Age-adjusted diabetes mortality rates vary in local communities in a metropolitan area: racial and spatial disparities and correlates.


OBJECTIVE:Diabetes has held steady as the seventh leading cause of death in the U.S. since 2006. While aggregated data provide insights into how the country as a whole, or even as states, is faring with respect to diabetes mortality, disaggregation provides data that may facilitate targeted interventions and community engagement. RESEARCH DESIGN AND METHODS:We analyzed deaths from diabetes for residents of Chicago to calculate age-adjusted diabetes mortality rates (AADMRs). We calculated AADMRs for Chicago by race/ethnicity and community area. We also examined the correlation between AADMR and 1) racial/ethnic composition of a community area and 2) median household income. RESULTS:The AADMR for Chicago (27.5 per 100,000 population) was significantly higher than the national rate (22.5). Within both the U.S. and Chicago, the highest AADMRs were found among non-Hispanic blacks, followed by Hispanics, and then non-Hispanic whites. Within Chicago, Puerto Ricans displayed the highest AADMR at 45.7, compared with 35.0 at the national level. There was a strong positive correlation between the proportion of black residents in a community area and the AADMR (0.64). There was a strong negative relationship between household income and the AADMR for the entire city (-0.63) and for the predominantly black community areas (-0.52). CONCLUSIONS:These data provide insight into where the worst diabetes mortality problems reside in Chicago. Our hope is that these data can be used to work toward the development of solutions to the very high diabetes mortality rates observed in several communities in Chicago and in similar communities throughout the U.S.


Diabetes Care


Diabetes care


Hunt BR,Whitman S,Henry CA




Has Abstract


2014-01-01 00:00:00














  • Measurement of glucose concentration in the presence of coreactants with a platinum electrode.

    abstract::An implantable glucose sensor is being developed that is based on the use of a high-area platinum electrode. The sensor is operated in a controlled potential mode, in which the potential of the platinum working electrode versus an unpolarized reference electrode is periodically varied according to a preselected voltag...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Lerner H,Soeldner JS,Colton CK,Giner J

    更新日期:1982-05-01 00:00:00

  • Evidence of reduced β-cell function in Asian Indians with mild dysglycemia.

    abstract:OBJECTIVE:To examine β-cell function across a spectrum of glycemia among Asian Indians, a population experiencing type 2 diabetes development at young ages despite low BMI. RESEARCH DESIGN AND METHODS:One-thousand two-hundred sixty-four individuals without known diabetes in the Diabetes Community Lifestyle Improvement...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Staimez LR,Weber MB,Ranjani H,Ali MK,Echouffo-Tcheugui JB,Phillips LS,Mohan V,Narayan KM

    更新日期:2013-09-01 00:00:00

  • High-risk individuals' willingness to pay for diabetes risk-reduction programs.

    abstract:OBJECTIVE:The purpose of this study was to estimate how much at-risk individuals are willing to pay for type 2 diabetes primary prevention programs. RESEARCH DESIGN AND METHODS:An Internet-based, choice-format conjoint survey was presented to individuals at elevated risk for type 2 diabetes. Hypothetical diabetes risk...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Johnson FR,Manjunath R,Mansfield CA,Clayton LJ,Hoerger TJ,Zhang P

    更新日期:2006-06-01 00:00:00

  • Metformin for obesity in children and adolescents: a systematic review.

    abstract:OBJECTIVE:To summarize the efficacy of metformin in reducing BMI and cardiometabolic risk in obese children and adolescents without diabetes. RESEARCH DESIGN AND METHODS:We performed a systematic review and meta-analysis of randomized controlled trials (RCTs). Double-blind RCTs of > or =6 months duration in obese subj...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审


    authors: Park MH,Kinra S,Ward KJ,White B,Viner RM

    更新日期:2009-09-01 00:00:00

  • Improving efficacy of diabetes management using treatment algorithms in a mainly Hispanic population.

    abstract:OBJECTIVE:To compare clinical outcomes obtained using treatment algorithms versus standard "usual care" to treat patients with type 2 diabetes in a community setting. RESEARCH DESIGN AND METHODS:An observational group comparison was implemented in three community-based clinics in San Antonio, Texas: 1). a community cl...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究


    authors: Fanning EL,Selwyn BJ,Larme AC,DeFronzo RA

    更新日期:2004-07-01 00:00:00

  • Acute alcohol consumption improves insulin action without affecting insulin secretion in type 2 diabetic subjects.

    abstract:OBJECTIVE:Long-term exposure to alcohol is associated with an improvement in insulin sensitivity. At this time, however, there is no definitive proof that alcohol per se has an effect on the insulin sensitivity index (S(i)) in type 2 diabetes patients. The aim of the present study was to assess the role of acute modera...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Avogaro A,Watanabe RM,Dall'Arche A,De Kreutzenberg SV,Tiengo A,Pacini G

    更新日期:2004-06-01 00:00:00

  • Does knowing one's elevated glycemic status make a difference in macronutrient intake?

    abstract:OBJECTIVE:To determine whether macronutrient intake differs by awareness of glycemic status among people with diabetes and prediabetes. RESEARCH DESIGN AND METHODS:We used 24-h dietary recall and other data from 3,725 nonpregnant adults with diabetes or prediabetes aged ≥20 years from the morning fasting sample of the...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Bardenheier BH,Cogswell ME,Gregg EW,Williams DE,Zhang Z,Geiss LS

    更新日期:2014-12-01 00:00:00

  • Plasma adiponectin and endogenous glucose production in humans.

    abstract:OBJECTIVE:High plasma adiponectin is associated with reduced risk of type 2 diabetes, probably a consequence of its insulin-sensitizing properties. In vivo data in rodents suggest that the insulin-sensitization responsible for improvement of glycemia occurs in muscle and liver. Whereas associations of plasma adiponecti...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Stefan N,Stumvoll M,Vozarova B,Weyer C,Funahashi T,Matsuzawa Y,Bogardus C,Tataranni PA

    更新日期:2003-12-01 00:00:00

  • Contribution of nerve-axon reflex-related vasodilation to the total skin vasodilation in diabetic patients with and without neuropathy.

    abstract:OBJECTIVE:To examine the contribution of nerve-axon reflex-related vasodilation to total acetylcholine-induced vasodilation in the skin of normal and diabetic subjects. RESEARCH DESIGN AND METHODS:The skin microcirculation was evaluated at the forearm level in 69 healthy subjects and 42 nonneuropathic diabetic patient...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Hamdy O,Abou-Elenin K,LoGerfo FW,Horton ES,Veves A

    更新日期:2001-02-01 00:00:00

  • Carotid atherosclerosis and serum lipoprotein(a) concentrations in patients with NIDDM.

    abstract:OBJECTIVE:To investigate the association of carotid atherosclerosis and serum lipoprotein(a) [Lp(a)] concentrations in subjects with NIDDM. RESEARCH DESIGN AND METHODS:We measured carotid intima-media thickness (IMT) and Lp(a) concentrations in 117 NIDDM subjects. Subjects were divided into tertiles according to IMT v...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Yamamoto M,Egusa G,Yamakido M

    更新日期:1997-05-01 00:00:00

  • Randomized crossover study of effect of resistance training on glycemic control, muscular strength, and cholesterol in type I diabetic men.

    abstract::The goal of this study was to evaluate a program of resistance weight training on cardiovascular risk factors, blood glucose management, and overall strength in diabetic subjects. A randomized crossover design was performed on eight male type I (insulin-dependent) diabetic subjects (mean +/- SD age 31 +/- 3.5 yr, heig...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Durak EP,Jovanovic-Peterson L,Peterson CM

    更新日期:1990-10-01 00:00:00

  • Ambient Air Pollutants Have Adverse Effects on Insulin and Glucose Homeostasis in Mexican Americans.

    abstract:OBJECTIVE:Recent studies suggest that air pollution plays a role in type 2 diabetes (T2D) incidence and mortality. The underlying physiological mechanisms have yet to be established. We hypothesized that air pollution adversely affects insulin sensitivity and secretion and serum lipid levels. RESEARCH DESIGN AND METHO...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Chen Z,Salam MT,Toledo-Corral C,Watanabe RM,Xiang AH,Buchanan TA,Habre R,Bastain TM,Lurmann F,Wilson JP,Trigo E,Gilliland FD

    更新日期:2016-04-01 00:00:00

  • Decreased release of lipoprotein lipase is associated with vascular endothelial damage in NIDDM patients with microalbuminuria.

    abstract:OBJECTIVE:To explore mechanisms for hypertriglyceridemia in diabetic patients with microalbuminuria, we examined an association between heparin-releasable lipoprotein lipase (LPL) and the von Willebrand factor (vWF), based on the hypothesis that LPL bound to endothelium is decreased by generalized endothelial damage. ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Kashiwazaki K,Hirano T,Yoshino G,Kurokawa M,Tajima H,Adachi M

    更新日期:1998-11-01 00:00:00

  • HLA-DQ beta typing and non-Asp57 alleles in IDDM and nondiabetic subjects in New Zealand.

    abstract:OBJECTIVE:To determine the frequency of IDDM risk-associated HLA-DQ beta alleles in New Zealanders with IDDM and nondiabetic control subjects, and to examine these as susceptibility markers in relation to IDDM incidence. RESEARCH DESIGN AND METHODS:HLA-DQ beta typing was conducted in 55 juvenile-onset IDDM subjects di...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Forbes LV,Brown LJ,Scott RS

    更新日期:1993-08-01 00:00:00

  • Self-monitored blood glucose: the essential biofeedback signal in the diabetic patient's effort to achieve normoglycemia.

    abstract::Seventeen pregnant diabetic women participated in a special outpatient program during which they learned to self-monitor blood glucose (BG) and to vary insulin dosage on the basis of the results. The Ames Eyetone reflectance meter and the Boehringer Reflomat were used for BG analysis. BG was self-monitored at least tw...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Irsigler K,Bali-Taubald C

    更新日期:1980-01-01 00:00:00

  • Prevalence of prediabetes and diabetes and metabolic profile of patients with nonalcoholic fatty liver disease (NAFLD).

    abstract:OBJECTIVE:Prediabetes and type 2 diabetes mellitus (T2DM) are believed to be common and associated with a worse metabolic profile in patients with nonalcoholic fatty liver disease (NAFLD). However, no previous study has systematically screened this population. RESEARCH DESIGN AND METHODS:We studied the prevalence and ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Ortiz-Lopez C,Lomonaco R,Orsak B,Finch J,Chang Z,Kochunov VG,Hardies J,Cusi K

    更新日期:2012-04-01 00:00:00

  • Subclinical and clinical eating disorders in IDDM negatively affect metabolic control.

    abstract:OBJECTIVE:To characterize the relationship of subclinical and clinical eating disorders to HbA1c values in women with IDDM. RESEARCH DESIGN AND METHODS:Ninety women with IDDM (18-46 years of age) were recruited from diabetes clinics throughout Connecticut and Massachusetts. Subjects were categorized into one of three ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Affenito SG,Backstrand JR,Welch GW,Lammi-Keefe CJ,Rodriguez NR,Adams CH

    更新日期:1997-02-01 00:00:00

  • Association of pretransplant glycemic control with posttransplant outcomes in diabetic kidney transplant recipients.

    abstract:OBJECTIVE:Observational studies have yielded inconsistent findings regarding the association of hemoglobin A(1c) (HbA(1c)) with survival in diabetic patients on dialysis. The association between pretransplant glycemic control and short- and long-term posttransplant outcomes in kidney transplant recipients is not clear....

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Molnar MZ,Huang E,Hoshino J,Krishnan M,Nissenson AR,Kovesdy CP,Kalantar-Zadeh K

    更新日期:2011-12-01 00:00:00

  • Fatty acid composition of serum lipid fractions in type 2 diabetic patients with microalbuminuria.

    abstract:OBJECTIVE:To determine the fatty acid composition of serum phospholipid, triglyceride, and cholesterol ester fractions and to analyze the lipid profile of microalbuminuric type 2 diabetic patients. RESEARCH DESIGN AND METHODS:A case-control study was conducted with 72 patients: 37 were normoalbuminuric (urinary albumi...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Perassolo MS,Almeida JC,Prá RL,Mello VD,Maia AL,Moulin CC,Camargo JL,Zelmanovitz T,Azevedo MJ,Gross JL

    更新日期:2003-03-01 00:00:00

  • Asp905Tyr polymorphism of the gene for the skeletal muscle-specific glycogen-targeting subunit of protein phosphatase 1 in NIDDM.

    abstract:OBJECTIVE:To clarify the contribution of the Asp905Tyr polymorphism of the muscle-specific glycogen-targeting subunit of protein phosphatase 1 (PP1G) to insulin resistance and related diseases. RESEARCH DESIGN AND METHODS:We investigated the Asp905Tyr polymorphism of the PPP1R3 gene, which encodes the muscle-specific ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Shen GQ,Ikegami H,Kawaguchi Y,Fujisawa T,Hamada Y,Ueda H,Shintani M,Nojima K,Kawabata Y,Yamada K,Babaya N,Ogihara T

    更新日期:1998-07-01 00:00:00

  • Excess BMI in Childhood: A Modifiable Risk Factor for Type 1 Diabetes Development?

    abstract:OBJECTIVE:We aimed to determine the effect of elevated BMI over time on the progression to type 1 diabetes in youth. RESEARCH DESIGN AND METHODS:We studied 1,117 children in the TrialNet Pathway to Prevention cohort (autoantibody-positive relatives of patients with type 1 diabetes). Longitudinally accumulated BMI abov...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Ferrara CT,Geyer SM,Liu YF,Evans-Molina C,Libman IM,Besser R,Becker DJ,Rodriguez H,Moran A,Gitelman SE,Redondo MJ,Type 1 Diabetes TrialNet Study Group.

    更新日期:2017-05-01 00:00:00

  • Elevated levels of the anti-inflammatory interleukin-1 receptor antagonist precede the onset of type 2 diabetes: the Whitehall II study.

    abstract:OBJECTIVE:Interleukin-1 receptor antagonist (IL-1Ra), a natural inhibitor of interleukin-1 beta, has been shown to improve beta-cell function and glycemic control in patients with type 2 diabetes. The aim of this study was to investigate whether baseline systemic levels of IL-1Ra are associated with incident type 2 dia...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Herder C,Brunner EJ,Rathmann W,Strassburger K,Tabák AG,Schloot NC,Witte DR

    更新日期:2009-03-01 00:00:00

  • Glucosuria in children with diabetes: advantages of the 2-drop Clinitest method.

    abstract::In order to assess the actual and theoretical limitations of using the traditional urinary glucose determinations as an indicator of plasma glucose concentration, we have measured plasma and urine glucose concentrations in 37 children with diabetes mellitus. A constant blood withdrawal system enabled an accurate estim...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Winter RJ,Traisman HS,Green OC

    更新日期:1979-07-01 00:00:00

  • Impact of peripheral neuropathy on bone density in patients with type 1 diabetes.

    abstract:OBJECTIVE:To investigate whether peripheral neuropathy (PN), as part of the microangiopathic complex, affects bone mineral density (BMD) of the peripheral or the axial skeleton in patients with type 1 diabetes. RESEARCH DESIGN AND METHODS:Three study groups were examined. Group 1 comprised 21 males with type 1 diabete...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Rix M,Andreassen H,Eskildsen P

    更新日期:1999-05-01 00:00:00

  • Clinical correlates of plantar pressure among diabetic veterans.

    abstract:OBJECTIVE:To assess the relationship between diabetes characteristics, medical history, foot deformity, sensory neuropathy, and plantar foot pressure. RESEARCH DESIGN AND METHODS:There were 517 subjects from a cohort of diabetic veterans enrolled in a prospective study of risk factors for foot complications who contri...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Ahroni JH,Boyko EJ,Forsberg RC

    更新日期:1999-06-01 00:00:00

  • Indices of insulin action, disposal, and secretion derived from fasting samples and clamps in normal glucose-tolerant black and white children.

    abstract:OBJECTIVE:To validate fasting indices of insulin sensitivity and secretion in a diverse pediatric population against gold standard estimates from euglycemic and hyperglycemic clamps. RESEARCH DESIGN AND METHODS:A total of 31 children (mean BMI 25.1 +/- 4.9 kg/m(2), mean age 8.7 +/- 1.4 years, 15 girls and 16 boys, 12 ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Uwaifo GI,Fallon EM,Chin J,Elberg J,Parikh SJ,Yanovski JA

    更新日期:2002-11-01 00:00:00

  • Sleep Disturbances and Glucose Metabolism in Older Adults: The Cardiovascular Health Study.

    abstract:OBJECTIVE:We examined the associations of symptoms of sleep-disordered breathing (SDB), which was defined as loud snoring, stopping breathing for a while during sleep, and daytime sleepiness, and insomnia with glucose metabolism and incident type 2 diabetes in older adults. RESEARCH DESIGN AND METHODS:Between 1989 and...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Strand LB,Carnethon M,Biggs ML,Djoussé L,Kaplan RC,Siscovick DS,Robbins JA,Redline S,Patel SR,Janszky I,Mukamal KJ

    更新日期:2015-11-01 00:00:00

  • A randomized placebo-controlled trial of repaglinide in the treatment of type 2 diabetes.

    abstract:OBJECTIVE:The objective of the study was to assess the efficacy and safety of repaglinide compared with placebo in the treatment of patients with type 2 diabetes. RESEARCH DESIGN AND METHODS:This was a phase II multicenter, double-blind, placebo-controlled, randomized, dose-adjustment and maintenance trial. After scre...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Goldberg RB,Einhorn D,Lucas CP,Rendell MS,Damsbo P,Huang WC,Strange P,Brodows RG

    更新日期:1998-11-01 00:00:00

  • Effect of aldose reductase inhibitor (tolrestat) on urinary albumin excretion rate and glomerular filtration rate in IDDM subjects with nephropathy.

    abstract:OBJECTIVE:To explore the possible link between diabetic nephropathy and the enhanced activity of the polyol pathway, known to occur in IDDM subjects. RESEARCH DESIGN AND METHODS:We studied the effects of the aldose reductase inhibitor tolrestat (200 mg/day) on urinary albumin excretion rate and glomerular filtration r...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章


    authors: Passariello N,Sepe J,Marrazzo G,De Cicco A,Peluso A,Pisano MC,Sgambato S,Tesauro P,D'Onofrio F

    更新日期:1993-05-01 00:00:00

  • Morning or bedtime NPH insulin combined with sulfonylurea in treatment of NIDDM.

    abstract:OBJECTIVE:To compare the effect of morning and bedtime NPH insulin combined with daytime sulfonylurea on glycemic control in non-insulin-dependent diabetes mellitus (NIDDM) patients no longer responding to treatment with sulfonylureas alone. RESEARCH DESIGN AND METHODS:Twenty-four NIDDM patients who fulfilled these cr...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Groop LC,Widén E,Ekstrand A,Saloranta C,Franssila-Kallunki A,Schalin-Jäntti C,Eriksson JG

    更新日期:1992-07-01 00:00:00