Trends in diabetes incidence among 7 million insured adults, 2006-2011

Gregory A. Nichols, Emily B. Schroeder, Andrew J. Karter, Edward W. Gregg, Jay Desai, Jean M. Lawrence, Patrick J. O'Connor, Stanley Xu, Katherine M. Newton, Marsha A. Raebel, Ram D. Pathak, Beth Waitzfelder, Jodi Segal, Jennifer Elston Lafata, Melissa G. Butler, H. Lester Kirchner, Abraham Thomas, John F. Steiner

Research output: Contribution to journalArticle

Abstract

An observational cohort analysis was conducted within the Surveillance, Prevention, and Management of Diabetes Mellitus (SUPREME-DM) DataLink, a consortium of 11 integrated health-care delivery systems with electronic health records in 10 US states. Among nearly 7 million adults aged 20 years or older, we estimated annual diabetes incidence per 1,000 persons overall and by age, sex, race/ethnicity, and body mass index. We identified 289,050 incident cases of diabetes. Age-and sex-adjusted population incidence was stable between 2006 and 2010, ranging from 10.3 per 1,000 adults (95% confidence interval (CI): 9.8, 10.7) to 11.3 per 1,000 adults (95% CI: 11.0, 11.7). Adjusted incidence was significantly higher in 2011 (11.5, 95% CI: 10.9, 12.0) than in the 2 years with the lowest incidence. A similar pattern was observed in most prespecified subgroups, but only the differences for persons who were not white were significant. In 2006, 56% of incident cases had a glycated hemoglobin (hemoglobin A1c) test as one of the pair of events identifying diabetes. By 2011, that number was 74%. In conclusion, overall diabetes incidence in this population did not significantly increase between 2006 and 2010, but increases in hemoglobin A1c testing may have contributed to rising diabetes incidence among nonwhites in 2011.

Original languageEnglish (US)
Pages (from-to)32-39
Number of pages8
JournalAmerican Journal of Epidemiology
Volume181
Issue number1
DOIs
StatePublished - Jan 1 2015

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Incidence
Confidence Intervals
Hemoglobins
Integrated Delivery of Health Care
Electronic Health Records
Glycosylated Hemoglobin A
Population
Diabetes Mellitus
Body Mass Index
Cohort Studies

Keywords

  • Diabetes mellitus
  • Glycated hemoglobin
  • Hemoglobin A1c
  • Incidence
  • Trends

ASJC Scopus subject areas

  • Epidemiology

Cite this

Nichols, G. A., Schroeder, E. B., Karter, A. J., Gregg, E. W., Desai, J., Lawrence, J. M., ... Steiner, J. F. (2015). Trends in diabetes incidence among 7 million insured adults, 2006-2011. American Journal of Epidemiology, 181(1), 32-39. https://doi.org/10.1093/aje/kwu255

Trends in diabetes incidence among 7 million insured adults, 2006-2011. / Nichols, Gregory A.; Schroeder, Emily B.; Karter, Andrew J.; Gregg, Edward W.; Desai, Jay; Lawrence, Jean M.; O'Connor, Patrick J.; Xu, Stanley; Newton, Katherine M.; Raebel, Marsha A.; Pathak, Ram D.; Waitzfelder, Beth; Segal, Jodi; Lafata, Jennifer Elston; Butler, Melissa G.; Lester Kirchner, H.; Thomas, Abraham; Steiner, John F.

In: American Journal of Epidemiology, Vol. 181, No. 1, 01.01.2015, p. 32-39.

Research output: Contribution to journalArticle

Nichols, GA, Schroeder, EB, Karter, AJ, Gregg, EW, Desai, J, Lawrence, JM, O'Connor, PJ, Xu, S, Newton, KM, Raebel, MA, Pathak, RD, Waitzfelder, B, Segal, J, Lafata, JE, Butler, MG, Lester Kirchner, H, Thomas, A & Steiner, JF 2015, 'Trends in diabetes incidence among 7 million insured adults, 2006-2011', American Journal of Epidemiology, vol. 181, no. 1, pp. 32-39. https://doi.org/10.1093/aje/kwu255
Nichols GA, Schroeder EB, Karter AJ, Gregg EW, Desai J, Lawrence JM et al. Trends in diabetes incidence among 7 million insured adults, 2006-2011. American Journal of Epidemiology. 2015 Jan 1;181(1):32-39. https://doi.org/10.1093/aje/kwu255
Nichols, Gregory A. ; Schroeder, Emily B. ; Karter, Andrew J. ; Gregg, Edward W. ; Desai, Jay ; Lawrence, Jean M. ; O'Connor, Patrick J. ; Xu, Stanley ; Newton, Katherine M. ; Raebel, Marsha A. ; Pathak, Ram D. ; Waitzfelder, Beth ; Segal, Jodi ; Lafata, Jennifer Elston ; Butler, Melissa G. ; Lester Kirchner, H. ; Thomas, Abraham ; Steiner, John F. / Trends in diabetes incidence among 7 million insured adults, 2006-2011. In: American Journal of Epidemiology. 2015 ; Vol. 181, No. 1. pp. 32-39.
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AU - Lawrence, Jean M.

AU - O'Connor, Patrick J.

AU - Xu, Stanley

AU - Newton, Katherine M.

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AU - Pathak, Ram D.

AU - Waitzfelder, Beth

AU - Segal, Jodi

AU - Lafata, Jennifer Elston

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