2. Danielle Townsend
The Ohio State University
Sophomore
Health Sciences
Patrick Wyszynski
The John Carroll University
Sophomore
Cellular and Molecular Biology
Taylor Sustersic
Wheeling Jesuit University
Junior
Nursing/Child Development & Health
Chynna Smith
Baldwin Wallace University
Junior
Neuroscience/Psychology
Introductions
Sydney Zartman
The Ohio State University
Junior
Biology
3. To explain why diabetes is a rising problem in relation to the amount of:
people
cost
To explain how diabetes can affect the:
eyes
nerves
kidneys
To preview the growth of diabetes both past and future
Goals
4. ● 1980: 6 million
● 1990: 7 million
● 2000: 12 million
● 2010: 25.8 million
Most recent studies show:
● 2012: 29.1 million
○ 1 out of 11 people
○ 9.3% of the U.S. population
Each year, a diabetic patient spends 2.3
times more than the average person on
healthcare
How Many People are Affected
5. The Economic Burden on the U.S.
How the $176 billion was spent on direct
medical costs:
$2.7 trillion was spent on healthcare in
the U.S. in 2012
How much of this was spent on
diabetes?:
2012: $245 billion
this is a 41% increase compared to
5 years prior
How was this $245 billion was spent:
$176 billion was direct medical costs
$69 billion was indirect medical costs
6. about 25% of total eye care cost
“Diabetes is the leading
cause of blindness in working-age Americans.”
-CDC
All diabetic patients are expected to have annual eye
exams.
Eyes
$51 Billion
7. Cataracts- 24,409,978 Total
(>8 million Diabetic-
Related)
(approx. 33 %)
Glaucoma- 2,719,379
Diabetic Retinopathy - 7,685,237
(2012)
60% more likely
40% more likely
28.5% of patients 40 and older
already have a form of
Diabetic Retinopathy
Eyes Continued...
9. Future of Eyes
“We estimate that the number of Americans aged 40 years and older with diabetic
retinopathy will triple to 16 million by 2050, and the number with
vision threatening retinopathy will increase from 1.2 million to
3.4 million.” -CDC
10. Statistics:
44% of people that have diabetes have kidney failure
In 2010, more than 594,000 people were being treated
for kidney failure because of diabetes:
179,000 in dialysis
149,000 kidney transplants
Of the 116,000 patients on the transplant list, 81% are
waiting for a match
Kidneys
11. Cost:
Patients that have kidney failure and diabetes-
$51.8 billion
2009, Medicare spent $29 billion on kidney
failure patients (6.7%)
$82,285 hemodialysis
$61,588 peritoneal dialysis
$29,983 transplant
Kidneys Continued...
12. Slow progression
Blood protein, albumin, leak into urine
Stage one: microalbumin
Normal
●More leaks of albumin
○Stage two: macroalbumin
●Albumin increase; Filtration decrease
●Body cannot rid of waste (blood pressure)
Kidney Failure
13. “50% of people with diabetes have some degree
of Diabetic Neuropathy, which may be
asymptomatic or symptomatic.”
- CDC
Nerve Damage- < 13.7 billion/year
14. Nerve Damage
•10% to patients have symptoms
when first diagnosed.
- 3 million people
•50% develop symptoms within first
25 years of diagnosis
–15 million people
•25% associate pain with
neuropathies
–4.5 million people
New York is the 3rd most populated city
in the United States at
approximately 19 million people.
15. Mechanism
Diabetic Neuropathy affects the limbs symmetrically and progresses from distal
to proximal over time.
•High blood glucose levels damage
the delicate coating of nerves fibers:
•Leads to toxins leaking from vessels
•Lack of oxygen
•Body autoimmune response attacks the
nerve
16. Cont.
•Bilateral symmetrical distribution of signs and
symptoms
•Affects lower limbs first
–Numbness
–Tingling
–Pain
•Progresses from distal (toes) to proximal (knee)
over time.
–Ulcers
–Amputation
17. medical and non-medical costs of people diagnosed
with diabetes…
2007: $144.6 billion
2012: $245 billion
2020: $512 billion
Expected Growth
18. Eyes- $51 billion
Kidneys- $51.8 billion
Nerves- $13.7 billion
TOTAL $116.5 billion
*Out of total spent on all diabetic costs: $245 billion
That is 48% of diabetic costs going towards eyes, kidneys, and nerves!
Total Diabetes Cost
