RT Journal A1 Gregg EW, Albright AL T1 THe public health response to diabetes—two steps forward, one step back JF JAMA JO JAMA YR 2009 FD April 15 VO 301 IS 15 SP 1596 OP 1598 DO 10.1001/jama.2009.519 UL http://dx.doi.org/10.1001/jama.2009.519 AB New national estimates from 2005-2006 indicate that 13% of US adults have diabetes,1 and the incidence of diagnosed diabetes has doubled during the past decade.2 Furthermore, recent county estimates highlight some of the most affected geographical areas, including the coastal Carolinas, the deep South, and regions of Appalachia and along the Mississippi River, underscoring the diverse cultural factors underlying type 2 diabetes risk.3 The implications of increased diabetes prevalence are extensive due to the well-known risks of cardiovascular disease (CVD), vision loss, amputation, end-stage renal disease (ESRD), disability, and mortality.4