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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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Detalles Bibliográficos
Autores principales: Selvin, Elizabeth, Ali, Mohammed K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2017
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
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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.
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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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