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Comment & Response |

US Trends for Diabetes Prevalence Among Adults

Dianna J. Magliano, PhD1; Paul Zimmet, PhD, FRACP1; Jonathan Shaw, FRACP1
[+] Author Affiliations
1Baker IDI Heart and Diabetes Institute, Melbourne, Australia
JAMA. 2016;315(7):705. doi:10.1001/jama.2015.16455.
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To the Editor Dr Menke and colleagues1 provided a comprehensive study of diabetes prevalence and trends in the United States from 1988 to 2012. The prevalence of diabetes was high at 14.3%. In particular, the highest prevalence rates (>20%) were seen among participants who were non-Hispanic black, non-Hispanic Asian, and Hispanic. These data could be a cause for great concern.

However, this study defined undiagnosed diabetes by any of 3 glycemic markers (ie, hemoglobin A1C, fasting plasma glucose [FPG], and 2-hour plasma glucose [2-hour PG] from the oral glucose tolerance test). The authors suggested that this allows for full accounting of diabetes. This is 1 of at least 2 studies2 reporting diabetes prevalence in this way in recent years. Each of the 3 measures of glycemia identifies separate but overlapping groups of individuals with diabetes.3

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February 16, 2016
Andy Menke, PhD; Sarah Casagrande, PhD; Catherine C. Cowie, PhD
1Social & Scientific Systems, Silver Spring, Maryland
2National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland
JAMA. 2016;315(7):705-706. doi:10.1001/jama.2015.16473.
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