A Global Epidemic
- Diabetes affects 26 million people in the US and more than 366 million people worldwide – Diabetesatlas.org/American Diabetes Association
- Every 20 seconds, somewhere in the world, a limb is lost as a consequence of diabetes – DFCon.com, Bakker (after Boulton), The Lancet (cover) 2005
- Diabetes kills more people annually then breast cancer and AIDS combined – American Diabetes Association 2009
- 80% of people with diabetes are from low and middle income nations – International Diabetes Federation 2012
- The number of people with diabetes is increasing in every single nation – International Diabetes Federation/World Health Organisation 2012
- Half of people with diabetes don’t know they have it – American Diabetes Association/International Diabetes Federation 2012
- Each year 3.8 million deaths are attributable to diabetes. An even greater number die from cardiovascular disease made worse by diabetes related lipid disorders and hypertension.
- Every 10 seconds a person dies from diabetes-related causes.
- Every 10 seconds two people develop diabetes.
- Diabetes is the fourth leading cause of global death by disease.
- At least 50% of all people with diabetes are unaware of their condition. In some countries this figure may reach 80%.
- Up to 80% of type 2 diabetes is preventable by adopting a healthy diet and increasing physical activity.
- People with a history of a diabetic foot ulcer have a 40% greater 10 year mortality than people with diabetes alone – Iversen, et al, Diabetes Care 2009
A Global Clinical Challenge
- Seconds Count: Every 7 seconds someone dies from diabetes. Every 17 seconds someone is diagnosed. Every 20 seconds someone is amputated – International Diabetes Federation/Diabetesatlas.org 2013
- By 2030 at least 550 million people will have diabetes – approximately 10% of the world’s adult population – International Diabetes Federation 2011
- There are now approximately 79M people with pre-diabetes in the USA. That is the equivalent of the total population of 30 states – American Diabetes Association 2012, United States Census 2010
- The population of diabetes in the USA is greater than the population of the nation’s 10 largest cities – American Diabetes Association 2012, United States Census 2010
- People with diabetes with one lower limb amputation have a 50% risk of developing a serious lesion in the second limb within 2 years.
- People with diabetes have a 50% mortality rate in the 5 years following the initial amputation.
- 60-70% of those with diabetes will develop peripheral neuropathy, or lose sensation in their feet – Dyck et al, Diabetic Neuropathy 1999
- More than 90% of people with diabetic peripheral neuropathy are unaware they have it – Bongaerts, et al, Diabetes Care 2013
- More than half of people with osteomyelitis of the heel will undergo high level amputation – Faglia, et al, Foot Ankle Int 2013