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To: tdinovo who wrote (10499)10/31/1997 3:04:00 PM
From: Henry Niman  Respond to of 32384
 
Ted, The diabetes increase was fairly widely covered. There was a story in the Pittsburgh Post Gazette from the LA Times:

Friday, October 31, 1997

Diabetes Reaches Record Levels in U.S.
Health: Disease affects an estimated 15.7 million people, officials say. The
most dramatic increase has occurred among African Americans.
By MARLENE CIMONS, Times Staff Writer


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ASHINGTON--More Americans than ever before are
afflicted with diabetes, with the most dramatic increases in
recent years occurring among African Americans, the federal
government reported Thursday.
An estimated 15.7 million people--nearly 6% of the U.S.
population--have the disease, with an average of 798,000 new
cases being diagnosed annually, according to the Atlanta-based
Centers for Disease Control and Prevention.
The CDC said steady increases in the disease have been seen
between 1980 and 1994, with a jump of 33% among African
Americans during those years. The increase for whites was 11%
during that period, according to the agency, which released the
statistics in its Morbidity and Mortality Weekly Reports.
Other minority populations, including Native Americans, also
suffer disproportionately from the disease, the CDC said.
"These data estimate the number of Americans who have
diabetes. However, diabetes is a disease that often goes
undiagnosed," said CDC Director David Satcher, who is President
Clinton's nominee for surgeon general-assistant secretary for Health
at the Department of Health and Human Services. "Millions of
Americans with diabetes do not know they have the disease."
The CDC estimates that about a third of the 15.7 million
Americans with diabetes, or 5.4 million, have not been diagnosed.
Diabetes is a potentially serious disease that can result in major
and life-threatening complications, such as heart disease, blindness
and stroke. It is caused by the body's inability to produce proper
amounts of insulin to regulate the storage and use of sugar in the
blood.
Type I diabetes, formerly known as insulin-dependent or
juvenile-onset diabetes, occurs when the body does not produce
any insulin at all. It most often develops in children and young
adults. It accounts for 5% to 10% of cases and requires regular
insulin injections two to four times daily.
Type II diabetes, which accounts for more than 90% of all
cases, is associated with aging, race, ethnicity and a family history of
the disease. It results in the production of abnormal levels of insulin
and is strongly associated with obesity, diet and physical inactivity.
It is most often treated with diet and drugs to stimulate the body to
produce correct amounts of insulin.
"We are a country of older, fatter and less physically active
people," said Dr. Gerald Bernstein, president-elect of the American
Diabetes Assn., in explaining the reasons for the disturbing trend.
"We need to get people moving again and eating right again."
The CDC said the disease currently afflicts 11.3 million
non-Latino whites, 2.3 million African Americans and 1.2 million
Mexican Americans.
Other Latino Americans are almost twice as likely to have the
disease as non-Latino whites, although the current data are
insufficient for a more specific estimate, the CDC said.
The rates for Native Americans vary among tribes and
communities, ranging from 5% to 50%, the CDC said.
* * *
The Clinton administration pointed to three new diabetes
initiatives launched earlier this year after enactment of legislation
intended to balance the federal budget, including expanded
Medicare coverage for treatment of the disease, an additional $150
million over five years for Type I diabetes research and an
additional $150 million over five years for expanded research
targeting prevention and treatment of diabetes among Native
Americans.
HHS Secretary Donna Shalala called the prevention, diagnosis
and control of the disease "a serious health challenge for our
country, and especially for many minority populations."



To: tdinovo who wrote (10499)10/31/1997 3:10:00 PM
From: Henry Niman  Respond to of 32384
 
The AP also covered the story:

By Tara Meyer
The Associated Press
A T L A N T A, Oct. 30 - The number of Americans
living with diabetes has increased dramatically
since 1958 to the highest level on record, and one
reason is that people are too fat.
That's the verdict of the Centers for Disease Control and
Prevention, which reported Thursday that as of this year there
were 10 million people alive who had been diagnosed with
the disease, up sixfold from 1.6 million in 1958.
"We are becoming a more overweight population, we are
less active and we are also getting somewhat older," said Dr.
Frank Vinicor, director of the CDC's diabetes division. "If
you put all of those factors together, we are seeing a chronic
disease epidemic occurring."
Doctors have also gotten better at diagnosing diabetes,
but Vinicor said that accounts for only a small part of the
increase.

Not Just a U.S. Problem
And it's not just a U.S. problem. The CDC and the World
Health Organization estimate that 125 million people
worldwide have diabetes. That number is expected to double
by the year 2025.
The CDC estimates 15.7 million people in the United
States currently have diabetes, a condition in which blood
sugar levels rise out of control. But more than 5 million don't
know they have it. In its early stages, the symptoms of
diabetes aren't very apparent.
Diabetes is caused by a deficiency of insulin, a hormone
secreted by the pancreas that controls blood sugar. High
blood sugar damages the nerves. Diabetes can cause
blindness and kidney disease and force the amputation of the
feet and legs from infections that lead to gangrene.
Between 1980 and 1994, diabetes rose 33 percent
among blacks, from 40.1 diagnosed cases for every 1,000
people to 53.5 cases per 1,000. Among whites during the
same years, the rate rose 11 percent, from 23.8 cases per
1,000 to 26.4.
Obesity and lack of exercise increase the risk of diabetes.
So does age: The body becomes less effective at producing
insulin and more resistant to it.
The American Diabetes Association recommended in
June that all people 45 and older get their blood sugar tested
every year.



To: tdinovo who wrote (10499)10/31/1997 3:13:00 PM
From: Henry Niman  Read Replies (1) | Respond to of 32384
 
Ted, If you think that today's press coverage of diabetes is raising the public's conciousness level regarding the LLY:LGND deal, wait until next week!



To: tdinovo who wrote (10499)10/31/1997 3:18:00 PM
From: Henry Niman  Respond to of 32384
 
Ted, The story really isn't that new. Here's what AP said last year:

Rate of diabetes has tripled since '58

NEW YORK - The number of Americans with diabetes has risen
almost 50% since 1983 and the disease rate has tripled since 1958 - in
part because the population is getting older and fatter.

About 16 million Americans now have diabetes, up from 11 million in
1983, Dr. Richard Eastman of the National Institute of Diabetes and
Digestive and Kidney Diseases in Bethesda, Md., said Thursday.

About half of people with diabetes don't know it because they don't
recognize the meaning of symptoms such as unexplained thirst and
frequent urination, Eastman said in an interview before presenting the
figures at a briefing sponsored by the American Medical Association
and the American Diabetes Association. The numbers come from
several federal surveys, he said.

Left untreated, diabetes can lead to blindnesss, kidney failure and
nerve damage.

"There has been just an inexorable increase since 1958," said Eastman,
director of the institute's division of diabetes, endocrinology and
metabolic diseases.

In 1958, diabetes occurred in less than 1% of the nation's population,
he said, but now it is up to 3% to 4 percent. The increase appears in
type II diabetes, which makes up 95% of all diabetes cases.

One reason for the increase is that more people are in the age range
where type II is more prevalent, Eastman said. The disease is
diagnosed on average at age 51, he said.

Increased rates of obesity and of a lack of exercise, both of which raise
the risk of type II diabetes, are also responsible, he said.

Another reason is the growth of minority populations such as blacks,
American Indians, Asian-Americans and Hispanics who have elevated
diabetes rates, mostly because of their genes, he said.

Eastman said the only blanket recommendations he could make for
avoiding diabetes are to exercise regularly and watch your weight.

By The Associated Press



To: tdinovo who wrote (10499)10/31/1997 3:23:00 PM
From: Henry Niman  Read Replies (1) | Respond to of 32384
 
The diabetes epidemic is actually worldwide. This was reported earlier this year:

Diabetes epidemic 'is here
and now,' experts warn

Developing countries to face 45% increase of
disease

By Maggie Fox / Reuter

HELSINKI, Finland -- Diabetes is becoming a global epidemic
that poses dangers for many developing countries, experts at a
conference on diabetes said Monday.
"I think we can truly say that the epidemic is here and now,"
said Paul Zimmett, chief executive officer of the International
Diabetes Institute.
"Unless we do something dramatic, I expect diabetes to be one
of the major killers in the world in the year 2010," said Jack
Jervell, president of the International Diabetes Federation
"Developing countries will bear the brunt of this epidemic."
Drug therapy for the illness has improved little since insulin
injections were developed in 1921 and the best hope was to
change the way people live, researchers said.
Diabetes affects at least 135 million people worldwide. By
2025, that number will reach 300 million, the World Health
Organization predicts.
The rate of diabetes will rise by 45 percent in developed
countries, but by 200 percent -- a tripling of the present rate -- in
developing countries, the diabetes federation says.
People who were not at risk before are now developing
diabetes, Zimmett said. While diabetes used to hit mostly those
over the age of 50, cases were becoming common among people
in their 20s and 30s.
Rates are soaring in populations that are suddenly becoming
modern and westernized, such as Australian aborigines, Pacific
islanders, native Americans and black children.
But the traditional medical approach of controlling diabetes with
a low-fat, low-sugar diet, moderate exercise, and careful
monitoring did not work with these new populations.

What to watch for
Diabetes kills by causing heart disease or kidney failure. If
untreated or poorly treated, diabetes can cause blindness or
vascular problems.
* Half of all people with diabetes do not even know they have it.
Symptoms are vague -- tiredness, thirst and a need to urinate
frequently are common as the body tries to flush away excess
blood sugar that builds up as the pancreas fails to produce insulin.
* Complications from diabetes kill 2.8 million people around the
world every year.
* 10 percent of victims have Type I, or insulin-dependent
diabetes, which often is genetic in origin. The rest have Type II, or
noninsulin-dependent diabetes.