08

Increase Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 18 and over at high risk for diabetes who reported increasing physical activity (objective D-16.1), trying to lose weight (objective D-16.2), or reducing the amount of fat or calories in their diet (objective D-16-3), and are age adjusted using the year 2000 standard population. Persons are deemed at high risk for diabetes if they do not self-report diabetes and have fasting blood glucose level greater than or equal to 100mg/dl but less than 126mg/dl or an HbA1c value greater than 5.7% but less than 6.5%.

Confidence Interval= 95% confidence interval.

In 2005–08, 44.6% (age adjusted) of adults aged 18 and over who were at high risk for diabetes reported increasing physical activity (objective D-16.1), 50.0% (age adjusted) reported trying to lose weight (objective D-16.2), and 48.5% (age adjusted) reported reducing the amount of fat or calories in their diet (objective D-16-3). Healthy People 2020 targets for these three objectives are 49.1%, 55.0%, and 53.4%, respectively.

Revised: Thursday, March 28, 2013

National Snapshots Help

HEALTHY PEOPLE 2020 NATIONAL SNAPSHOTS

A User's Guide

  1. National snapshots provide a visual display of progress for selected objectives in each Healthy People 2020 Topic Area, whenever data are available.

  2. The snapshot heading describes the snapshot theme, the population to which the snapshot applies (when needed for clarification), and the data year(s). The snapshot heading is not meant to capture the full scientific scope of the objective(s) that is (are) displayed. The user can find complete technical information about the objective(s) in the Data Details.

  3. The snapshot visual display is generally one of three types: a line graph, a bar chart, or a map. 

  4. The snapshot notes and footnotes indicate any technical information about the data that the user needs to correctly interpret the visual display, together with any key data limitations (when applicable). Although the snapshots are intended to be standalone, the user should consult the objective(s) Data Details for the full range of methodology issues that may impact interpretation.

  5. The snapshot source(s) indicate the data source(s) used to create the visual display.

  6. Age-adjusted data are adjusted using the year 2000 standard population.

  7. Education and income are the primary measures of socioeconomic status in Healthy People 2020. Unless otherwise noted, income is defined as a family’s income before taxes; thus, the terms “income” and “family income” are used interchangeably in the snapshots.

  8. To facilitate comparisons among groups and over time, while adjusting for family size and for inflation, Healthy People 2020 categorizes family income using the Poverty Threshold (PT), sometimes also referred to as the Federal Poverty Level (FPL), developed by the Census Bureau. Unless otherwise overridden by considerations specific to the data system, the five categories of family income primarily used are: 

    1. Below the PT (i.e., less than 100% of the PT) 

    2. At 100%–199% of the PT 

    3. At 200%–399% of the PT 

    4. At 400%–599% of the PT 

    5. At or above 600% of the PT.

  9. A snapshot narrative paragraph highlights some key features of the visual display. The narrative text is not meant to provide an exhaustive analysis of the data displayed. For a more in-depth analysis, the user should refer to the applicable data table(s) and objective(s) Data Details.

  10. The user should keep in mind the following: 

    1. When two rates or proportions are highlighted for comparison (and measures of variability are available), the user may interpret the highlighted difference to be statistically significant at the 0.05 level, unless otherwise stated.

    2. Only selected differences are highlighted in the narrative text. Differences visible in the visual data display but not highlighted in the text still may well be statistically significant.

Revised: Monday, August 25, 2014