Diabetes mellitus type 2 epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

Epidemiology

Prevalence

In 2011, about 336 million people had type 2 diabetes mellitus worldwide. This is approximately 5,000 per 100,000. The prevalence of diabetes mellitus in the U.S is estimated at 7000 to 9,300 per 100,000[1]. Approximately 20% of the population over age 65 have type 2 DM.

Incidence

In the United States, approximately 4100 people are diagnosed with diabetes. 90-95% of these are type 2 diabetes diagnoses.[2]

Demographics

Age

The prevalence of type 2 diabetes mellitus is approximately 20% among people older than 65 years old, compared to a prevalence of approximately 5% in the general population.

Gender

Type 2 diabetes mellitus is more prevalent in males than females with a ratio of 1.1:1.

Race

In the United States, the prevalence of diabetes mellitus is highest among American Indians and Alaska Natives, followed by non-Hispanic blacks and Mexican Americans. The lowest incidence of diabetes in the United States is among the non-Hispanic whites[3][1].

Socioeconomic Status

The prevalence of type 2 DM is higher among those with low socioeconomic status. Approximately 75% of patients with diabetes live in low to middle income countries.

Geographic Distribution

The global distribution of diabetes mellitus is reported by the international diabetes foundation. While prevalence of type 2 diabetes is not specifically reported, they do report that the vast majority of diabetes cases are type 2. Additionally, the IDF reports the prevalence of impaired glucose tolerance which alludes to the prevalence of diagnosed and undiagnosed diabetes.

Region Prevalence of Diabetes (per 100,000) Prevalence of Impaired Glucose Tolerance (per 100,000)
Africa 3200 7900
Europe 9100 4800
Middle East and North Africa 9100 7800
North America and Caribbean 12900 15000
South and Central America 9400 7900
Southeast Asia 8500 4600
Western Pacific 9300 6200

References

  1. 1.0 1.1 National Diabetes Statistics Report 2014 http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf. Accessed on Nov 19, 2016
  2. Zimmet, P., Alberti, K. G. M. M., Shaw, J. Global and societal implications of the diabetes epidemic. Nature 2001, 414, 782-787.
  3. Selvin E, Parrinello CM, Sacks DB, Coresh J (2014). "Trends in prevalence and control of diabetes in the United States, 1988-1994 and 1999-2010". Ann. Intern. Med. 160 (8): 517–25. doi:10.7326/M13-2411. PMC 4442608. PMID 24733192.


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