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The Cost of Diabetes Keeps Rising (3 Jan, 2012)
Cost of Diabetes Will Be $3.35 Trillion by 2020 |
The United States of Diabetes: New report shows half the country could have diabetes or prediabetes at a cost of $3.35 trillion by 2020. More than 50 percent of Americans could have diabetes or prediabetes by 2020 at a cost of $3.35 trillion over the next decade if current trends continue, according to new analysis by UnitedHealth Group's Center for Health Reform & Modernization, but there are also practical solutions for slowing the trend. See this week's Tool for Your Practice.
The report, The United States of Diabetes: Challenges and Opportunities in the Decade Ahead,produced for November's National Diabetes Awareness month, offers practical solutions that could improve health and life expectancy, while also saving up to $250 billion over the next 10 years, if programs to prevent and control diabetes are adopted broadly and scaled nationally. This figure includes $144 billion in potential savings to the federal government in Medicare, Medicaid and other public programs. Key solution steps include lifestyle interventions to combat obesity and prevent prediabetes from becoming diabetes and medication control programs and lifestyle intervention strategies to help improve diabetes control. "Our new research shows there is a diabetes time bomb ticking in America, but fortunately there are practical steps that can be taken now to defuse it," said Simon Stevens, executive vice president, UnitedHealth Group, and chairman of the UnitedHealth Center for Health Reform & Modernization. "What is now needed is concerted, national, multi-stakeholder action. Making a major impact on the prediabetes and diabetes epidemic will require health plans to engage consumers in new ways, while working to scale nationally some of the most promising preventive care models. Done right, the human and economic benefits for the nation could be substantial." The annual health care costs in 2009 for a person with diagnosed diabetes averaged approximately $11,700 compared to an average of $4,400 for the remainder of the population, according to new data drawn from 10 million UnitedHealthcare members. The average cost climbs to $20,700 for a person with complications related to diabetes. The report also provides estimates on the prevalence and costs of diabetes based on health insurance status and payer, and evaluates the impact on worker productivity and costs to employers. Diabetes currently affects about 27 million Americans and is one of the fastest-growing diseases in the nation. Another 67 million Americans are estimated to have prediabetes. There are often no symptoms, and many people do not even know they have the disease. In fact, more than 60 million Americans do not know that they have prediabetes. Experts predict that one out of three children born in the year 2000 will develop diabetes in their lifetimes, putting them at grave risk for heart and kidney disease, nerve damage, blindness and limb amputation. Estimates in the report were calculated using the same model as the widely-cited 2007 study on the national cost burden of diabetes commissioned by the American Diabetes Association (ADA). The report also focuses on obesity and its relationship to diabetes. Being overweight or obese is one of the primary risk factors for diabetes, and with more than two-thirds of American adults and 17 percent of children overweight or obese, the risk is clearly rising. In fact, over half of adults in the U.S. who are overweight or obese have either prediabetes or diabetes, and studies have shown that gaining just 11-16 pounds doubles the risk of type 2 diabetes and gaining 17-24 pounds nearly triples the risk. "Because diabetes follows a progressive course, often starting with obesity and then moving to prediabetes, there are multiple opportunities to intervene early and prevent this devastating disease before it's too late," said Deneen Vojta, M.D., senior vice president of the UnitedHealth Center for Health Reform & Modernization, who helped develop UnitedHealth Group's Diabetes Prevention and Control Alliance. |
Posted by: PV mayer at 06:46 am Category: Economics
Comments:
Kenan says:
April 17, 2012 at 01:27 pm
Being overweight or obese (especially when the fat is in the doebman) increases the bodyâs insulin needs, and losing this extra weight can signiï¬cantly improve diabetes control. Often the weight loss can eliminate the need for medications altogether. You do not have to lose a huge amount of weightâa 5 percent loss in body weight is sufï¬cient. Here are some basic concepts about weight loss: ⢠Weight loss occurs when there is a negative energy balance. If you consume fewer kilocalories than you expend, you will lose weight. This is the principle behind all weight-loss diets, and there are no exceptions to this rule. If you reduce the number of calories you eat by about 500 kilocalories per day, you will lose about one pound in weight per week.⢠Physiologically, we are designed to avoid eating too little. The mechanisms of the body evolved when there was less food available than we have now, and these mechanisms are designed to avoid weight loss. With environmental changes and the ready availability of highly dense calories (that is, lots of calories in a small portion size), it takes very little excess caloric intake on a daily basis to gain a considerable amount of weight over time. It is estimated that in the United States, over 90 percent of the weight gain seen in adults results from a positive energy balance of less than 100 kcal a day. It is very easy to get into a positive energy balance (more calories consumed than expended)âfor example, a two-ounce candy bar such as Snickers has 273 kcals. ⢠The bodyâs energy requirement goes down when you lose weight and as you age. About 70 percent of your energy requirement is for the basic life processes, and the other 30 percent is for activity related to eating, working, and walking. Your energy requirements go down as you age and as your weight goes down. So as you lose weight, your energy requirements fall, and you will need to reduce the number of calories you consume further for continued weight loss. To know more sboutIdeal Body weight and Body Mass IndexWeight Loss DietThe best approach for Weight LossOther Weight Loss DietsWeight Loss DrugsBariatric Surgeryvisit the source site yourself
Kenan says:
April 17, 2012 at 01:27 pm
Being overweight or obese (especially when the fat is in the doebman) increases the body’s insulin needs, and losing this extra weight can significantly improve diabetes control. Often the weight loss can eliminate the need for medications altogether. You do not have to lose a huge amount of weight—a 5 percent loss in body weight is sufficient. Here are some basic concepts about weight loss: • Weight loss occurs when there is a negative energy balance. If you consume fewer kilocalories than you expend, you will lose weight. This is the principle behind all weight-loss diets, and there are no exceptions to this rule. If you reduce the number of calories you eat by about 500 kilocalories per day, you will lose about one pound in weight per week.• Physiologically, we are designed to avoid eating too little. The mechanisms of the body evolved when there was less food available than we have now, and these mechanisms are designed to avoid weight loss. With environmental changes and the ready availability of highly dense calories (that is, lots of calories in a small portion size), it takes very little excess caloric intake on a daily basis to gain a considerable amount of weight over time. It is estimated that in the United States, over 90 percent of the weight gain seen in adults results from a positive energy balance of less than 100 kcal a day. It is very easy to get into a positive energy balance (more calories consumed than expended)—for example, a two-ounce candy bar such as Snickers has 273 kcals. • The body’s energy requirement goes down when you lose weight and as you age. About 70 percent of your energy requirement is for the basic life processes, and the other 30 percent is for activity related to eating, working, and walking. Your energy requirements go down as you age and as your weight goes down. So as you lose weight, your energy requirements fall, and you will need to reduce the number of calories you consume further for continued weight loss. To know more sboutIdeal Body weight and Body Mass IndexWeight Loss DietThe best approach for Weight LossOther Weight Loss DietsWeight Loss DrugsBariatric Surgeryvisit the source site yourself
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