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Hospitalists Should Play Vital Role in Managing Diabetic Inpatients

The Hospitalist. 2014 November;2014(11):

Diabetes: A Serious Problem Worsening

The number of individuals with diabetes has reached epidemic proportions in the U.S. In 2012, 29.1 million Americans, or 9.3% of the population, had diabetes. Of the 29.1 million, 21 million were diagnosed and 8.1 million were undiagnosed, according to the American Diabetes Association.

In 2010, these figures were somewhat lower, at 25.8 million and 8.3%, respectively. Meanwhile, the percentage of Americans aged 65 and older with diabetes remains high, at 25.9% or 11.8 million seniors—both diagnosed and undiagnosed. The rate was 26.9% in 2010.2

“It’s everywhere, it’s getting worse, and the problem isn’t going to go away anytime soon,” says Dr. Kulasa, who attributes the growing epidemic to unhealthy diets, increasingly sedentary lifestyles, and genetics. “One-quarter to one-third of inpatients have diabetes. It’s something you will see no matter what specialty you’re in. Therefore, it’s important to feel comfortable with treating diabetes.”

In August 2014, a study published in The Lancet Diabetes & Endocrinology reported that of U.S. children born between 2000 and 2011, 40% will develop diabetes during their lifetime.3

“That is alarming,” says Dr. Rogers, who foresees hospitalists seeing more glycemic control issues that will be more difficult to control.—KA

Reference

  1. Umpierrez GE, Hellman R, Korytkowski MT, et al. Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2012;97(1):16-38.
  2. American Diabetes Association. Statistics About Diabetes: Data from the National Diabetes Statistics Report, 2014 (released June 10, 2014). Available at: www.diabetes.org/diabetes-basics/statistics/?loc=db-slabnav. Accessed October 5, 2014.
  3. Gregg EW, Zhuo X, Cheng YJ, Albright AL, Narayan KMV, Thompson TJ. Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985—2011: a modelling study. The Lancet Diabetes & Endocrinology. Available at: www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70161-5/abstract. Accessed October 5, 2014.