Between 2013 and 2023, there was no change within the prevalence of diabetes amongst U.S. adults, however glycemic management worsened, in accordance with a analysis letter printed on-line Feb. 27 within the Journal of the American Medical Affiliation.
Kosuke Inoue, M.D., Ph.D., from the Beth Israel Deaconess Medical Middle in Boston, and colleagues examined traits within the prevalence and management of diabetes amongst U.S. adults aged 20 years or older between 2013 and 2023 utilizing information from the Nationwide Well being and Vitamin Examination Survey.
A complete of 24,263 adults had been included within the unweighted research inhabitants; 4,623 had diabetes. The researchers discovered no vital change within the prevalence of diabetes, from 12.8% in 2013–2014 to 14.1% in 2021–2023. Amongst adults with a prognosis of diabetes, imply hemoglobin A1c (HbA1c) ranges had been steady between 2013–2014 and 2017–2020, however they elevated considerably from 2017–2020 to 2021–2023 (7.31 to 7.60%).
Glycemic management charges had been additionally steady between 2013–2014 and 2017–2020 however decreased from 2017–2020 to 2021–2023 (54.3 to 43.5%). Will increase in imply HbA1c ranges had been primarily seen amongst younger adults aged 20 to 44 years (7.43 to eight.51%), and so they additionally had a major decline in charges of glycemic management (57.4 to 37.1%). Throughout different age or intercourse subgroups, there have been no related patterns noticed.
“Given the recent stagnation in mortality improvement among young adults with diabetes and the increased risk of adverse cardiovascular outcomes associated with poor glycemic control, public health and policy efforts are needed to improve diabetes control, especially in younger populations,” the authors write.
One writer disclosed ties to the pharmaceutical business.
Extra data:
Kosuke Inoue et al, Prevalence and Management of Diabetes Amongst US Adults, 2013 to 2023, JAMA (2025). DOI: 10.1001/jama.2024.28513
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