Dr. Munsif reported that the incidence http://www.insurance.wa.gov/ of diabetes is higher in the Sou...

1. Higher Diabetes Incidence In Southeast United States
Dr. Munsif reported that the incidence http://www.insurance.wa.gov/ of diabetes is higher in the
South when compared to states in the Northwest. Among other states with low incidence of diabetes
is Vermont. Incidence in these states was 10 to 12 cases per 1000 when compared to 4 to 6 cases in
the Northwest. Whether it's a DUI attorney or Car Wreck Lawyer. Dallas has what you need. Similar
data was reported for obesity and physical inactivity.
Regional imbalances in incidence of diabetes have been reported. Regions of the country with higher
incidence of diabetes signifies existence of environmental factors which trigger such higher
numbers.
Diabetes is a major public health problem in the United States and the world.
There are 23 million people (7.9% of total population)who suffer from diabetes in North America and
194 million (5.1% of total population) in the world.
Distinction between incidence and prevalence of a disease
Incidence of a disease is defined as the occurrance of new cases of a disease over period of one year
in a given population per 1,000 population. This is different from prevalence of a disease, which
refers to all cases of a disease (old and new cases).
Regional imbalances in incidence of diabetes
In the United States, the states with higher incidence of diabetes (10.8 to 12.8 per 1000 population)
include not only the states in the south (Alabama, Arkansas, Delaware, District of Columbia, Florida,
Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina,
Tennessee and West Virginia), but also Texas and Arizona and Puerto Rico. States with lower
incidence (5.0 to 7.6 per 1,000 population are not only in the northwest (Montana, North Dakota,
South Dakota and Wisconsin) but also Colorado, Ohio, Oregon and Vermont, with Vemont with the
lowest incidence of 5 cases per 1,000 population. Virginia has lower incidence of diabetes, although
it is surrounded by states with much higher incidence.
Modifiable risk factors for diabetes and correlation of prevalence of obesity and physical inactivity
with geography
The South also has higher incidence of the modifiable risk factors for type 2 diabetes, viz. obesity
and physical inactivity. The prevalence http://ge.tt/9raiqq02/v/0 of obesity is greatest in the south
(27.3%) and least in the northwest (23.1%). The Midwest (25.5%) and Northeast are in the middle
with regard to prevalence of diabetes. Therefore, the higher incidence of diabetes in the south is not
surprising. Obesity prevalence exceeded 30% in three southern states: Alabama, Mississippi, and
Tennessee.
The South had greater prevalence of physical inactivity (17.4%), compared with the Northeast
(15.7%), Midwest (14.1%), and West (11.2%).

2. Conclusions
Diabetes statistics reveal regional imbalances. The causes of these regional imbalances (primarily
higher incidence in the south) are not known. However, an inference ccan be made from statistics
which reveal higher incidence of modifiable risk factors for diabetes (obesity and physical inactivity)
in the same geographical area. Copyright (c) 2009 A. N. Munsif.
1. Diabetes mellitus handbook, Morristown Publishing Company, P.O. Box 672, Livingston, New
Jersey 07039, 2009.
2. Centers for Disease Control (CDC),MMWR 2008; 57(43);1169-1173 (http://cdc.gov).
3. Geiss LS, Pan L, Cadwell B, Gregg EW, Benjamin SM, Engelgau MM. Changes in incidence of
diabetes in U.S. adults, 1997--2003. Am J Prev Med 2006;30:371-7 (http://www.ajpm-online.net/).
4. CDC. State-specific prevalence of obesity among adults---United States, 2007. MMWR
2008;57:7658 (http://www.cdc.gov/mmwr/).
5. Knowler WC, Barrett-Conner E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes
with lifestyle intervention. N Engl J Med 2002;346:393-403 (http://content.nejm.org/).
6. United Nations - Department for Economic and Social Information - Population Division. World
urbanization prospects: the 1994 revision. Estimates and projections of urban and rural populations
and of urban agglomerations. United Nations, New York, 1995.
(http://www.un.org/esa/population/publications/wup2007/2007wup.htm).
Reference URLs:
1. Diabetes Mellitus Handbook - Morristown Publishing Company, P.O. Box 672, Livingston, New
Jersey 07039.
2. Centers for Disease Control - Centers for Disease Control and Prevention, 1600 Clifton Rd,
Atlanta, GA 30333, U.S.A.
KEYWORDS
Diabetes, Incidence, Prevalence, Obesity, Risk factors
Description
Dr. Munsif reported that incidence of diabetes is higher in the southern states of the United States
when compared to states in the Northwest. Among other states with low incidence of diabetes is
Vermont. Incidence in these states was 10 to 12 cases per 1000 when compared to 4 to 6 cases in
the northwest. Similar data was reported for obesity.
By: Dr. A. N. Munsif
Article Directory: http://www.articledashboard.com
Dr. A. N. Munsif is a physician with interest in diabetes, heart disease and heart transplantation and
he is also the author of publications on heart disease and books on various disease conditions. He

3. presents his research findings often before professional groups. More of his works can be found at
www.spartabook.com. Other sites which carry these titles are morristownpublishing.com and
diseasaid.com Copyright (c) 2009 A. N. Munsif