Health officials are stumped.
But other factors also might have pushed up annual diabetes diagnoses from 2000 to 2010, and they may partly explain why the numbers have been going down since, some experts said.
First, the diagnostic threshold was lowered in the late 1990s. That caused more people to be counted as diabetic, but the effects of that change may have played out., a diabetes expert at the University of North Carolina, who was not involved in the new study. Meanwhile, doctors have increasingly used a newer blood test to diagnose diabetes. It's much easier than tests that required patients to fast for 12 hours or to undergo repeated blood draws over two hours., for routine screening in 2010. Since it's easier to do, it would be expected to lead to more diagnoses. But some experts say it could be missing early cases in which people aren't showing symptoms.
"Prediabetes is becoming a more accepted diagnosis," said Tannaz Moin, an endocrinologist at UCLA, who was not involved in the new study. Patients who are told they have prediabetes may be improving their health before they become diabetic, she said. The new report was based on a large national survey conducted by the government every year. Participants were asked if they had been diagnosed with diabetes, and if the diagnosis was made in the previous year.Benoit and his coauthors found that the rate of new diabetes cases fell from 9.2 per 1,000 adults in 2009 to 6 per 1,000 in 2017. That 35% drop marks the longest decline since the government started tracking the statistic nearly 40 years ago, according to the CDC.
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