Sunday, November 25, 2012

[20] 20th article and 200 yrs nejm

Andy Lee (@drandylee)
11/25/12 11:15 PM
#mp111212 History of dm [polonsky, nejm, 12, 1500, aretaeus, 1812] 20th article milestone!!…

Unfortunately, the improvement in outcomes for individual patients with diabetes has not resulted in similar improvements from the public health perspective. 
The worldwide prevalence of diabetes has continued to increase dramatically. The difficulty in applying the principles of diabetes care from the individual patient to the population reflects the unique challenges of implementing research findings and effecting behavioral change. 

  • Figure 4 shows the number and percentage of persons in the U.S. population with diagnosed diabetes between 1980 and 2010 ( 
  • During this period, the number of diagnosed cases of diabetes increased from 5.6 million to 20.9 million, representing 2.5% and 6.9% of the population, respectively. 
  • Nearly 27% of persons over 65 years of age have diabetes. If current trends continue, 1 in 3 U.S. adults could have diabetes by 2050. 
  • The American Diabetes Association estimated that the cost of diagnosed diabetes in the United States was $174 billion in 2007,50 and efforts to prevent and treat diabetes threaten to overwhelm health systems throughout the world.
  • Great link for a history of


1 comment:

  1. Very nice article. Enjoyed the history portion in particular. One thing I found disappointing however is the implication of calories and not more specifically carbohydrates. After all a diabetic could eat 3000 cal of protein per day and yet lower their glucose and likely their weight.


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