Table of Contents
Introduction and Abbreviations
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- Introduction
- Definition
- Data for this report
- Abbreviations and terms
- Abbreviations
- Terms
Executive Summary
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- Diabetes—a developing epidemic
- Pre-diabetes
- Costs of diabetes
- Impact of diabetes on lifestyle
- Keeping diabetes under control
- A family affair
- Those at risk
- Some 30% of PWD not using medication
- Concern about developing diabetes varies with gender, age, and income
- Doctors, television and grassroots efforts
- Diet, exercise, need to be emphasized
- An under-served food market
Background
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- Overview of Diabetes
- Diabetes is preventable but incurable once contracted
- Costs of diabetes
- The population of diabetics is growing rapidly
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- Figure 1: Chart: CDC estimates of the diagnosed diabetic population, 1980-2004
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- Figure 2: The U.S. diabetic population, by selected demographics, NDIC stats, 2005
- Figure 3: The U.S. diagnosed diabetic population, by selected demographics, January-March 2006
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- Figure 4: Graph: Prevalence of diabetes, by age, race/ethnicity, and sex, 2005
- Prevalence of pre-diabetes
- Diabetes is being diagnosed at younger ages
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- Figure 5: New cases of diagnosed diabetes, by age, 2005
- Figure 6: Diagnosed diabetes, by age, 1980-2004
- Incidence among men outpacing incidence among women
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- Figure 7: Diagnosed cases of diabetes, by sex, 1980-2004
- Lifestyle: obesity, exercise, and diabetes
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- Figure 8: Prevalence of overweight and obesity among U.S. adults, 1976-2002
- Children and diabetes
- Impact of diabetes on lifestyle
- Blood glucose monitors and test strips
- Continuous blood glucose monitoring systems (CGMS)
- Medication
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- Figure 9: Treatment with insulin or oral medications among adults with diagnosed diabetes, 2001-03
- Side effects of medication
- New medications are reaching the market
- The insulin pump
- Diet
- Diabetics, technically, can eat anything
- Keeping diabetes under control
- The overwhelming majority of diabetics are not in control
- Websites, television, and magazines for PWD increasing
- Awareness of diabetes is propelled by ads and the media
Prevalence of Diabetes and Those at Risk for Diabetes
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- Introduction
- Summary
- Self-reported presence of diabetes and at-risk for diabetes
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- Figure 10: Prevalence of diabetes and at risk for diabetes, by gender, January-September 2005
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- Figure 11: Prevalence of diabetes and at risk of diabetes, by age, January-September 2005
- Figure 12: Prevalence of diabetes and at risk for diabetes, by household income, January-September 2005
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- Figure 13: Prevalence of diabetes, by cohort, January-September 2005
- Figure 14: Prevalence of diabetes and at risk of diabetes, by number of people in the household, January-September 2005
- Use of medications among PWD
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- Figure 15: Diabetes medication usage, by gender, age, household income and household size, January-September 2005
- Testing for diabetes, presence of pre-diabetes and gestational diabetes
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- Figure 16: Incidence of diabetes testing and diagnosis, and types of diabetes diagnosed, July 2006
- Concerns about developing diabetes
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- Figure 17: Agreement with various statements indicating concern over diabetes, by gender, July 2006
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- Figure 18: Agreement with various statements indicating concern over diabetes, by age, July 2006
- Figure 19: Agreement with various statements indicating concern over diabetes, by household income, July 2006
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- Figure 20: Agreement with various statements indicating concern over diabetes, by household size, July 2006
- Extent of concern among pre-diabetics
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- Figure 21: concern regarding diabetes among pre-diabetics, by age, July 2006
The Role of Medicine
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- Summary
- Doctors’ visits
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- Figure 22: Attitudes towards doctors among diabetics and those who consider themselves to be at risk, January-September 2005
- How medical information is collected by PWD
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- Figure 23: Health information gathering methodology among diabetics and those who consider themselves to be at risk, January-September 2005
- Attitudes to OTC and prescription medication
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- Figure 24: Attitudes towards OTC and prescription medication among diabetics and those who consider themselves to be at risk, January-September 2005
- Following the medication regime
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- Figure 25: Diabetes medication use, by age, July 2006
- A1C testing among diabetes and pre-diabetes
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- Figure 26: A1C testing among diabetics and pre-diabetics, July 2006
- Figure 27: Months since last A1C testing, July 2006
- A1C test results
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- Figure 28: A1C test results, July 2006
Diet and Exercise
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- Summary
- Healthfulness of diet
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- Figure 29: Attitudes and behavior towards diet among diabetics and those who consider themselves to be at risk, January-September 2005
- Dieting and counting calories
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- Figure 30: Prevalence of dieting among diabetics and those who consider themselves to be at risk, January-September 2005
- Fattening foods and exercise
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- Figure 31: Attitudes to calories/fattening foods and incidence of exercise, by diabetics and those who consider themselves to be at risk, January-September 2005
- Exercise program
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- Figure 32: Location of exercise programs taken by diabetics and those who consider themselves to be at risk, January-September 2005
- Meals and snacking
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- Figure 33: Attitudes to meals and snacks among diabetics and those who consider themselves to be at risk, January-September 2005
- Food preferences
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- Figure 34: Food preferences among diabetics and those who consider themselves to be at risk, January-September 2005
- Interest in new foods
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- Figure 35: Attitudes toward new food products among diabetics and those who consider themselves to be at risk, January-September 2005
- Reason for watching diet
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- Figure 36: Reasons for dieting among diabetics and those who consider themselves to be at risk, January-September 2005
- Instant meals and snacks
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- Figure 37: Incidence of eating instant food, by diabetics and those who consider themselves to be at risk, January-September 2005
- Consumption of fresh fish and meat alternatives
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- Figure 38: Incidence of meat alternatives and fresh fish consumption among diabetics and those who consider themselves to be at risk, January-September 2005
- Diabetes diets and eating out
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- Figure 39: Control of diet, by diabetics and pre-diabetics, July 2006
- Diabetics and candy
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- Figure 40: Use of candy to avoid hypoglycemia, by gender, July 2006
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- Figure 41: Use of candy to avoid hypoglycemia, by age, July 2006
- Figure 42: Use of candy to avoid hypoglycemia, by presence of children, July 2006
Lifestyles of Diabetics
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- Summary
- Culturally adventurous consumer habits
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- Figure 43: cultural habits, by diabetics and those who consider themselves to be at risk, January-September 2005
- Attitudes towards working
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- Figure 44: Attitudes toward working and career among diabetics and those who consider themselves to be at risk, January-September 2005
- How diabetics feel about their time
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- Figure 45: Attitudes towards time among diabetics and those who consider themselves to be at risk, January-September 2005
- Guilt surrounding food
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- Figure 46: guilt surrounding eating habits, by diabetics and those who consider themselves to be at risk, January-September 2005
- Fears and values
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- Figure 47: Religion and attitudes towards life among diabetics and those who consider themselves to be at risk, January-September 2005
- Support for PWD
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- Figure 48: Understanding of and support for diabetes, by age, July 2006
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- Figure 49: Understanding of and support for diabetes, by household income, July 2006
- Support groups
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- Figure 50: Support groups for diabetics and pre-diabetics, July 2006
Marketing to Diabetics
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- Summary
- Media for information, entertainment
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- Figure 51: Media sources for information and entertainment among diabetics and those who consider themselves to be at risk, January-September 2005
- Attitudes towards the Internet
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- Figure 52: Attitudes toward the Internet among diabetics and those who consider themselves to be at risk, January-September 2005
- Television
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- Figure 53: Attitudes towards television among diabetics and those who consider themselves to be at risk, January-September 2005
- How television affects product choice
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- Figure 54: How television affects product selection among diabetics and those who consider themselves to be at risk, January-September 2005
- Perceived value of advertising
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- Figure 55: Attitudes towards advertising among diabetics and those who consider themselves to be at risk, January-September 2005
- How PWD choose products
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- Figure 56: Product selection among diabetics and those who consider themselves to be at risk, January-September 2005
Diabetes in Blacks and Hispanics
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- Introduction
- Incidence of diabetes, by race/ethnicity
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- Figure 57: Prevalence of diabetes, by race/ethnicity, January-September 2005
- Obesity, by race/ethnicity
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- Figure 58: Overweight and obese people aged 20+, by race/Hispanic origin, 1988-1994 and 1999-2002
- Diabetes medication, by race/ethnicity
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- Figure 59: Diabetes medication usage, by race/ethnicity, January-September 2005
- Types of diabetes, by race/ethnicity
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- Figure 60: Incidence of diabetes testing and diagnosis, and types of diabetes diagnosed, by race/ethnicity, July 2006
- Behavior among those without diabetes
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- Figure 61: Agreement with various statements indicating concern over diabetes, by race/ethnicity, July 2006
Future Trends
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- Demographic changes to propel T2
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- Figure 62: Age of the U.S. population, 2006-11
- Figure 63: U.S. population by race/ethnicity, 2001-11
- Diabetes becomes a family disease
- Diabetes prevention and the low-carb diet
- Doctors to outsource diabetes education
- NIH will be forced to respond to the epidemic
- New treatments for pre-diabetes
- Increased use of artificial sweeteners, decline in use of sugar
- Youth market for T2 diabetes will grow
Appendix: New Product Developments
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- Figure 64: Introduction of consumer packaged goods targeting diabetics, by category, 2001-06
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New product briefs
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- Blaine Pharmaceuticals: DiaSense Magnesium Supplement for Diabetics
- Innovative Candy Concepts: Too Tarts Smart Choice Sour Blast Sugar Confectionary
- Consumers Choice Systems: Maintain by Medifast Weight Management Program
- Avon Products: Foot Works Intensive Moisture Foot Cream for Diabetics
- Don Pancho: Authentic Mexican Foods High Fiber Low Carb Wraps
- Nature Made Nutritional Products: Diabetes Health Pack
- Planetary Formulas: Planetary Herbals Holy Basil Extract
- Perfecta Products: Zim’s Wound Care Advanced Collagen Gel
- Roundy’s: Aspartame Sweetener
- Joseph’s Lite Cookies: Sugar Free Bite Size Pecan Walnut Brownies
- Envita Laboratories: CinnaBetic II Water Extract of Cinnamon Dietary Supplement
- Novartis Medical Health: Boost Glucose Control Nutritional Drink
- Eat Well Be Well Foods: Cinnamon Apple Crisp Cereal Bars
Appendix: Simmons Cohorts
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- Figure 65: Married couples cohorts
- Figure 66: Single women cohorts
- Figure 67: Single men cohorts
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Appendix: Relevant Associations
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