DiabDth diabetes, diabetes mellitus, type 1 diabetes, type 2 diabetes, blood glucose, blood sugar, insulin DiabDth.UT_US Diabetes as the underlying cause of death refers to the first-listed cause of death with ICD-10 codes E10-E14 (diabetes mellitus). Number of deaths with diabetes as the underlying cause of death. Number of Utah residents. 03/06/2024 Diabetes is a leading cause of disability and death. It is currently the eighth leading cause of death in the U.S. Utah death rates from diabetes were in decline from 1999 to 2008. From 2009 to 2017, death rates from diabetes remained relatively the same. However, since 2018 the death rates have been increasing slightly, with a drop in 2022. Between 1999 and 2008, rates for diabetes deaths in Utah were consistently higher than those for the U.S. However, since 2008, Utah had similar death rates for diabetes compared to the U.S. But, in 2020, rates of diabetes deaths in Utah again were higher than those for the U.S. Age-adjusted rates are used in this indicator to account for the differences in age composition between the U.S. and Utah. In 2020, in the U.S., the age-adjusted rate was 24.8 per 100,000 population. For Utah in 2022 the rate was 24.9. 2020 is the most recent data available for U.S. deaths due to diabetes. Diabetes care and education specialists play a prominent role in providing information about nutrition, exercise, and blood glucose monitoring. Diabetes education for all people with diabetes is encouraged to prevent complications and death from diabetes. The Healthy Environments Active Living ([https://heal.utah.gov/ HEAL]) Program promotes diabetes education throughout the state. The HEAL program is working statewide to increase the number of locations that offer Diabetes Self-Management Education and Support (DSMES) and also promote DSMES to eligible participants. The National Diabetes Prevention Program (National DPP) is also an evidence-based program to prevent type 2 diabetes, which would also contribute to reduced deaths from diabetes. The HEAL program works with statewide partners to promote the National DPP to eligible Utahns and also is working to expand National DPP sites across the state. Diabetes Self-Management Education and Support ([https://www.cdc.gov/diabetes/managing/education.html DSMES]) has been shown to improve blood glucose control in people with diabetes. Education programs may be recognized/accredited by the American Diabetes Association or the Association of Diabetes Care and Education Specialists. A list of DSMES programs available in Utah is available at [https://heal.health.utah.gov/dsmes-programs/]. Staff from the HEAL Program work with healthcare providers, including diabetes educators, dietitians, pharmacists, community health centers, community health workers, worksites, and health plans to improve the care provided to Utahns with diabetes. 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.utah.gov/ HEAL's website] for more information. The [https://dhhs.utah.gov/ 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 Healthy Environments Active Living ([https://heal.utah.gov/ HEAL]) website provides information on diabetes self-management classes. [https://diabetes.org/ American Diabetes Association] [[br]] 888-DIABETES [https://www.diabeteseducator.org/ Association of Diabetes Care & Education Specialists] [[br]] 800-338-3633 [https://www.heart.org/ American Heart Association] [[br]] 1937 S. 300 W. #120[[br]] Salt Lake City, UT 84115 [[br]] (801) 484-3838 or[[br]] 1-800-242-8721 Also see a list of [https://heal.utah.gov/dsmes-programs/ diabetes education classes in Utah], and a [https://heal.utah.gov/compass/#/?distance=30&programId=group_2 list of diabetes prevention classes in Utah]. [https://diabetes.org/ American Diabetes Association] [https://www.cdc.gov/diabetes/index.html Division of Diabetes Translation], Centers for Disease Control and Prevention [https://wonder.cdc.gov/ CDC Wonder] Association of Diabetes Care & Education Specialists [http://www.diabeteseducator.org] HEAL karleewalker@utah.gov A 07/26/2024 Detail modified by: cjasumback@utah.gov, 11/25/2022 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf for 2005 and 2006 death rates preliminary http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_14.pdf final 2006 Deaths for which diabetes initiated the chain of events that ultimately led to the death. ICD-9 codes 250.00-250.93 (prior to 1999) and The underlying cause of death for diabetes is identified by ICD-9 codes 250.00-250.93 (prior to 1999) and ICD-10 codes E10.0-E14.99 (for years 1999 and later). When the new ICD-10 codes began to be used in 1999, all causes of death were assigned a "comparability ratio" to facilitate comparisons in rates calculated with ICD-9 codes and ICD-10 codes. Without the comparability ratio, it would be difficult to know whether changes in rates for years prior to 1999 and rates for years 1999 and later are real changes or are due to the change in coding. The National Center for Health Statistics compared death rates between the ICD-9 and ICD-10 coding system and assigned a comparability ratio to each cause of death. Diabetes was assigned a comparability ratio of 1.01 (i.e., diabetes death rates prior to 1999 are multiplied by 1.01). For example, the age-adjusted death rate for diabetes in 1998 (using ICD-9 codes) was 22.4 per 100,000 population. In order for this rate to be comparable with the 1999 rate which used ICD-10 codes, the 1998 rate was multiplied by 1.01; and the comparability modified rate for 1998 is 22.6. Application of this ratio is particularly important when trends in mortality are examined. 10.31.18= BR deleted HP 2020 objective of 66.6 deaths- the objective refers to diabetes-RELATED deaths. This indicator is for diabetes as underlying cause of death. Could not find a good place to indicate that so just removed it. Updated 10-23-2019 CJasumback Updated 11/2/2020 CJasumback. Updated 10/21/2021 CJasumback. Updated 11/25/2022 CJasumback. Updated 3/6/2024 by SRobinson 3 x 07/26/2024 Status changed by: kimneerings@utah.gov 07/26/2024 PopChar In 2022, diabetes was the eighth leading cause of death in Utah. People of minority races (particularly American Indian/Alaska Native and Native Hawaiian/Pacific Islander populations) had an increased risk of dying from diabetes. AgeDistPop AgeDistPop.Ut_US EduLevPop EduLevPop.Ut_US HHInc HHInc.UT_US HII HII.SA Pov Pov.UT_US RacEthPop RacEthPop.RaceYear SystemFactors Regular check-ups and laboratory exams are essential for detecting early signs of complications. With adequate preventive care and regular routine physician visits, some diabetes deaths could be prevented. Many diabetes-related problems, such as hypertension (high blood pressure) and early end-stage renal (kidney) disease, go undetected and are diagnosed only after serious complications have developed. This issue is particularly pronounced among people without insurance who often do not have the resources to seek regular, routine care for their diabetes. CosBarHtlhCar CosBarHtlhCar.UT_US DiabMgt DiabMgt.LHD HEDISHbA1c HEDISHbA1c.Year HlthIns HlthIns.UT_US_ACS PriProvUsuPl PriProvUsuPl.Age_Sex RouMedCarVis RouMedCarVis.AgeSex RiskFactors Risk factors for diabetes include age, obesity, sedentary lifestyle, family history, hypertension, and dyslipidemia (including high blood cholesterol or triglycerides). The more risk factors a person has, the greater his or her chance of developing diabetes. Prediabetes is a condition in which a person's blood sugar levels are elevated but not quite high enough to meet the clinical threshold for diabetes. Unless steps are taken, most people with prediabetes will develop type 2 diabetes. Having had gestational diabetes during pregnancy is also a risk factor for developing type 2 diabetes. 5aDayFruit 5aDayFruit.UT_US 5aDayVeg 5aDayVeg.UT_US BloCholScr BloCholScr.Ut_USYear CigSmokAdlt CigSmokAdlt.Ut_US HypAwa HypAwa.UT_US Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US PreDiab PreDiab.Age HealthStatus Uncontrolled diabetes can lead to debilitating health problems. People with diabetes have an excess risk for kidney failure, blindness, non- traumatic lower extremity amputations, and neuropathy (nerve damage). People with diabetes are more likely to report their health as "fair" or "poor" than people without diabetes. DiabPrev DiabPrev.LHD DiabRelHosp DiabRelHosp.Year FPHlth FPHlth.Ut_USYear HrtDisDth HrtDisDth.Ut_USYear StrDth StrDth.UT_US DiabDth.LHD by local health district, Utah, 2019-2022 Age-adjusted rate per 100,000 population DiabDth.SA by Utah Small Area, 2018-2022 Age-adjusted Rate per 100,000 Population DiabDth.UT_US Utah and U.S., 1999-2022 Age-adjusted Rate per 100,000 Population DiabDth.Race by Race, Utah, 2021-2022 Age-adjusted Rate per 100,000 Population DiabDth.Eth by Ethnicity, Utah, 2022 Age-adjusted Rate per 100,000 Population