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Summary
Diabetes is a significant public health issue in Kentucky, affecting 6.8% of the population and costing millions. Many hospitals lack essential diabetes care services, highlighting a critical gap in preventive care.
Area of Science:
- Public Health
- Endocrinology
- Health Services Research
Background:
- Diabetes mellitus and its complications represent a substantial public health challenge.
- Previous estimates underestimated the social and economic burden of diabetes.
Purpose of the Study:
- To investigate the social and economic impact of diabetes mellitus in Kentucky.
- To assess the prevalence of diabetes and the availability of care services.
Main Methods:
- Joint study by a state diabetes commission and a university diabetes program.
- Analysis of diabetes prevalence, hospitalization data, and healthcare services in Kentucky.
Main Results:
- Active diabetes affects 4.4% of Kentuckians, with milder forms impacting an additional 2.4%.
- Diabetes is a leading cause of hospitalization, costing between $98.8 to $135 million annually.
- Fewer than 8% of accredited hospitals offer comprehensive diabetes care services, including patient education and preventive foot care.
Conclusions:
- Diabetes is a more serious public health problem in Kentucky than previously recognized.
- There is a significant disparity between the need for diabetes care services and their availability, especially preventive services.
- The economic and social impact of diabetes is substantial, exacerbated by its complications.