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Diabetes prevalence in Alaska, 1984-1986.

J Middaugh1, J Talbot, J Roche

  • 1Section of Epidemiology, Department of Health and Social Services, Anchorage, Alaska.

Arctic Medical Research
|July 1, 1991
PubMed
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The prevalence of diabetes in Alaska was lower than the U.S. rate between 1984-1986. However, data limitations highlight a need for better identification of at-risk populations for diabetes complications.

Area of Science:

  • Epidemiology
  • Public Health
  • Medical Records Analysis

Background:

  • Diabetes mellitus presents a significant public health challenge.
  • Understanding regional prevalence is crucial for targeted interventions.
  • Alaska's unique demographics may influence diabetes patterns.

Purpose of the Study:

  • To determine the prevalence of diagnosed diabetes mellitus in Alaska.
  • To assess the rates of diabetes-related complications and pregnancy.
  • To identify limitations in data collection for diabetes surveillance.

Main Methods:

  • Review of medical records including hospital and physician discharge forms.
  • Analysis of financial abstracts for case identification.
  • Calculation of age-adjusted prevalence rates for diabetes and its complications.

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Main Results:

  • The age-adjusted prevalence of diagnosed diabetes in Alaska was 1,357/100,000, lower than the U.S. rate (2,470/100,000).
  • Prevalence rates for complications included retinopathy (167.5/1,000), blindness (24.3/1,000), amputations (19.4/1,000), and end-stage renal disease (9.7/1,000).
  • Pregnancy occurred in 50.7/1,000 Alaskan women with diabetes.

Conclusions:

  • While overall diabetes prevalence was lower than the national average, specific complication rates were documented.
  • Significant limitations in data sources (death certificates, hospital records) hindered comprehensive identification, particularly for non-hospitalized individuals.
  • There is a critical need for improved data collection to identify and serve Alaskans at risk of developing diabetes complications.