Dr. Howard Smith Reports

Diabetes Under Better Control


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Diabetes-related deaths dropped by 32% from 2000 to 2019.  That is a decline from 28.1 deaths per 100,000 people to 19.1  This progress in diabetic management occurred in all racial and ethnic groups.


Epidemiologists from Seattle’s University of Washington report these heartening statistics after their review of data from US government databases.  The declines were most significant for non-white and non-Asian Americans.  Latino Americans had a 50% mortality decline, Native American and Alaskan Native peoples had a drop of 43.9%, and Black Americans had a drop of 43%.  Asian Americans had 30% decline.  White Americans had a 28% drop.  


These improvements occurred due to better therapy with improved insulins, GLP-1 medications, and statins all leading to better blood sugar management. The most significant improvements occurred between 2005 and 2013, but the progress rates have slowed more recently.


Though every group saw improvements, we have much further to go. Native American and Black communities still have the highest diabetes mortality rates, especially in the Mississippi Delta, Texas, and parts of the Midwest. The data suggests that the key to equalizing this progress is expanding access to affordable care and improving dietary choices.

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https://diabetesjournals.org/care/article/doi/10.2337/dc24-2259/157755/The-Burden-of-Diabetes-Mortality-by-County-Race

https://www.healio.com/news/endocrinology/20250310/diabetes-mortality-rates-declined-in-us-from-2000-to-2019


#diabetes #mortality #insulins #glp1 #latino #black #nativeamericans #alaskannative #asian #white

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Dr. Howard Smith ReportsBy Howard G. Smith MD, AM