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Diabetes In ORANGEBURG County, 2010

Produced by the South Carolina Department of Health and Environmental Control

Impact of Diabetes in the United States

Diabetes affects 25.8 million Americans and contributes to approximately 231,000 deaths a year. Diabetes is becoming more common in the United States. From 1980 through 2010, the number of Americans diagnosed with diabetes increased from 5.6 million to 18.8 million. The direct and indirect costs of diabetes in the U.S. were nearly $174 billion in 2007. 71,382 people died of diabetes in the U.S. in 2007.

Diabetes Prevalence

An estimated 10398 adults (15.3% of adults) in Orangeburg County suffer annually from Diabetes (Fig 2). Fig. 2 Prevalence of Self-Reported Diabetes among Adults Percent of Population 20 15 10 5

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Medicare 54%

Diabetes in South Carolina

Approximately 371,476 adults in South Carolina are diagnosed with diabetes. African Americans have nearly twice the prevalence than Whites. The total direct costs of hospitalizations and emergency room visits were over $4.1 billion in 2010. Diabetes is the seventh leading cause of death in South Carolina, claiming 1,114 lives in 2009.

0

US

SC

Orangeburg

Hospital and Emergency Room Discharges

In 2010, there were 303 hospitalizations for Diabetes in Orangeburg County for all ages. There were an additional 2673 hospital discharges with diabetes-related conditions in Orangeburg County. In 2010, there were 399 emergency room (ER) visits for diabetes as the primary diagnosis, among which 340 (85%) were by African-American patients. There were 4888 ER visits for diabetes as a related condition. Fig.3. Diabetes ER & Hospitalization Charges, Orangeburg County, 2010

Self/Indigent 8%

Behavioral Risk Factors

Major behavioral risk factors, such as overweight, physical inactivity and unhealthy diet, are partially responsible for development of type 2 diabetes (Fig 1). Fig.1 Prevalence of Lifestyle Risk Factors, 2010 100 80 60 40 20 0

% of population

Pvt Ins 29%

Overweight and Obesity

Less than 5-ADay (2009)

Physical Inactivity

Smoking

Medicaid 9%

Total: $125,664,000

US

SC

Orangeburg

Medicare paid for 55% of the ER and Hospitalization charges in Orangeburg County (Fig 3).

Orangeburg County Page 1 of 2

2010 Diabetes Fact Sheet

Complications

40% of patients hospitalized in SC for diabetes had complications in 2010; 42% of hospitalizations in Orangeburg County (Table 1). In 2010, more than 74% of people in SC with diabetes had hypertension, compared with only 29.7% of people without diabetes.

Table 1. Hospitalizations for Diabetes Complications in Orangeburg County in 2010

Percent of Diabetes Hospital Admissions

Mortality

Diabetes is the sixth leading cause of death in Orangeburg County. A total of 50 people in Orangeburg County died from diabetes in 2009. Fig.5 Age-Adjusted Diabetes Mortality per 100,000 population

70 60 50 40 30 20 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008* 2009* Page 2 of 2

Diabetes Hospital Compli-cation Admissions Renal Failure Lower Extremity Amputation Keto-acidosis Retinopathy

Total Charges

993

61 97 86

33%

2% 3% 3%

$37,440,900 $6,307,900 $3,849,200 $2,455,300

*US. Mortality Data Preliminary 200809

U.S.

S.C.

Orangeburg

The Orangeburg County mortality rate was 45.6/100,000 in 2009, above the state average. Orangeburg County ranks #4 in diabetes mortality in South Carolina 2007-2009.

In 2010, more than 67% of people with diabetes had high cholesterol. In 2010, the rates for lower extremity amputations among blacks in SC were 2.75 times the rates among whites. Fig. 4 Lower Extremity Amputations

Rate Per 1,000 Hospitalizations

5 4 3 2 1 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Orangeburg

SC

For More Information about diabetes contact:

Division of Diabetes Prevention and Control: DHEC Bureau of Community Health and Chronic Disease Prevention

Data Sources:

For more details, please view the Technical Document below

www.scdhec.gov/health/epidata/docs/EpiTechNotes.pdf

http://www.dhec.sc.gov/health/chcdp/diabetes/index.htm

(803) 545-4471 Diabetes Initiative of South Carolina

Hospital Discharges and ER Visits, contact: Office of Research and Statistics SC Budget and Control Board (803) 898-9958

http://www.musc.edu/diabetes/

Generated by: Office of Chronic Disease Epidemiology and Evaluation, Bureau of Community Health and Chronic Disease Prevention

http://www.scdhec.gov/hs/epidata/state_reports.htm

2010 Diabetes Fact Sheet Orangeburg County

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