Advancing Measurement of Diabetes at the Population Level

Current Diabetes Reports
Mohammed K AliEdward W Gregg

Abstract

The measurement and estimation of diabetes in populations guides resource allocation, health priorities, and can influence practice and future research. To provide a critical reflection on current diabetes surveillance, we provide in-depth discussion about how upstream determinants, prevalence, incidence, and downstream impacts of diabetes are measured in the USA, and the challenges in obtaining valid, accurate, and precise estimates. Current estimates of the burden of diabetes risk are obtained through national surveys, health systems data, registries, and administrative data. Several methodological nuances influence accurate estimates of the population-level burden of diabetes, including biases in selection and response rates, representation of population subgroups, accuracy of reporting of diabetes status, variation in biochemical testing, and definitions of diabetes used by investigators. Technological innovations and analytical approaches (e.g., data linkage to outcomes data like the National Death Index) may help address some, but not all, of these concerns, and additional methodological advances and validation are still needed. Current surveillance efforts are imperfect, but measures consistently collected and analyzed o...Continue Reading

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Citations

Nov 2, 2019·Diabetes Care·Matthew C RiddleWilliam T Cefalu
Oct 23, 2019·VASA. Zeitschrift für Gefässkrankheiten·Endre KolossváryTamás Kováts
Jun 9, 2019·International Journal of Health Geographics·Maximilian PrägerWerner Maier
Jun 14, 2019·Asia-Pacific Journal of Public Health·Colin Binns, Wah Yun Low

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