Standards of Care For Type 2 Diabetes Mellitus 2019

The metabolic dysregulation associated with DM causes secondary pathophysiologic changes in multiple organ systems that impose a tremendous burden on the individual with diabetes and on the health care system. In the United States, DM is the leading cause of end-stage renal disease (ESRD), non-traumatic lower extremity amputations, and adult blindness. It also predisposes to cardiovascular diseases. With an increasing incidence worldwide, DM is likely to continue to be a leading cause of morbidity and mortality in the future.

Diabetes: The Facts

►A silent killer.

► Kills one person every 6 seconds.

►Global problem with devastating human, social and economic impact.

►Today more than 400 million people worldwide are living with diabetes.

►To do nothing is no longer an option.

Diabetes: The Facts

►diabetes is common and its frequency is rising dramatically worldwide.

►It is a life-threatening condition.

►A full and healthy life is however possible with diabetes.

►In many cases, diabetes can be prevented.

Facing facts  

Prevalance of type 2 diabetes was > 400 million in year 2015, and is likely to rise to > 500 million by year 2035

Premature mortality

Life expectancy     ↓5-10 years

Fatal CHD                    ↑ 2-4 fold

Fatal stroke            ↑ 2-3 fold

Morbidity

Non-fatal CHD        ↑ 2-3 fold

Retinopathy will develop in ~80%

Nephropathy will develop in ~ 30%

Foot ulcers will develop in ~ 5%

Direct cost 9-15% of total

Healthcare budgets of most westernized countries