Cost of Diabetes

Alexander Khodenko

Prologue

Diabetes

• What is diabetes? Autoimmune disorder

• What is insulin? Hormone

• Insulin deficiency or over abundance heart disease, blindness, kidney failure, lower extremity amputations.

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

Diabetes Trends

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 millionBy 2050, the projected number of people with diabetes will rise to 129 million (165% increase over the 2000 level)

Diabetes Costs

$0

$10

$20

$30

$40

$50

$60

$70

$80

$90

$100

1980's 1990's

Total(direct & indirect)

Direct medical costs

Indirect costs

$ 20

$ 12 $ 8

$ 91.8

$ 45.2 $ 46.4

Diabetes Costs

$0

$20

$40

$60

$80

$100

$120

$140

$160

$180

Total (direct & indirect)

Direct medical costs

Indirect Costs

2002 2007

$92

$ 40

$ 174

$ 116

$ 58

$132

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.

Other Costs of Diabetes

Pain & suffering (people & families)

Reduced Quality of life

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

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

Health Care System Now

Framework of the health care system is a problem!

Financing

Reimbursement

Health Care System Needed

Reimbursement

Financing

Modifiable Factors

Poverty

Ethnical Disparities

Limited Access to

Health Care

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.