Health Indicator Report of Prediabetes

Notes

In 2016, Utah BRFSS modified its methodology for age adjustment to increase the precision of the estimates. With this change, Utah data is more consistent with both the U.S. and other states using IBIS. Data used in graphs from 2011 forward have been updated to reflect this change.   [[br]] [[br]] Age-adjusted to U.S. 2000 standard population. Prediabetes questions were not asked in Utah in 2015 or 2019.

Data Interpretation Issues

Data for this indicator come from the Utah Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey that asks respondents to report if they had ever been told by a health care professional if they had prediabetes. The term "prediabetes" is often called impaired fasting glucose or insulin resistance. It is also sometimes referred to as "borderline diabetes." An individual may actually have "prediabetes" but respond with "No," as the health care provider may not have actually said he/she had "prediabetes" or "borderline diabetes."

Definition

Percentage of adults who have ever been told by a doctor or other health professional that they have prediabetes or borderline diabetes. Prediabetes is a condition in which an individual's blood sugar level is elevated but not high enough to reach a clinical diagnosis for diabetes.

Numerator

Number of adults who have been told by a doctor they have prediabetes.

Denominator

All Utah adults.

Healthy People Objective: Increase prevention behaviors in persons at high risk for diabetes with pre-diabetes

U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Healthy People 2030 objectives: reduce the number of diabetes cases diagnosed yearly (D-01), reduce the proportion of adults who don't know they have prediabetes (D-02), and increase the proportion of eligible people completing CDC-recognized type 2 diabetes prevention programs (D-D01).

How Are We Doing?

The Centers for Disease Control and Prevention (CDC) estimates that about one-third of U.S. adults (aged 20 and over) have prediabetes. Most people with prediabetes do not know they have it. The Utah Department of Health and Human Services (DHHS) has been working to increase awareness of prediabetes. In 2016, 5.2% of adults reported they had been told by a health care provider that they had prediabetes (crude rates). Data collected in 2020 (Behavioral Risk Factor Surveillance System) showed this percentage increased to 10.2% (crude rates). While this increased rate may be partly due to a true increase, it likely reflects increased awareness by providers and patients.

How Do We Compare With the U.S.?

Adults in the U.S. generally have a similar rate of being diagnosed with prediabetes than adults in Utah. National data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) indicated that 11.9% (age- adjusted) of adults in the U.S. had been told by a doctor or other health professional that they have prediabetes. In Utah, about 11.1% (age- adjusted) of adults have been told by a provider that they have prediabetes (BRFSS 2020). The actual percentages are probably much higher. About 86 million Americans (roughly 35% of adults aged 20 years and older) may actually have prediabetes.

What Is Being Done?

In 2015, DHHS received funding to increase awareness and prevention of prediabetes. National data suggest that many individuals have prediabetes but have not been diagnosed by a healthcare provider and are not aware they have it due to its unclear symptoms. DHHS is working to increase awareness of this condition among health care providers, as well as individuals at risk by promoting and supporting different programs that target different stages of diabetes prevention.

Evidence-based Practices

The CDC promotes the Diabetes Prevention Recognition Program (DPRP) as part of its efforts to prevent diabetes. The DPRP provides recognition to qualified organizations that can effectively deliver a lifestyle change intervention program. In most states, participants pay to attend the program. The program consists of 16 sessions taught by a trained lifestyle coach. The program includes at least 6 additional follow-up sessions (for a total of 22 or more sessions). DPRP-recognized programs submit reports to DPRP every 6 months with data on participants' progress. More information is available at http://www.cdc.gov/diabetes/prevention/recognition/index.htm.

Available Services

The American Diabetes Association (ADA) is an excellent resource for all types of information on diabetes. Call 1-800-DIABETES or visit the [https://diabetes.org/ website]. [https://www.niddk.nih.gov/health-information/community-health-outreach/information-clearinghouses?dkrd=hisce0003 The National Diabetes Education Program] has resources for diabetes management for professionals, businesses, and patients. Most materials are available upon request at no charge. [https://www.cdc.gov/diabetes/prevention/index.html The National Diabetes Prevention Program] has resources for diabetes prevention for employers, insurers, health care professionals, program providers, and individuals. You can find and enroll in the National Diabetes Prevention Program, an evidence-based health program for prediabetes [https://heal.health.utah.gov/compass/#/?distance=30&programId=group_2 here]. [https://dhhs.utah.gov/ The Utah Department of Health and Human Services] has a Health Resource hotline: 1-888- 222-2542. Please call this number or 211 for information about self-management programs in Utah. The [https://heal.health.utah.gov/ HEAL website] provides information on diabetes self-management classes. [https://www.diabeteseducator.org/ Association of Diabetes Educators] 800-338-3633 [https://www.heart.org/ American Heart Association] 1937 S. 300 W. #120 Salt Lake City, UT 84115 (801) 484-3838 or 1-800-242-8721

Health Program Information

The Utah Department of Health and Human Services, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program (HEAL) was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Visit [https://heal.health.utah.gov/ HEAL?s website] for more information.