Many had even seen a doctor in the past year, researchers report
WebMD News from HealthDay
By Serena Gordon
HealthDay Reporter
TUESDAY, Nov. 18, 2014 (HealthDay News) -- Almost 8 million Americans have diabetes but don't know it, a new study shows.
That's despite the fact that about two-thirds of those with undiagnosed diabetes have seen a doctor two or more times in the past year, according to the researchers.
The study also found that among those who were diagnosed with diabetes, only about one-quarter met three important goals for people with diabetes: managing blood sugar, blood pressure and cholesterol levels.
"Out of 28.4 million people with diabetes, more than a quarter don't know [it]," said study author Dr. Mohammed Ali, an assistant professor of public health at Emory University School of Medicine in Atlanta.
"About 80 percent of those people are linked to a health care provider, and two-thirds are seeing them twice a year or more. So, through whatever means, they aren't being identified with diabetes," Ali explained.
The data used in this study wasn't broken down by diabetes type, but Ali said the vast majority of people with diabetes have type 2 diabetes. And the onset of type 2 diabetes tends to be less obvious, so he believes most of the undiagnosed people are likely people with type 2 diabetes.
Type 2 diabetes is a disorder that causes the body to use the hormone insulin inefficiently, according to the American Diabetes Association (ADA). This is called insulin resistance. The body uses insulin to help process the sugar from food into fuel for the body's cells. When cells become insulin-resistant, sugar can't move into the cells and instead, stays in the bloodstream, raising blood sugar levels, according to the ADA.
Symptoms of type 2 diabetes, which may be subtle and come on slowly, include fatigue, blurred vision, slow-healing cuts and scrapes, and the need to urinate more often, according to Dr. Robert Ratner, chief scientific and medical officer for the ADA.
Despite greater awareness in recent years, diabetes remains a major cause of death and disability in the United States. It's a leading cause of adult-onset blindness, kidney failure and limb amputations, according to the researchers.
Although it's known that diabetes is a significant and costly health problem, experts probably still don't have a complete picture of diabetes, Ali and his colleagues suspect.
To get a better idea, they used a concept first developed for addressing the HIV/AIDs epidemic, according to the study. The concept, dubbed "cascade of care," is a way of looking at how many people are living with a condition and what kind of treatment they're receiving, according to the researchers.
Using this "cascade of care" on a national survey sample of nearly 30,000 adults, the researchers found that nearly three in 10 people with diabetes remain undiagnosed. They also discovered that 84.5 percent of those undiagnosed adults report that they have a usual health care provider. What's more, 66.5 percent said they'd had two or more visits in the past year, the study reported.
source : Nearly 3 in 10 Americans With Diabetes Don't Know It: Study
