In the last 15 years, the number of people in the United States with diagnosed diabetes has more than doubled, reaching 14.6 million in 2005.xxvii Diabetes, which is also associated with overweight and obesity, can cause heart disease, stroke, blindness, kidney failure, pregnancy complications, lower extremity amputations, and deaths related to influenza and pneumonia. In addition to the millions of Americans with diabetes, an estimated 41 million adults aged 40 to 74 are prediabetic and are at high risk of developing diabetes.xxviii The increasing burden of diabetes and its complications is alarming. However, much of this burden could be prevented with early detection, improved delivery of care, and better education on diabetes self-management.
CDC monitors the burden of diabetes nationally and will continue to explore better ways to collect diabetes data on groups most at risk. CDC also provides funding for capacity building and program implementation to States and territories for diabetes prevention and control programs. Over the next 5 years, CDC will expand the number of implementation grants after first developing grantee capacity through phase one capacity grants.
CDC also works with NIH to support diabetes education. These operating divisions will continue to collaborate to enhance the network of more than 200 public and private partners who work to increase knowledge about diabetes and its control among health care providers and people with or at risk for diabetes. IHS also will support diabetes prevention and control through mobilizing and involving American Indian/Alaska Native communities to promote diabetes management strategies. For Medicare beneficiaries diagnosed with prediabetes and those previously tested who have not been diagnosed with prediabetes, or those who have never been tested for the disease, diagnostic screening tests are available. For Medicare beneficiaries with diabetes, Medicare offers Diabetes Self-Management Training and Medical Nutrition Training.
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