1. Cost of Diabetes
Alexander Khodenko

2. Prologue

3. Diabetes
• What is diabetes? Autoimmune disorder
• What is insulin? Hormone
• Insulin deficiency or over abundance heart
disease, blindness, kidney failure, lower
extremity amputations.

4. Types of Diabetes
• Type 1 – insulin dependent  body destroys
pancreatic beta cells which are responsible for
insulin production
• Type 2 – non-insulin dependent frequently
occurring non-insulin dependent and the most
common type
• Gestational – glucose intolerance during
pregnancy
• Other types due to specific genetic conditions,
pancreatic disease, surgery, meds, other illnesses

5. Diabetes Trends

6. Diabetes
• Seventh leading cause of death in the US
• Prevalence of death for people with diabetes is twice
higher than prevalence of death for people without
diabetes
By 2025, the total number of people with diabetes will surpass 26 million
By 2050, the projected number of people with diabetes will rise to 129 million (165% increase over the 2000 level)

7. Diabetes Costs
$ 91.8
$100
$90
$80
$70
$60 Total(direct & indirect)
$ 45.2 $ 46.4 Direct medical costs
$50
Indirect costs
$40
$30
$ 20
$20 $ 12 $8
$10
$0
1980's 1990's

8. Diabetes Costs
$ 174
$180
$160
$132
$140
$ 116
$120
$92 Total (direct & indirect)
$100 Direct medical costs
Indirect Costs
$80
$ 58
$60
$ 40
$40
$20
2002 2007
$0

9. Diabetes Costs
2002-2007 increase adjusted for inflation = $21
billion
Due to:
1. Growth in diabetes prevalence
2. Rising medical costs surpass inflation
3. Improvements in data collection methods &
data sources used to estimate the cost of
diabetes.

10. Other Costs of Diabetes
Pain & suffering (people & families)
Reduced Quality of life

11. Projections
• Do not assume a possibility of TX in the
nearest future
• Do not assume advances in DM prevention in
the nearest future
• Expected increase in the number of people
diagnosed with diabetes
And
Increase in the illness related costs

12. Prevention is Crucial
• Life style interventions  cost effective
(proper diet, physical activity, maintenance of
healthy weight, regular check ups)
• Diabetes education  cost efficient & cost
effective

13. Health Care System Now
Framework of the health care system is a
problem!
Financing
Reimbursement

14. Health Care System Needed
Financing
Reimbursement

15. Modifiable Factors
Limited
Access to
Health Care
Ethnical
Disparities
Poverty

16. Summary
• Expect increase in the number of people
diagnosed with diabetes
• Expect increase in diabetes related costs
• Prevention is crucial
• Prevention is cost efficient & cost effective
• Social policy is the key to the disease control.
Changes in social policies are needed.