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As Georgians become heavier and more sedentary, diabetes
and related ailments are soaring.


“The greatest morbidity and mortality from the disease
are seen in the oldest age groups,” said Connie Crawley, a
University of Georgia extension nutrition specialist. “But
diabetes is developing at much younger ages, so disability and
death may become more common in younger populations soon.”



Grim Stats



A recent report by the American Diabetes Association and
the Georgia Department of Human Resources gave grave statistics
about the seriousness of diabetes in the state:

  • About 217,000 Georgians have been diagnosed with
    diabetes.
  • Another 108,000 are undiagnosed.
  • Diabetes is the seventh leading cause of death in
    the state.
  • For every reported death where diabetes is the
    primary cause, there are at least two deaths for which diabetes
    is a contributing cause.
  • Death rates from diabetes have been rising about 1
    percent each year for the past two decades.
  • Diabetes is two times more common in the
    African-American population than in the non-Hispanic white
    population.
  • Death rates from diabetes are two times higher for
    black men and three times higher for black women than for their
    white counterparts.


  • Take Care



    “Unfortunately, people with diabetes don’t seem to be
    getting the care they need,” Crawley said.


    A survey of Georgians with diabetes found that only 6
    percent reported meeting the minimal standards for routine
    medical care.


    “Only 25 percent of adults had heard of the hemoglobin
    A1c test, which is the best laboratory test to determine how well
    diabetes is under control,” she said.


    The lack of care lands many Georgia diabetes sufferers in
    the hospital. In 1997, diabetes was the primary cause of more
    than 12,600 hospitalizations, totaling 63,000 days in the
    hospital (equal to 173 years) and costing more than $99
    million.


    “These figures don’t even include hospitalizations from
    other health problems like kidney disease, high blood pressure,
    amputations and cardiovascular disease which are more likely to
    occur in those who have diabetes,” Crawley said.



    Risk Groups



    Statistics show that the highest incidence of diabetes
    tends to be in the central and southwestern part of the state. “I
    believe part of the reason … may be demographics,” Crawley
    said. “The population is older and there are more people from the
    highest-risk ethnic groups, namely African-Americans and now
    Hispanics.”


    The report speculates that the increase in diabetes may
    be directly related to the increase in obesity and inactivity in
    Georgians.


    “We do know that those who exercise regularly and keep
    their weight down have less risk even if they have a family
    history of the disease,” Crawley said.


    “Obviously, in Georgia, diabetes is a serious, common and
    costly disease,” Crawley said. “New research has shown that with
    better control, death and disability from diabetes can be
    reduced.


    “But it will require directing more money and effort into
    weight-control and physical-activity efforts for all age groups
    who don’t have diabetes,” she said, “and intense diabetes
    education and care for those who have the disease or who may be
    at risk for developing it.”