The Council of State governments

JULY 2013
CAPITOL facts & figures
EAST | Health

Diabetes: A Costly Epidemic

Nineteen million people in the United States were diagnosed
with Type I and Type II diabetes in 2010, although the number of
people diagnosed varies by region.1 Diabetes cost the U.S. $245
billion in 2012 in both direct and indirect costs.2 Costs associated
with diabetes also vary by region. Direct medical costs include
such things as hospital or nursing home stays, ambulance ser-
vices, home health services, as well as insulin and other diabetic
supplies and treatments, while indirect costs refer to absentee-
ism, unemployment and reduced productivity.

National Analysis Regional Analysis

• The Centers for Disease Control and Prevention esti- • Diagnosed diabetes prevalence in 2010 varied in the
mated 7 million people had prediabetes in 2010.3 Eastern region from 6 percent in Vermont to 9 percent in
• In 2010, 8 percent of the population over age 18 was Pennsylvania.
diagnosed with diabetes in the U.S.4 • In 2010, the Eastern states with the highest diagnosed
• The number of people diagnosed with diabetes grew diabetes prevalence after Pennsylvania were Maryland
82 percent from 1995 to 2010.5 and New Jersey, both slightly less than 9 percent.
• In 2011, 10 percent of adults had previously been told • The growth in diagnosed diabetes in Eastern states be-
by a doctor that they have diabetes.6 tween 1995 and 2010 ranged from 27 percent in Vermont
• As the nation’s population ages, more people are being to 117 percent in Maine.
diagnosed with diabetes. • After Maine, the states where diabetes increased the most
»» The CDC estimates 27 percent of people age 65 and between 1995 and 2010 are Maryland with a 102 percent
older have the disease. increase and New York with a 91 percent increase.
»» 14 percent of people ages 45 to 64 have diabetes. • In a 2013 report, the American Diabetes Association es-
»» People ages 20 to 44 are the least likely to have dia- timated the total annual costs of diabetes in 2010 ranged
betes. An estimated 4 percent of people in this age from $370 million in Vermont to $16 billion in New York.
group have the disease.7 • After New York, states with top total cost estimates in
• Racial and ethnic health disparities exist in the preva- 2010 were Pennsylvania at $10 billion and New Jersey at
lence of diagnosed and undiagnosed diabetes. In 2010, $7 billion.
19 percent of African-Americans and 10 percent of
whites over age 20 had diabetes.8
Diagnosed Diabetes Prevalence 2010
10
9 National Median
Increase in Diagnosed Diabetes, U.S., 1995-2010 8
7
9 6
8
PERCENT

5
7 4
6 3
PERCENT

5 2
4 1
3 0
Connecticut

Delaware

Massachusetts

New Jersey
Maine

Maryland

New Hampshire

New York

Pennsylvania

Rhode Island

Vermont

2
1
0
1995 2000 2005 2010
YEAR

Source: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
 Diabetes: A Costly Epidemic
Prevalence of Diagnosed Diabetes, Adults Ages 18 and Over Cost (in millions $)

% Change % Change
State 1995 2000 2005 2010 1995-2010 2010 - 2025* Medical Indirect Total

United States 4.5 6 7.2 8.2 82.2 NA 175,800 68,600 245,000

 EAST REGION
Connecticut 4.3 5.2 6.1 6.7 55.8 61.8 2,090 830 2,920
Delaware 4.4 6.3 8.3 7.9 79.5 64.9 600 260 860
Maine 3.5 5.8 6.8 7.6 117.1 46.8 880 360 1,240
Maryland 4.4 6.5 7.1 8.9 102.3 62.4 3,450 1,630 5,070
Massachusetts 3.9 5.7 6.2 7 79.5 60.6 4,340 1,720 6,070
New Hampshire 5.1 4.6 6.3 7.3 43.1 72.8 690 310 1,000
New Jersey 4.5 5.6 7.3 8.5 88.9 48.8 5,420 2,430 7,850
New York 4.4 6.2 7.9 8.4 90.9 43.9 11,380 5,060 16,430
Pennsylvania 5.5 6.5 7.5 9.2 67.3 40.6 7,430 2,810 10,240
Rhode Island 4.6 5.8 6.2 7.3 58.7 59.4 570 250 820
Vermont 4.8 4.4 5.7 6.1 27.1 70.5 260 110 370
 MIDWEST REGION
Illinois 5.4 6.2 7.9 8.5 57.4 44.7 6,590 2,390 8,980
Indiana 5.1 6 8.1 9.3 82.4 41.3 3,690 1,430 5,120
Iowa 5 5.6 6.3 6.8 36 55.0 1,390 530 1,920
Kansas 4.7 5.7 6.7 7.9 68.1 53.6 1,420 560 1,980
Michigan 5.6 7 7.9 9.6 71.4 41.8 5,760 2,240 8,000
Minnesota 3.1 4.8 5.7 6.4 106.5 99.6 2,300 840 3,140
Nebraska 4.4 4.8 7.1 7.2 63.6 105.0 790 320 1,110
North Dakota 3.6 5 6.2 6.9 91.7 51.5 290 120 410
Ohio 4.2 6.1 7.3 9.3 121.4 44.0 6,710 2,570 9,280
South Dakota 2.8 5.4 6 6.2 121.4 62.9 420 140 560
Wisconsin 4.6 5.9 6.3 6.6 43.5 68.3 3,280 1,090 4,360
 SOUTH REGION
Alabama 4.7 7.3 9.3 11.3 140.4 31.3 3,010 1,300 4,310
Arkansas 5 5.9 7.7 8.9 78 45.4 1,670 720 2,390
Florida 4.8 6.2 7.9 8.6 79.2 85.1 14,370 4,530 18,900
Georgia 4 7.1 8.9 9.8 145 57.0 5,470 2,160 7,630
Kentucky 3.6 6.3 8.6 9.3 158.3 35.6 2,660 1,190 3,850
Louisiana 6.7 6.8 9.1 9.8 46.3 34.0 3,020 1,180 4,190
Mississippi 6.3 7.6 9.6 11.7 85.7 28.5 1,910 820 2,740
Missouri 4.2 6.4 7.5 8.7 107.1 47.4 3,240 1,240 4,490
North Carolina 4.8 6.5 8.4 9.4 95.8 65.8 6,100 2,200 8,300
Oklahoma 3 5.4 8.6 9.8 226.7 37.3 2,070 770 2,840 Marina Byrd, CSG Research Assistant
South Carolina 5 7.2 10.1 10 100 46.7 3,020 1,130 4,160 mbyrd@csg.org
Tennessee 5.3 7 8.8 10.6 100 40.3 3,620 1,480 5,100
Texas 5.7 6.5 8.3 10 75.4 66.3 13,350 4,890 18,240 REFERENCES
Virginia 4.2 6.3 7 8.3 97.6 69.3 4,430 1,770 6,190 1
Centers for Disease Control and Prevention. Morbidity
West Virginia 4.5 7 9.6 10.4 131.1 17.2 1,440 570 2,010 and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No.
45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
 WEST REGION 2
American Diabetes Association. http://care.
Alaska 4.2 4.4 5.6 6 42.9 90.2 320 130 450 diabetesjournals.org/content/early/2013/03/05/
Arizona 4.8 5.9 7.3 7.5 56.3 108.9 3,480 1,280 4,760 dc12-2625.abstract http://care.diabetesjournals.
org/content/suppl/2013/03/05/dc12-2625.DC1/
California 6.2 7.1 7.4 8.6 38.7 70.2 19,320 8,230 27,550 DC122625SupplementaryData.pdf
Colorado 3.7 5.2 5.1 6.1 64.9 107.3 1,830 690 2,520 3
CDC. Morbidity and Mortality Weekly Report
Hawaii 3.5 5.1 7 7.6 117.1 54.0 770 340 1,110
4
CDC. Morbidity and Mortality Weekly Report
5
CDC. Morbidity and Mortality Weekly Report
Idaho 3.6 4.8 6.8 7.7 113.9 74.2 720 270 990 6
Kaiser Family Foundation. Percent of Adults Who
Montana 2.9 4.5 5.2 6.3 117.2 73.6 420 140 560 Have Been Ever Been Told by a Doctor that They Have
Nevada 5 6.8 7.1 8.4 68 105.0 1,360 470 1,820 Diabetes. http://kff.org/other/state-indicator/adults-
with-diabetes/
New Mexico 5.7 6.6 7 8 40.4 60.1 1,160 370 1,530 7
Centers for Disease Control and Prevention. National
Oregon 4 5.8 6.5 6.6 65 87.5 2,160 840 2,990 Diabetes Fact Sheet 2011. http://www.cdc.gov/diabetes/
Utah 4.2 5.7 6.4 7.3 73.8 118.5 860 330 1,190 pubs/pdf/ndfs_2011.pdf
8
CDC. National Diabetes Fact Sheet 2011.
Washington 3.1 5.5 6.3 7.3 135.5 88.4 3,750 1,360 5,110 9
CDC. Morbidity and Mortality Weekly Report
Wyoming 3.3 5 6.3 6.8 106.1 55.7 260 100 360 10
American Diabetes Association.

Source for Prevalence: CDC. Morbidity and Mortality Weekly Report. Nov. 16, 2012, Vol. 16, No. 45 http://www.cdc.gov/mmwr/pdf/wk/mm6145.pdf
Source for column % Change 2010-2025: Author’s calculations based on data from Institute for Alternative Futures. How is Diabetes Affecting your State?
http://www.changingdiabetesbarometer.com/docs/Diabetes-2025-State-Summary-0513-00016036.pdf
Source for cost of diabetes: American Diabetes Association. http://care.diabetesjournals.org/content/early/2013/03/05/dc12-2625.abstract
http://care.diabetesjournals.org/content/suppl/2013/03/05/dc12-2625.DC1/DC122625SupplementaryData.pdf
*Percent changes based on future estimates of diagnosed and undiagnosed diabetes.