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Living with Diabetes

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African Americans & Complications

Compared to the general population, African Americans are disproportionately affected by diabetes:

  • 3.7 million, or 14.7 percent of all African Americans aged 20 years or older have diabetes.
  • African Americans are 1.8 times more likely to have diabetes as non Hispanic whites.
  • 25 percent of African Americans between the ages of 65 and 74 have diabetes.
  • 1 in 4 African American women over 55 years of age has diabetes.

Diabetes is associated with an increased risk for a number of serious, sometimes life-threatening complications, and certain populations experience an even greater threat. Good diabetes management can help reduce your risk; however, many people are not even aware that they have diabetes until they develop one of its complications.

  • Blindness
    African Americans are almost 50 percent as likely to develop diabetic retinopathy as non-Hispanic whites.
  • Kidney Disease
    African Americans are 2.6 to 5.6 times as likely to suffer from kidney disease with more than 4,000 new cases of End Stage Renal Disease (ESRD) each year.
  • Amputations
    African Americans are 2.7 times as likely to suffer from lower-limb amputations. Amputation rates are 1.4 to 2.7 times higher in men than women with diabetes.
  • Heart Disease and Stroke
    Heart disease and stroke account for about 65 percent of deaths in people with diabetes. Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes. The risk for stroke is 2 to 4 times higher and the risk of death from stroke is 2.8 times higher among people with diabetes.
    • Men
      Deaths from heart disease in men with diabetes have decreased by only 13 percent compared to a 36 percent decrease in men without diabetes.
    • Women
      In women with diabetes, deaths from heart disease have increased 23 percent over the past 30 years compared to a 27 percent decrease in women without diabetes.
  • Nerve Damage
    Diabetic neuropathy is a serious complication of diabetes that affects millions of people every day. Nerves damaged by diabetic neuropathy can cause stinging or burning sensations, tingling, pain, numbness or weakness in the hands and feet. Diabetic neuropathy puts you at risk for foot injury, infection, even amputation.

Learn about the American Diabetes Association's African American Initiatives.

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