Diabetes and American Indians/Alaska Natives

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American Indians/Alaska Natives are more than twice as likely to be told by a physician that they have diabetes as their non-Hispanic white counterparts. They also are almost twice as likely to die from diabetes as non-Hispanic whites. Data is limited for this population.

American Indian/Alaska Native adults are 2.4 times as likely as white adults to be diagnosed with diabetes.
American Indians/Alaska Native women were twice as likely to die from diabetes as non-Hispanic white women in 2013.
In 2010, American Indians/Native Americans were 2.7 times more likely to be diagnosed with end stage renal disease than non-Hispanic whites.

At a glance – Diagnosed Cases of Diabetes:

National Health Interview Survey, NHIS

**Age-adjusted percentages of persons 18 years of age and over with diabetes, 2004-2008**
	American Indian/Alaska Native	White	American Indian/Alaska Native/ White Ratio
Men and Women	17.5	6.6	2.7
Men	18.2	7.2	2.5
Women	16.2	6.2	2.6

Source: CDC 2010. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 2004-2008. Table 4.
http://www.cdc.gov/nchs/data/nhsr/nhsr020.pdf [PDF |304KB]

**Age-Adjusted Percentage of persons 18 years of age and over with diabetes, 2014**
American Indian/Native American	Non-Hispanic White	American Indian/Native American/Non- Hispanic White Ratio
17.6	7.3	2.4

Source: CDC 2016. Summary Health Statistics: National Health Interview Survey: 2014. Table A-4.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

At a glance – Prevalence Rate:

National Diabetes Surveillance System
Data not available at this time.

At a glance – Death Rate:

**Age-Adjusted Diabetes Death Rates per 100,000 (2013)**
	American Indian/Native American	Non-Hispanic White	African Americans/Non- Hispanic White Ratio
Male	37.9	23.1	1.6
Female	30.9	14.9	2.1
Total	34.1	18.6	1.8

Source: CDC, 2014. National Vital Statistic Report. Vol. 64, Num 2 Table 17 and Table 16.
http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf [PDF | 1.68MB]

At a Glance – Risk Factors:

There are severak risk factors related to diabetes. Some of these risk factors are:

Obesity and Overweight – See Obesity and American Indians/Native Americans

Hypertension – See Heart Disease and American Indians/Native Americans

High Cholesterol – See Heart Disease and American Indians/Native Americans

Cigarette Smoking – See Heart Disease and American Indians/Native Americans

At a Glance – Treatment:

**Age-Adjusted percentage of persons 18 years of age and over with diabetes who had a foot examination, 2010**
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/Non- Hispanic White Ratio
64.3	68.0	0.9

Source:C DC, 2016. Healthy People 2020 Database. Table D-9.
http://www.healthypeople.gov/2020/Data/default.aspx

**Age-Adjusted end stage renal disease (ESRD) due to diabetes, 2010 (rate per million)**
American Indian/Native American	Non-Hispanic White	American Indian/Native American / Non- Hispanic White Ratio
317.5	119.4	2.7

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_3_6_1.1 [Accessed 05/05/2016]
http://nhqrnet.ahrq.gov/inhqrdr/data/query

5/11/2016 4:58:00 PM

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