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Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact?
National surveillance data show a sustained decline in the incidence rate of diagnosed diabetes, which has been heralded as a success in the battle against diabetes in the U.S. In this Perspective, we take a closer look at these data and provide additional insights to help interpret these trends. We...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5566279/ https://www.ncbi.nlm.nih.gov/pubmed/28830954 http://dx.doi.org/10.2337/dc16-2442 |
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author | Selvin, Elizabeth Ali, Mohammed K. |
author_facet | Selvin, Elizabeth Ali, Mohammed K. |
author_sort | Selvin, Elizabeth |
collection | PubMed |
description | National surveillance data show a sustained decline in the incidence rate of diagnosed diabetes, which has been heralded as a success in the battle against diabetes in the U.S. In this Perspective, we take a closer look at these data and provide additional insights to help interpret these trends. We examine multiple sources of data on the prevalence and incidence of diabetes in the U.S. as well as data on trends in diabetes risk factors to provide context for these national surveillance findings. Although some of the incidence decline may represent real progress against diabetes, it is likely that there are also nonbiological factors at play, especially changes in diagnostic criteria for diabetes. We present and discuss data that suggest improved detection and changes in screening and diagnostic practices may have resulted in the depletion of the “susceptible population.” Providing this context for the recent declines in new diabetes diagnoses observed in national data is critical to help avoid misinterpretation. We argue that it is premature to declare victory against the epidemic of diabetes in the U.S. and discuss how we might better focus current public health efforts, including a specific emphasis to address prediabetes. |
format | Online Article Text |
id | pubmed-5566279 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-55662792018-09-01 Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? Selvin, Elizabeth Ali, Mohammed K. Diabetes Care Perspectives in Care National surveillance data show a sustained decline in the incidence rate of diagnosed diabetes, which has been heralded as a success in the battle against diabetes in the U.S. In this Perspective, we take a closer look at these data and provide additional insights to help interpret these trends. We examine multiple sources of data on the prevalence and incidence of diabetes in the U.S. as well as data on trends in diabetes risk factors to provide context for these national surveillance findings. Although some of the incidence decline may represent real progress against diabetes, it is likely that there are also nonbiological factors at play, especially changes in diagnostic criteria for diabetes. We present and discuss data that suggest improved detection and changes in screening and diagnostic practices may have resulted in the depletion of the “susceptible population.” Providing this context for the recent declines in new diabetes diagnoses observed in national data is critical to help avoid misinterpretation. We argue that it is premature to declare victory against the epidemic of diabetes in the U.S. and discuss how we might better focus current public health efforts, including a specific emphasis to address prediabetes. American Diabetes Association 2017-09 2017-08-14 /pmc/articles/PMC5566279/ /pubmed/28830954 http://dx.doi.org/10.2337/dc16-2442 Text en © 2017 by the American Diabetes Association. http://www.diabetesjournals.org/content/licenseReaders may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license. |
spellingShingle | Perspectives in Care Selvin, Elizabeth Ali, Mohammed K. Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title | Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title_full | Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title_fullStr | Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title_full_unstemmed | Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title_short | Declines in the Incidence of Diabetes in the U.S.—Real Progress or Artifact? |
title_sort | declines in the incidence of diabetes in the u.s.—real progress or artifact? |
topic | Perspectives in Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5566279/ https://www.ncbi.nlm.nih.gov/pubmed/28830954 http://dx.doi.org/10.2337/dc16-2442 |
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