American Diabetes Alert Day - March 22
American Diabetes Association Alert Day, observed every fourth Tuesday of March, on March 22 this year, is a part of a movement to create awareness about the silent killer that more than 34.2 million Americans are at risk of. It is a one-day “wake-up call” that focuses on the seriousness of diabetes and the importance of understanding your risk.
Diabetes by the Numbers
The sooner you know you’re at risk, the sooner you can take steps to prevent or manage diabetes. If you have a family history of diabetes, you have a greater chance of developing type 2 diabetes. You are also more likely to develop type 2 diabetes if you are over age 45, are overweight, or are not physically active.
- Diabetes affects about 34.2 million Americans or about 10.5 percent of the U.S. population.
- Nearly 1 in 5 adults living with diabetes, or 7.3 million Americans, are unaware that they have the disease.
- Approximately 88 million people aged 18 years or older have prediabetes, a condition in which blood glucose levels are higher than normal, but not high enough to be diagnosed as diabetes.
- 210,000 children and adolescents younger than 20 years – or 25 per 10,000 US youths – had diabetes. This includes 187,000 with Type 1 Diabetes.
- More than 84 percent of people living with prediabetes don’t know they have it.
- About 50 percent of women with gestational diabetes go on to develop type 2 diabetes. Gestational diabetes is a type of diabetes that women develop when they are pregnant
- The total direct and indirect estimated costs of diagnosed diabetes in the United States in 2017 were $327 billion.
- Between 2012 and 2017, excess medical costs per person associated with diabetes increased from $8,417 to $9,601 (2017 dollars).
History of Diabetes Alert Day
Unawareness about diabetes is an epidemic in the United States. A survey conducted by the American Diabetes Association (ADA) revealed that around 68% of people did not know that diabetes is closely related to heart diseases, and that stroke is a serious threat to human life. If that isn’t bad enough, it went on to reveal that about 25% of the diabetic population do not even know they have the disease.
The American Diabetes Association, a non-profit organization, was founded in 1940 by six physicians. Together, they strived for one mission alone: educating the masses in the United States about all types of diabetes and helping those affected by it. The organization works to prevent, manage, and cure diabetes with awareness programs, deliver services to communities, and fund research. It receives donations from foundations, companies, and individuals and operates as three different types of categorized organizations — American Diabetes Association (ADA), American Diabetes Association Research Foundation, Inc. (ADARF), and American Diabetes Association Property Title Holding Corp. (ADARTHC).
The ADA created Alert Day as a part of its preventive measures in 1986. Introduced with the vision of dedicating one full day to spread awareness and encourage contribution, the American Diabetes Association Alert Day, observed annually in March, tells the public every year that diabetes ranks as the seventh leading cause of death in the U.S.
Why Diabetes Alert Day is Important
As of now, more than 10.5% of the United States population is diabetic, whereas those at risk or at the prediabetic stage amount to approximately 110 million of the total population. There is a reason why diabetes is known as the silent killer – the human body sometimes shows no symptoms despite blood sugar levels gradually increasing until one’s at fatal risk. So being aware of it, finding out about the risks, and getting tested are extremely important.
Spreading awareness about diabetes encourages people to take time out to read up on it. People can get tested, get their blood glucose levels checked, and find out valuable information to help in the long run.
Diabetes Tests and Diagnosis
Your health care professional can diagnose diabetes, prediabetes, and gestational diabetes through blood tests. The blood tests show if your blood glucose, also called blood sugar, is too high.
Do not try to diagnose yourself if you think you might have diabetes. Testing equipment that you can buy over the counter, such as a blood glucose meter, cannot diagnose diabetes.
Who should be tested for diabetes?
Anyone who has symptoms of diabetes should be tested for the disease. Some people will not have any symptoms but may have risk factors for diabetes and need to be tested. Testing allows health care professionals to find diabetes sooner and work with their patients to manage diabetes and prevent complications.
Testing also allows health care professionals to find prediabetes. Making lifestyle changes to lose a modest amount of weight if you are overweight may help you delay or prevent type 2 diabetes.
Type 1 Diabetes
Most often, testing for type 1 diabetes occurs in people with diabetes symptoms. Doctors usually diagnose type 1 diabetes in children and young adults. Because type 1 diabetes can run in families, a study called TrialNet offers free testing to family members of people with the disease, even if they don’t have symptoms.
Type 2 Diabetes
Experts recommend routine testing for type 2 diabetes if you:
- are age 45 or older
- are between the ages of 19 and 44, are overweight or obese, and have one or more other diabetes risk factors
- are a woman who had gestational diabetes1
- Medicare covers the cost of diabetes tests for people with certain risk factors for diabetes. If you have Medicare, find out if you qualify for coverage External link. If you have different insurance, ask your insurance company if it covers diabetes tests.
Though type 2 diabetes most often develops in adults, children also can develop type 2 diabetes. Experts recommend testing children between the ages of 10 and 18 who are overweight or obese and have at least two other risk factors for developing diabetes.
- low birthweight
- a mother who had diabetes while pregnant with them
- any risk factor mentioned in Risk Factors for Type 2 Diabetes
Gestational Diabetes
All pregnant women who do not have a prior diabetes diagnosis should be tested for gestational diabetes. If you are pregnant, you will take a glucose challenge test between 24 and 28 weeks of pregnancy.
What Tests are Used to Diagnose Diabetes and Prediabetes?
Health care professionals most often use the fasting plasma glucose (FPG) test or the A1C test to diagnose diabetes. In some cases, they may use a random plasma glucose (RPG) test.
Fasting plasma glucose (FPG) test
The FPG blood test measures your blood glucose level at a single point in time. For the most reliable results, it is best to have this test in the morning, after you fast for at least 8 hours. Fasting means having nothing to eat or drink except sips of water.
A1C test
The A1C test is a blood test that provides your average levels of blood glucose over the past 3 months. Other names for the A1C test are hemoglobin A1C, HbA1C, glycated hemoglobin, and glycosylated hemoglobin test. You can eat and drink before this test. When it comes to using the A1C to diagnose diabetes, your doctor will consider factors such as your age and whether you have anemia NIH external link or another problem with your blood.1 The A1C test is not accurate in people with anemia.
If you’re of African, Mediterranean, or Southeast Asian descent, your A1C test results may be falsely high or low. Your health care professional may need to order a different type of A1C test.
Your health care professional will report your A1C test result as a percentage, such as an A1C of 7 percent. The higher the percentage, the higher your average blood glucose levels.
People with diabetes also use information from the A1C test to help manage their diabetes.
Random plasma glucose (RPG) test
Sometimes health care professionals use the RPG test to diagnose diabetes when diabetes symptoms are present and they do not want to wait until you have fasted. You do not need to fast overnight for the RPG test. You may have this blood test at any time.
What tests are used to diagnose gestational diabetes?
Pregnant women may have the glucose challenge test, the oral glucose tolerance test, or both. These tests show how well your body handles glucose.
Glucose challenge test
If you are pregnant and a health care professional is checking you for gestational diabetes, you may first receive the glucose challenge test. Another name for this test is the glucose screening test. In this test, a health care professional will draw your blood 1 hour after you drink a sweet liquid containing glucose. You do not need to fast for this test. If your blood glucose is too high—135 to 140 or more—you may need to return for an oral glucose tolerance test while fasting.
Oral glucose tolerance test (OGTT)
The OGTT measures blood glucose after you fast for at least 8 hours. First, a health care professional will draw your blood. Then you will drink the liquid containing glucose. For diagnosing gestational diabetes, you will need your blood drawn every hour for 2 to 3 hours.
High blood glucose levels at any two or more blood test times during the OGTT—fasting, 1 hour, 2 hours, or 3 hours—mean you have gestational diabetes. Your health care team will explain what your OGTT results mean.
Health care professionals also can use the OGTT to diagnose type 2 diabetes and prediabetes in people who are not pregnant. The OGTT helps health care professionals detect type 2 diabetes and prediabetes better than the FPG test. However, the OGTT is a more expensive test and is not as easy to give. To diagnose type 2 diabetes and prediabetes, a health care professional will need to draw your blood 1 hour after you drink the liquid containing glucose and again after 2 hours.
What test numbers tell me if I have diabetes or prediabetes?
Each test to detect diabetes and prediabetes uses a different measurement. Usually, the same test method needs to be repeated on a second day to diagnose diabetes. Your doctor may also use a second test method to confirm that you have diabetes.
Even though the tests described here can confirm that you have diabetes, they can’t identify what type you have. Sometimes health care professionals are unsure if diabetes is type 1 or type 2. A rare type of diabetes that can occur in babies, called monogenic diabetes, can also be mistaken for type 1 diabetes. Treatment depends on the type of diabetes, so knowing which type you have is important.
To find out if your diabetes is type 1, your health care professional may look for certain autoantibodies. Autoantibodies are antibodies that mistakenly attack your healthy tissues and cells. The presence of one or more of several types of autoantibodies specific to diabetes is common in type 1 diabetes, but not in type 2 or monogenic diabetes. A health care professional will have to draw your blood for this test.
If you had diabetes while you were pregnant, you should get tested no later than 12 weeks after your baby is born to see if you have type 2 diabetes.
Observing American Diabetes Alert Day
Know your risk before it’s too late to prevent the onset of diabetes. Spare a minute this year on Alert Day and take the Diabetes Risk Test from the official ADA website to get your results online. Remember, one in every four Americans have diabetes and do not know it yet.
A few bucks out of your pocket donated to one of the non-profit diabetes organizations can help accelerate their research, improve their efforts, and help someone with diabetes get their injections free of charge.
Sources:
https://www.niddk.nih.gov/health-information/community-health-outreach/diabetes-alert-day
https://nationaltoday.com/american-diabetes-association-alert-day
https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis