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Commentary
April 15, 2009

The Public Health Response to Diabetes—Two Steps Forward, One Step Back

Author Affiliations

Author Affiliations: Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

JAMA. 2009;301(15):1596-1598. doi:10.1001/jama.2009.519

New national estimates from 2005-2006 indicate that 13% of US adults have diabetes,1 and the incidence of diagnosed diabetes has doubled during the past decade.2 Furthermore, recent county estimates highlight some of the most affected geographical areas, including the coastal Carolinas, the deep South, and regions of Appalachia and along the Mississippi River, underscoring the diverse cultural factors underlying type 2 diabetes risk.3 The implications of increased diabetes prevalence are extensive due to the well-known risks of cardiovascular disease (CVD), vision loss, amputation, end-stage renal disease (ESRD), disability, and mortality.4

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