US Diabetes Statistics Report, CDC 2017 - Not A Pretty Picture
RalfLott
Posts: 5,036 Member
Snippet:
Cost
°The total direct and indirect estimated cost of diagnosed diabetes in the United States in 2012 was $245 billion.
°Average medical expenditures for people with diagnosed diabetes were about $13,700 per year. About $7,900 of this amount was attributed to diabetes.
°After adjusting for age, group and sex, average medical expenditures among people with diagnosed diabetes were about 2.3 times higher than expenditures for people without diabetes.
https://stacks.cdc.gov/view/cdc/46743
@baconslave
Cost
°The total direct and indirect estimated cost of diagnosed diabetes in the United States in 2012 was $245 billion.
°Average medical expenditures for people with diagnosed diabetes were about $13,700 per year. About $7,900 of this amount was attributed to diabetes.
°After adjusting for age, group and sex, average medical expenditures among people with diagnosed diabetes were about 2.3 times higher than expenditures for people without diabetes.
https://stacks.cdc.gov/view/cdc/46743
@baconslave
4
Replies
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I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.3
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Yeah, I have to agree with you.
The report cautions:
"Most estimates of diabetes in this report do not differentiate between type 1 and type 2 diabetes. However, because type 2 diabetes accounts for 90% to 95% of all diabetes cases, the data presented are likely to be more characteristic of type 2 diabetes. More detailed information about data sources and methods is available in the Appendix."
There's also the classification issue of heart and kidney disease being treated as distinct diseases and causes of death when many cases may be related to underlying diabetes.
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midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.0 -
Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.2 -
Oh wow.
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midwesterner85 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.
Wow. That's just terrifying to even think about. I think my daughters highest ever blood sugar was around 600-650. Emily was so severely dehydrated once they had to use ultrasound to start her IV's and she had to have 3 separate ones because the fluids couldn't get into her fast enough with just one. I couldn't even imagine being at a dinky little hospital where they don't really know what to do. Luckily this one nearest to us is very very good. I'm not a fan of their practice of infusing dextrose in addition to insulin, it seems like pushing and pulling at the same time and I'll never understand why they believe it's necessary, and they never let her eat anything, after feeling better, because they don't understand there are actually foods that won't send blood sugar sky high again. I feel like they could ditch the dextrose and allow the patient to eat protein for the same effect. Giving the insulin something to work on... they insist eating will cause more vomiting and blood sugar will go through the roof again. Funny it's never happened and I always sneak burger patties to her.
Anyway, we have learned to repeat several times "T1D in DKA" or "with blood sugar over 550 or whatever" and we've never even sat in a waiting room chair. Well, not since the very first ER visit when we didn't know what to say.0 -
Sunny_Bunny_ wrote: »midwesterner85 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.
Wow. That's just terrifying to even think about. I think my daughters highest ever blood sugar was around 600-650. Emily was so severely dehydrated once they had to use ultrasound to start her IV's and she had to have 3 separate ones because the fluids couldn't get into her fast enough with just one. I couldn't even imagine being at a dinky little hospital where they don't really know what to do. Luckily this one nearest to us is very very good. I'm not a fan of their practice of infusing dextrose in addition to insulin, it seems like pushing and pulling at the same time and I'll never understand why they believe it's necessary, and they never let her eat anything, after feeling better, because they don't understand there are actually foods that won't send blood sugar sky high again. I feel like they could ditch the dextrose and allow the patient to eat protein for the same effect. Giving the insulin something to work on... they insist eating will cause more vomiting and blood sugar will go through the roof again. Funny it's never happened and I always sneak burger patties to her.
Anyway, we have learned to repeat several times "T1D in DKA" or "with blood sugar over 550 or whatever" and we've never even sat in a waiting room chair. Well, not since the very first ER visit when we didn't know what to say.
I never went to the small hospital - my dad drove us directly to the larger hospital about 100 miles away. We didn't know what my BG was at the time, though... my meter only went to 600, and after that it just said "HI." We assumed it was somewhere just over 600.1 -
Sunny_Bunny_ wrote: »midwesterner85 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.
Wow. That's just terrifying to even think about. I think my daughters highest ever blood sugar was around 600-650. Emily was so severely dehydrated once they had to use ultrasound to start her IV's and she had to have 3 separate ones because the fluids couldn't get into her fast enough with just one. I couldn't even imagine being at a dinky little hospital where they don't really know what to do. Luckily this one nearest to us is very very good. I'm not a fan of their practice of infusing dextrose in addition to insulin, it seems like pushing and pulling at the same time and I'll never understand why they believe it's necessary, and they never let her eat anything, after feeling better, because they don't understand there are actually foods that won't send blood sugar sky high again. I feel like they could ditch the dextrose and allow the patient to eat protein for the same effect. Giving the insulin something to work on... they insist eating will cause more vomiting and blood sugar will go through the roof again. Funny it's never happened and I always sneak burger patties to her.
Anyway, we have learned to repeat several times "T1D in DKA" or "with blood sugar over 550 or whatever" and we've never even sat in a waiting room chair. Well, not since the very first ER visit when we didn't know what to say.
The dex/insulin dual infusion is to keep from crashing the bs level too fast. Rapidly swinging too fast from such a steep incline isn't good either. Now granted, they could just lower the slin dose, but that just ends up making the process take longer than it needs to. Having two variables to tinker with makes the transition smoother than just using one and hoping that you got it right and/or the body reacts appropriately. When someone already has insulin resistance, it's hard as hell to gauge proper dosages.
Any type-1 will tell you, even though their body reacts properly to insulin, dosing it is still a moving target and a huge pain in the *kitten*.0 -
Gallowmere1984 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.
Wow. That's just terrifying to even think about. I think my daughters highest ever blood sugar was around 600-650. Emily was so severely dehydrated once they had to use ultrasound to start her IV's and she had to have 3 separate ones because the fluids couldn't get into her fast enough with just one. I couldn't even imagine being at a dinky little hospital where they don't really know what to do. Luckily this one nearest to us is very very good. I'm not a fan of their practice of infusing dextrose in addition to insulin, it seems like pushing and pulling at the same time and I'll never understand why they believe it's necessary, and they never let her eat anything, after feeling better, because they don't understand there are actually foods that won't send blood sugar sky high again. I feel like they could ditch the dextrose and allow the patient to eat protein for the same effect. Giving the insulin something to work on... they insist eating will cause more vomiting and blood sugar will go through the roof again. Funny it's never happened and I always sneak burger patties to her.
Anyway, we have learned to repeat several times "T1D in DKA" or "with blood sugar over 550 or whatever" and we've never even sat in a waiting room chair. Well, not since the very first ER visit when we didn't know what to say.
The dex/insulin dual infusion is to keep from crashing the bs level too fast. Rapidly swinging too fast from such a steep incline isn't good either. Now granted, they could just lower the slin dose, but that just ends up making the process take longer than it needs to. Having two variables to tinker with makes the transition smoother than just using one and hoping that you got it right and/or the body reacts appropriately. When someone already has insulin resistance, it's hard as hell to gauge proper dosages.
Any type-1 will tell you, even though their body reacts properly to insulin, dosing it is still a moving target and a huge pain in the *kitten*.
I realize that's why they use it. But then they leave the dextrose going for 2-3 days even after blood sugar is fully under control. All the while saying she can't eat because it might raise blood sugar...
Dosing insulin more slowly is really all that's needed. Sometimes her blood sugar would come down too fast as a result of her last injection finally helping. Then they purposely raise it back up again just to bring it back down more slowly like its some kind of do-over.
If it's bad for it to drop too rapidly, how could it be good to jump back up again immediately after? There are still some really dumb things going on with it0 -
Sunny_Bunny_ wrote: »Gallowmere1984 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »Sunny_Bunny_ wrote: »midwesterner85 wrote: »I wish they would differentiate between type 1 and type 2. After all, type 1's didn't contribute to our disease in any way but are likely more expensive than the average type 2.
Definitely expensive! Especially with hospitalizations! 2 three day stays in hotel ICU and my daughter racked up nearly $60,000 not counting every day supplies and doctor visits. Luckily, after insurance, out of pocket leaves only $2,000 due.
Ouch! Luckily I haven't been in the ICU since 2000. I'm not sure what the bill was, but I'm sure it wasn't cheap then either. I was a teenager, living in a small town (population was about 300 people). The endocrinologist was in the nearest metro area (90-100 miles away) and on the phone suggested ambulance to the nearest community hospital (14 miles) and then helicopter to the bigger hospital in the city. Instead, my dad drove me to the hospital. I hallucinated and vomited the whole way and couldn't walk on my own when I got there. My fingertips were turning blue. The endo had notified the ER we were coming, but they didn't understand the urgency or take my dad seriously, so we ended up waiting for longer than we should have. They finally got me back and were taking vitals when I vomited on the nurse. I blacked out again after that, but I guess vomiting got me moved to the ICU faster. My BG was 938 mg/dl at that point.
Wow. That's just terrifying to even think about. I think my daughters highest ever blood sugar was around 600-650. Emily was so severely dehydrated once they had to use ultrasound to start her IV's and she had to have 3 separate ones because the fluids couldn't get into her fast enough with just one. I couldn't even imagine being at a dinky little hospital where they don't really know what to do. Luckily this one nearest to us is very very good. I'm not a fan of their practice of infusing dextrose in addition to insulin, it seems like pushing and pulling at the same time and I'll never understand why they believe it's necessary, and they never let her eat anything, after feeling better, because they don't understand there are actually foods that won't send blood sugar sky high again. I feel like they could ditch the dextrose and allow the patient to eat protein for the same effect. Giving the insulin something to work on... they insist eating will cause more vomiting and blood sugar will go through the roof again. Funny it's never happened and I always sneak burger patties to her.
Anyway, we have learned to repeat several times "T1D in DKA" or "with blood sugar over 550 or whatever" and we've never even sat in a waiting room chair. Well, not since the very first ER visit when we didn't know what to say.
The dex/insulin dual infusion is to keep from crashing the bs level too fast. Rapidly swinging too fast from such a steep incline isn't good either. Now granted, they could just lower the slin dose, but that just ends up making the process take longer than it needs to. Having two variables to tinker with makes the transition smoother than just using one and hoping that you got it right and/or the body reacts appropriately. When someone already has insulin resistance, it's hard as hell to gauge proper dosages.
Any type-1 will tell you, even though their body reacts properly to insulin, dosing it is still a moving target and a huge pain in the *kitten*.
I realize that's why they use it. But then they leave the dextrose going for 2-3 days even after blood sugar is fully under control. All the while saying she can't eat because it might raise blood sugar...
Dosing insulin more slowly is really all that's needed. Sometimes her blood sugar would come down too fast as a result of her last injection finally helping. Then they purposely raise it back up again just to bring it back down more slowly like its some kind of do-over.
If it's bad for it to drop too rapidly, how could it be good to jump back up again immediately after? There are still some really dumb things going on with it
Oh god, yeah that's utterly retarded. I also wasn't aware that they were continuing a glucose feed while disallowing food and pushing the levels back outside of sensible range.0
This discussion has been closed.