- Jun 5, 2019
Epidemiologic and statistical experts from the diabetes division of the Center for Disease Control and Prevention (CDC) wrote an important article on the surge of diabetes complications between 2010 and 2015, largely due to lifestyle modifiable factors in the May 21, 2019 issue of JAMA. The article is a dire warning about young (age 18-44) and middle-aged (age 45-64) adults who disproportionately represented the resurgence in diabetes complications.
While work needs to continue to better understand the demographics and behaviors of subsets in these age groups, the message is that we have to do more to prevent diabetes and reach diabetic individuals who are on a collision course with serious maladies.
We are able to make a marked difference for our clients’ populations because we can use Advanced Plan for Health’s (APH) Poindexter analytics to find these individuals, use motivational interviewing to collaboratively set goals with them, and measure progress (or the lack thereof) in helping them to be more compliant with their physician’s treatment plan and able to modify their lifestyle.
APH is dedicated to reversing this untoward trend – and has done so for many clients – but there is more work to do.
Positive progress, then a resurgence in diabetes-related complications
JAMA published a summary of diabetes-related trends from the early 1990s through 2015. A summary of that follows. In the early 1990s, diabetic individuals had complications that shortened their lives and had more serious systemic problems than individuals without diabetes in the following areas:
Lower extremity amputation (LEA)
Acute myocardial infarction
Higher risk of cardiac events (which caused the most deaths)