Kondrake Calls For a Diabetic War

Kondrake Calls For a Diabetic War: Morton Kondrake is quoted as saying, “One’s dignity may be assaulted, vandalized and cruelly mocked, but it cannot be taken away unless it is surrendered.” So when he recently took on the subject of diabetes we paid attention to a man who seems to understand the concept of dignity.

Kondrake is a journalist and writer for the non-partisan Capitol Hill newspaper, “Roll Call”. His recent piece was entitled, “Kondracke: Declare war on diabetes”.

Here are some highlights.

“The reason for a war on diabetes is that, like some cancers, Type 2 diabetes – the most prevalent type – is heavily a “lifestyle disease” resulting from overeating and lack of activity. Therefore, it’s preventable.”

“Diabetes can result in ghastly consequences for its 24 million victims, including heart disease, stroke, blindness, kidney failure, amputations and nervous system disease, and it is hugely expensive to the economy.”

“Nineteen different federal agencies spent only $3.9 billion on disease-prevention or health-promotion activities with some impact on diabetes.”

“If a ‘war on diabetes’ were declared, it ought to begin with a war on obesity, the epidemic most responsible for rising incidence of Type 2 diabetes among both adults and, increasingly, children.”

“Fighting obesity ought to be a major focus of health care reform.”

“Obesity costs – as much as 27 percent of recent increases in national health spending, according to health analyst Kenneth Thorpe.”

“There’s a need for better diabetes screening in government health programs. Medicaid and Medicare ought to adopt the kind of intensive disease-management techniques that many insurance plans employ.”

“The Congressional Budget Office estimates costs and savings only within a 10-year ‘window,’ whereas chronic-disease management probably would show results over a longer period.”

“A new study in the journal Health Affairs estimated that what amounts to a ‘war’ on diabetes, costing $800 million a year, would merely pay for itself over 25 years, not cut the actual costs to the government.”

“Such a war surely would prevent many strokes, heart attacks, leg amputations and kidney failures. It’s hard to believe that wouldn’t save money, too.”

Kondrake is an advocate of providing some rather graphic video footage of what some diabetics may experience in an effort to shock teens into making better choices in food and lifestyle.

The ‘war’ on diabetes must always come back to one fighter – the individual. Kondrake’s comments seemed especially targeted at preventable Type 2 diabetes and not Type 1 where development is not contingent on lifestyle choices.

Most health professionals would welcome extra funding to help in educational endeavors as well as prevention techniques and mentoring. Kondrake indicates a strong inclination that the government itself makes some beneficial advances more difficult. He cites testing equipment specifically. In Asian countries for example there is testing equipment that can be used to wirelessly send data to a computer for tracking. Such devices would need approval from the Food and Drug Administration (FDA) every time the device is altered for technological reasons in the U.S.

The battle for funding continues for organizations that have waged their own war on diabetes. The good news is that as you read through this site you will discover a multitude of new studies offering promise and hope. You will read of individuals who have managed their own personal battles and are holding the line. While there is hope that more help will come, the responsibility for our health often rests squarely with us. So, we keep working to provide information you can use to fight. Together perhaps we will one day win.

Amazing Grace: The Young and the Hopeful

When the Juvenile Diabetes Research Foundation (JDRF) in Kansas needs lobbying help from someone living with Type 1 diabetes there is one name that always seems to come up – Grace Chisholm.

Amazing Grace: The Young and the Hopeful: When the Juvenile Diabetes Research Foundation (JDRF) in Kansas needs lobbying help from someone living with Type 1 diabetes there is one name that always seems to come up – Grace Chisholm.

This summer she joined other diabetics in lobbying President Obama for more funds to help in the fight against diabetes. But Grace seems almost tireless in her drive to help however she can.

Grace seems to be well known in her home state of Kansas. In fact JDRF-KC Executive Director Yvonne Miller told Fox4KC.com, “We use Grace a lot. She is quite the advocate for diabetes research and education. I don’t know if I have anyone better than Grace to go out into the community and explain what we do as an organization.”

A video of Grace shows her talking with Congressman Dennis Moore in which she asks the congressman, “Promise to remember me?”

Grace is described as articulate and a “take charge” activist. She remains a Youth Ambassador for JDRF and has helped raise awareness for her disease. But Grace also is a very capable fundraiser. It is estimated that she has been directly linked to donations of over $50,000.

Former teacher Diane Thompson spoke of the way Grace manages her diabetes. She told Fox4KC.com, “She just had a handle on it, unlike most kids older than she is. [She does] everything she had to do every day to stay well — religiously, on her own and to a T. I attribute it to her intelligence and her personality.”

Grace checks her blood sugar 10-12 times a day and enlists the help of her two sisters in pushing for support for diabetes research. Grace will be taking part in a walk in October that is designed to help raise money for diabetes research. She is seen in the Fox video stuffing more than a hundred envelopes with information about her walk, and it’s a safe bet she expects recipients to participate in some way. That’s just Grace.

Her inspirational story was why Fox4KC named Grace Chisholm a recent Young Achiever. Did I mention she’s nine years old?

The walk she is working on is scheduled for October 10th in Kansas City, KS at The Legends. Grace tells potential donors, “Finding a cure for diabetes would mean the world to me. It would be the most amazing thing. I don’t even have the words. Life with diabetes is a struggle everyday. From managing my blood sugars to changing my insulin pump site, this disease is horrible and will never go away unless we keep fighting for a cure”.

As of this writing Grace was at about 30% of her $5,000 goal. If her past experience with lobbying is any indication she will meet and likely exceed that goal.

Grace’s fund raising letter also states, “While Grace does most of the things other kids do, she can never relax. Every bite of food, physical activity, illness, stress and hormones require Grace to think about her diabetes and attempt to control her blood sugars. There is no vacation from this disease.”

Type 1 diabetics are well acquainted with the struggle Grace faces every day. Like Grace, other Type 1 diabetics are pushing to find ways to work together for a cure.

Grace mentions in her note one more compelling fact, “While we understand the economy is down, diabetes has not slowed down.”

And the drive shown by Grace every day has JDRF-KC Executive Director Yvonne Miller telling Fox4KC.com, “I don’t think they say no to her.”

Interior Schools Reach Out to Slow Diabetes

In response to the prevalence of diabetes and obesity among Native Americans a combined effort between former All-American football standout and Rhodes scholar Myron Rolle and the U.S. Government is leading to a high specific program developed for American Indian schools.

Interior Schools Reach Out to Slow Diabetes: In response to the prevalence of diabetes and obesity among Native Americans a combined effort between former All-American football standout and Rhodes scholar Myron Rolle and the U.S. Government is leading to a high specific program developed for American Indian schools.

Secretary of the Interior Ken Salazar discussed the program with Native American Times, “Our objective in this initiative is to inspire American Indian and Native Alaskan students to live healthier lifestyles through exercise, outdoor activity, and proper nutrition. The program developed by the Myron Rolle Foundation will celebrate the uniqueness of their heritage and identity in curriculum, develop trust amongst peers, train leaders and involve the community to ensure their needs are met.”

Assistant Secretary-Indian Affairs Larry Echo Hawk called the initiative “innovative” and claimed, “Children and their families [are encouraged] to incorporate physical fitness and healthy choices into their daily lives.”

The new program aimed at middle school students is called One Way to Health and is being implemented in five Interior run Indian schools in New Mexico and Arizona.

Myron Rolle told Native American Times, “I am inspired by the way American Indian tribes have persevered and thrived, while retaining their cultural heritage and identity. There are, however, significant health concerns that challenge this population — in particular diabetes and obesity.  Through the Our Way to Health Program, our goal is to encourage and help American Indian children in middle school to begin managing not only their own diet and exercise but, hopefully by extension, influence the adults in their lives to also begin adopting healthy life style changes.”

Native American Times discussed the origins of the program by saying, “One Way to Health provides incentive-based learning experiences, team-building physical activities in the outdoors, health education and diabetes awareness sessions. Rolle initially developed the curriculum for American Indian fifth-graders at a charter school in Okeechobee, Florida, when he was working with the Seminole Tribe.”

If the program is successful in the New Mexico and Arizona schools it has the potential of expanding. The program is not a one-size-fits-all proposition either. The program allows for variations between schools to best reach the student base that will be engaged in what it offers. Rolle plans to visit each school twice and participants who successfully complete the program will be taken to either an NFL or collegiate football game.

The Native American Times report indicates, “Interior’s Bureau of Indian Education serves 42,000 students in 183 schools and dormitories across the country on 64 reservations in 23 states.”

This isn’t the only health gesture offered by Myron Rolle. His family came from the Bahamas and he is working to give back to those living there. ESPN reported, “Myron Rolle and his family… announced plans to build the Myron L. Rolle Medical Clinic and Sports Complex, in Steventon, Exuma in the Bahamas.”

Rolle told ESPN, “It’s really pertinent, because the people of Exuma, if there is something really serious happening to them, medically, at night especially, and they have to catch a flight to Nassau, the main island, it’s very inconvenient, and a lot of people can’t afford that flight.” This medical and sports complex is expected to be operational by 2012.

It is expected that Rolle will enter the NFL draft in 2010 after completing a master’s degree program in England, but Rolle continues to make an impact even before he accepts a new jersey.

How Diabetes Can Change a Family

We often hear about how diabetes affects the individual, and we are very aware that it does, but what about the family that loves and cares for them? This is a family story where diabetes affects multiple aspects of life and challenges the way a family responds.

How Diabetes Can Change a Family: We often hear about how diabetes affects the individual, and we are very aware that it does, but what about the family that loves and cares for them? This is a family story where diabetes affects multiple aspects of life and challenges the way a family responds.

BND.com describes Parker Weiss as a kid who enjoys sports, bike riding and the family trampoline, but like many Type 1 diabetics he has to monitor his blood glucose levels and he absolutely must watch what he eats. Says Parker, “On my birthday, I had a couple desserts, and I threw up that night. I had too much junk.”

Parker has been living with the disease for two years now and was diagnosed after flu like symptoms and an unhealthy desire to use the restroom.

He plays sports, raising money for Type 1 diabetes research, but this story is less about Parker and more about the family who calls him son and brother.

Let me introduce you. Parker’s dad is Jason and his mother, Amber. He has two younger brothers, JJ and Killian. The BND.com report says, “The Weisses have made dramatic lifestyle changes, especially when it comes to food. They prepare meals that fit with Parker’s diet and limit everyone’s portions to keep him from feeling so restricted.”

Jason Weiss said, “We cut out 100 percent of grazing between meals, and we started measuring our servings. And when you measure servings, you lose weight.” The family takes a nutritional pocket guide with them everywhere they go to help Parker deal with his disease. The difference is what is good for Parker becomes good for the family – what’s bad for Parker is not allowed by the family. They have decided to identify with their son’s disease in a very personal way.

The BND.com report talks about Parker’s brothers. “They rarely get to drink soda, eat candy or go out for ice cream, but they have healthier eating habits than most kids.” Their father says, “It affects them in a good way because they’re not getting as much junk.”

Parker’s grandparents own a winery and a special tasting is set aside each year with funds going to benefit Type 1 diabetic research. This event has raised more than $20,000 over the last three years.

Amber Weiss explained the change in their family by saying, “You hear of people going through things like this, but our family has never had any health problems.”

It can be easy to think of diabetes as being something that happens to someone else or to another family. There is never the expectation that this is something that will happen to you or someone you love, yet the Weiss family has purposed to support Parker by ensuring that things seem relatively normal for their oldest son because it has become the norm for the entire family.

BND.com reports, “The Weisses try to keep a positive attitude and know things could be worse, but they speak honestly and openly about the realities of their son’s condition.”

Those conditions are being bravely faced by every member of Parker’s family. The support they are providing Parker comes with a personal price tag, yet their sacrifices are also serving as a springboard for inspiration among those who know them, and those who read their story.

Type 2 Diabetes and Women’s Heart Health

New research indicates a much higher percentage of the incidence of atrial fibrillation among women who also had Type 2 diabetes.

Type 2 Diabetes and Women’s Heart Health: New research indicates a much higher percentage of the incidence of atrial fibrillation among women who also had Type 2 diabetes.

MayoClinic.com suggests that, “During atrial fibrillation, the heart’s two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. Atrial fibrillation is an irregular and often rapid heart rate that commonly causes poor blood flow to the body and symptoms of heart palpitations, shortness of breath and weakness.

“Atrial fibrillation can also cause fatigue and stroke. It’s often caused by changes in your heart that occur as a result of heart disease or high blood pressure. Episodes of atrial fibrillation can come and go, or you may have chronic atrial fibrillation.

“Although atrial fibrillation itself usually isn’t life-threatening, it is a medical emergency. It can lead to complications. Treatments for atrial fibrillation may include medications and other interventions to try to alter the heart’s electrical system.”

HealthDay New quotes study author Gregory Nichols, “We found that people with diabetes have about a 44 percent higher prevalence of atrial fibrillation. When we stratified the data by sex, the association was still elevated for men — but not statistically significant — but for women, it was still statistically significant.”

The study released in the October 2009 issue of Diabetes Care does not pinpoint a definitive cause, but “The authors theorize that diabetes may affect the cardiac autonomic nerves in much the same way the disease damages peripheral nerves and causes a condition known as peripheral neuropathy.”

Dr. Howard Weintraub, clinical director of the Center for the Prevention of Cardiovascular Disease at the NYU Langone Medical Center in New York City is not convinced, “In people with diabetes, the cluster of other cardiac risk factors, like obesity and hypertension, increases the risk of atrial fibrillation,” he said.

Essentially what this means is there is new data to report, but not firm conclusion. What this information does provide is a new mechanism of study that may help in answering the question of cause and allow medical science to pursue a solution.

The study that finds medical professionals asking more questions collected, “data from more than 10,000 members of an HMO diabetes registry who had type 2 diabetes, and then matched them by age and sex to more than 7,000 people without diabetes. The study period was January 1999 through December 2008.”

One of the key progressions from this study is that new physicians can pay close attention to the possibility of atrial fibrillation among female Type 2 diabetic patients. Nichold noted that, “among women, diabetes was a stronger predictor of atrial fibrillation than obesity and elevated blood pressure.”

The HealthDay News reported, “this study didn’t include comparisons of echocardiograms (an imaging test of the heart), which would have allowed researchers to assess heart health at the start of the study, and ensure that no one with preexisting, but undiagnosed, heart disease was included. Additionally, the researchers didn’t look to see if blood sugar control made a difference in the rates of atrial fibrillation.”

It should further be noted that while an increase of 44% is significant the report further states that, “the overall incidence of atrial fibrillation was 3.6 percent among people with type 2 diabetes, while the rate for people without the metabolic condition was only 2.5 percent.” Essentially the overall incidence of this disorder occurs in a relatively small percentage of adults, still this information will have a bearing in the care of diabetic patients.

Diabetes Scholars Foundation College Scholarships

Scholarship information available from the Diabetes Scholars Foundation.

The Diabetes Scholars Foundation will be awarding at least fifteen $5,000 college scholarships to incoming freshmen with Type 1 diabetes. The applications will be available on our website beginning in January. In the past two years we have awarded almost $200,000 ($5,000 each) in college scholarships to students with Type 1 diabetes.

Diabetes Scholars Foundation
diabetesscholars.org

Halloween and the Diabetic Child

With a holiday dedicated to the giving and receiving of candy we thought it important to look at Halloween through the eyes of a diabetic family. It’s possible some families will consider keeping their diabetic children from participation in Halloween activities. Is this the right approach?

Halloween and the Diabetic Child: With a holiday dedicated to the giving and receiving of candy we thought it important to look at Halloween through the eyes of a diabetic family. It’s possible some families will consider keeping their diabetic children from participation in Halloween activities. Is this the right approach?

Obviously there will be some differences in how you treat the holiday based on whether your child has Type 1 or Type 2 diabetes, however we found some great information from the American Diabetes Association (ADA) that may help you keep it fun for your diabetic children while keeping their condition in mind.

  • The best part of Halloween is the “dressing up.”  Put extra effort into your child’s costume.  Get the whole family involved.
  • Plan a party on Halloween night.  That way, friends and family can get together AND you can plan a healthy menu.
  • Go to a Halloween activity in the community such as a haunted house, hayride or bonfire.
  • There’s no reason not to allow your child with diabetes to go trick-or-treating.  Just take some age-appropriate measures to ensure her safety (both with diabetes, and in general!).  Younger children should always trick-or-treat with a parent.  Older kids can often go with friends or siblings, depending on where you live.  If you think your older child might need to check his blood glucose while he’s out, remind him before he goes or ask him to wear a cell phone or pager. (His testing supplies may not “wear well” with his costume and you may want to make arrangements to meet him for a quick check en route.)
  • Kids with diabetes can have treats. Of course, the rule is moderation with foods high in carbohydrate (including sweets and starches). Suggest that your child select a few favorite treats and trade the rest in for a present or money.
  • If your children do eat candy, remember to check the carbohydrate in their meal plan, check their blood glucose and plan for more activity to help counteract any elevated blood glucose levels. Checking blood glucose levels helps to teach the lesson that candy causes elevations in blood glucose. Kids do want to have blood glucose numbers in normal ranges! They feel better!
  • A little extra physical activity on Halloween and the following days may allow your child to have some Halloween treats without taking extra insulin. Talk to your doctor, diabetes educator, or dietitian about how to work these treats into her meal plan safely.
  • Substitute candy with treats lower in carbohydrate. At home, you can pass out toys and trinkets, like false teeth, superballs, “slime,” necklaces, temporary tattoos, etc. Kids often like these more than candy anyway! Visit your local dime store or go to an online toy vendor to stock up!
  • Remember that candy has a long shelf-life. You can keep some of your child’s favorites for him or her to enjoy at other times. Put some in the freezer or refrigerator too.
  • Treats low in fat can be used to treat lows throughout the year. Chocolate and other higher-fat treats don’t work well for treating lows, though, as the fat slows the progress of glucose into the blood stream. Stick to hard candies, gum drops, lollipops, and the like. (Source: ADA)

Alternatives will be important in the celebration of Halloween, but the extra effort can keep the holiday fun – and safe – for your diabetic children.

Phillies Manager on His Own Diabetes Win Streak

Charlie Manuel is a big man, and he took a big team to the World Series in 2008. The Phillies manager guided his team to an incredible year, but excessive weight and Type 2 diabetes found him on a collision course with disaster.

Phillies Manager on His Own Diabetes Win StreakPhillies Manager on His Own Diabetes Win Streak: Charlie Manuel is a big man, and he took a big team to the World Series in 2008. The Phillies manager guided his team to an incredible year, but excessive weight and Type 2 diabetes found him on a collision course with disaster.

It should be noted that the following information is derived from information provided by Nutrisystem, a company that provides dietary meals to customers and who also happens to have a food-based program for diabetics. We use this information as a means of providing encouragement to gain control over your diabetes and are not necessarily endorsing Nutrisystem products.

Manuel recalls the moment he knew he needed to make a change, “Last year’s championship was such a huge personal and professional accomplishment, but during the victory parade through the streets of Philadelphia, I remember one lady asking for a photo of us together and then immediately showing it to me and I thought, ‘Man, I’m BIG!’ I looked huge compared to her and in every picture I saw of myself. I knew I had to do something to lose weight.”

Through a process of diet and exercise Manuel lost 50 pounds and has led his baseball team to another championship run. Even though his team is on track for another stellar seasons Manuel reflects, “In the past I wouldn’t think about what I was eating and when. I would go all day in meetings and forget to eat and then eat ballpark food before the game. I tried dieting on my own, but that never worked. I didn’t make it a priority and it caught up to me to the point where my doctor told me I had diabetes and put me on medication. That just gave me another list of things to manage like checking my blood sugars and remembering to take my medication.”

The diet program Manuel used was Nutrisystem D. A press release for Manuel indicates, “The program is specifically designed to help overweight people with Type 2 diabetes lose weight and control their blood sugar. The Nutrisystem D program incorporates more than three decades of scientific research and…experience on…weight loss with exercise.”

Reflecting on the past year Manuel said, “I wanted a program specifically designed to support my diabetes and that I could stick to whether on the road or at home. When I travel, I have a microwave sent to my room. I order my salad, fruits and vegetables from room service so I can stay with program. I eat six times a day and never feel hungry. When I do eat out, I know what choices to make and what a real portion is. The best part is, besides losing 50 pounds, I feel better. I look better. Even the umps notice that I’ve lost weight. I tell my players that I feel like I can still play.” The Phillies have proven to Manuel that they can still play – and they are – for a much slimmer manager.

Dr. Gary Foster, Director of the Center for Obesity Research and Education of the Temple University School of Medicine said of Manuel, “Like so many people with diabetes, Charlie was confronted with the complexities of managing diabetes and losing weight. Counting calories and carbs all while trying to keep your blood sugar in check is quite a challenge. For someone like Charlie, appropriately portioned meals throughout the day provide the structure to lose weight while maintaining his blood sugar levels.”

A State-By-State Statistical Look at Diabetes

Where in the United States is diabetes most prevalent? According to a BioMed Central publication released in late September the greatest incidence of diabetes is found in the southeast.

A State-By-State Statistical Look at Diabetes: Where in the United States is diabetes most prevalent? According to a BioMed Central publication released in late September the greatest incidence of diabetes is found in the southeast.

The report states, “We estimated undiagnosed diabetes prevalence as a function of a set of health system and sociodemographic variables using a logistic regression in the National Health and Nutrition Examination Survey (2003-2006). We applied this relationship to identical variables from the Behavioral Risk Factor Surveillance System (2003-2007) to estimate state-level prevalence of undiagnosed diabetes by age group and sex.”

Highlights of the report suggest, “Age-standardized diabetes prevalence was highest in Mississippi, West Virginia, Louisiana, Texas, South Carolina, Alabama, and Georgia (15.8 to 16.6% for men and 12.4 to 14.8% for women). Vermont, Minnesota, Montana, and Colorado had the lowest prevalence (11.0 to 12.2% for men and 7.3 to 8.4% for women). Men in all states had higher diabetes prevalence than women. The absolute prevalence of undiagnosed diabetes, as a percent of total population, was highest in New Mexico, Texas, Florida, and California (3.5 to 3.7 percentage points) and lowest in Montana, Oklahoma, Oregon, Alaska, Vermont, Utah, Washington, and Hawaii (2.1 to 3 percentage points). Among those with no established diabetes diagnosis, being obese, being Hispanic, not having insurance and being ? 60 years old were significantly associated with a higher risk of having undiagnosed diabetes.”

What follows is a state by state listing of citizen percentages for diabetes combining both men and women averages.

State               30-59          60+

Alabama              10.1%         25%
Alaska                6%         21.8%
Arizona               8.4%           22.1%
Arkansas               9.1%           21.4%
California                 8.3%           25%
Colorado               5.7%          18.9%
Connecticut              6.5%           20.6%
Delaware               8.3%           23.1%
District of Columbia          8.1%           26.3%
Florida              9%          23.1%
Georgia                9.2%          26.5%
Hawaii               7.6%          20.8%
Idaho                  7.7%           21.7%
Illinois               8.6%          23.8%
Indiana               8.4%           24.8%
Iowa                   6.9%          22.1%
Kansas               7.3%           21.7%
Kentucky               9.8%          24.7%
Louisiana              10%          26.6%
Maine                  7.6%          22.2%
Maryland                7.7%           24.7%
Massachusetts           6.4%        20.5%
Michigan                8.7%           25.1%
Minnesota               5.9%           20.1%
Mississippi               11.4%       27.7%
Missouri                7.7%           22.9%
Montana               6.5%           19.3%
Nebraska               7.3%           22.4%
Nevada               7.5%           23.3%
New Hampshire            6.5%           22.2%
New Jersey                7.9%           23.9%
New Mexico               8.4%           22.3%
New York               8.5%           23.9%
North Carolina           9.3%           25.6%
North Dakota               6.5%           21.7%
Ohio                   8.3%           24.6%
Oklahoma               9.7%           24.1%
Oregon               7.1%          21.1%
Pennsylvania               8.1%           24.1%
Rhode Island               7%           22.7%
South Carolina           10%          26%
South Dakota               7%           21.5%
Tennessee               10.5%          26.3%
Texas               10.1%       25.4%
Utah                   6.3%           22.7%
Vermont               6.1%           19.9%
Virginia               7.7%           23.6%
Washington               7.4%           21.3%
West Virginia           11.1%          27.3%
Wisconsin               6.3%           21.6%
Wyoming               7.3%           21.2%

The highest rate of statistically undiagnosed diabetes is in New Mexico. This information is essentially hard data provided for statistical comparisons. It is not intended to be either positive or negative. The basis for articles like this is to paint the most accurate picture possible for this disease.

This report used a series of questions answered by respondents as a means of determining the number of individuals who may be undiagnosed as diabetic. This included whether they had health insurance, whether they visited their primary care physician in the last year or whether they smoke. The questions also included weight, race and age questions relevant to the analysis. This information allowed researchers to make an informed analysis for undiagnosed diabetes.

Data like this can be used in calculating potential health insurance rates and also may provide clues as to regional habits that may impact the incidence of diabetes. The BioMed Central publication adds, “Increasing the coverage of lifestyle, e.g., physical activity and pharmacological interventions for diabetes, should be a priority in states with high diabetes prevalence.”