Tuesday, June 17, 2014 Nearly 10% of Americans Have Diabetes; 25% of Them Don't Know It Diabetes rates continue to rise at an "alarming" rate, according to the US Centers for Disease Control and Prevention (CDC), which reports that in 2012, the disease was the seventh leading cause of death in the US with a cost of $245 billion in medical expenses and lost work. According to the CDC's National Diabetes Statistics Report (.pdf), about 9.3% of the US population—just over 29 million people—have diabetes, and 27% of those have not been diagnosed. Another 86 million adults have prediabetes, according to the report, which is based on data from 2012. Also from the report: Diabetes rates for Hispanics (12.8%), non-Hispanic blacks (13.2%) and Native Americans/Alaska Natives (15.9%) were markedly higher than the 7.6% rate of non-Hispanic whites. The diabetes rate among Asians was 9%. Among the estimated 86 million Americans with prediabetes, rates are fairly evenly distributed among non-Hispanic whites (35%), non-Hispanic blacks (39%), and Hispanics (38%). Diabetes was listed as the primary cause of kidney failure in 44% of all new cases in 2011. About 60% of non-traumatic lower limb amputations among adults are performed on individuals with diabetes, totaling 73,000 diabetes-related amputations in 2010. In a press release, Ann Albright, PhD, RD, director of CDC's Division of Diabetes Translation, said that "These new numbers are alarming and underscore the need for an increased focus on reducing the burden of diabetes in this country." APTA emphasizes the importance of prevention, wellness, and disease management, and offers resources on diabetes for physical therapists and their patients through its Move Forward.com diabetes webpage and in a pocket guide to diabetes. The association also offers 21 clinical practice guidelines on care for patients with diabetes as well as 3 Cochrane reviews related to care for patients with diabetes-related foot ulcers through its PTNow evidence-based practice tool. Do you have patients or clients with a recent type 2 diabetes diagnosis? The American Diabetes Association is offering a free guide called "Where Do I Begin," that helps patients and clients understand the fundamentals of the disease and the steps that can be taken to live with it. The booklets are being offered at no charge and can be ordered online.