Diabetes
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The age-adjusted
prevalence of heart disease and stroke is approximately two to three
times greater
among adults with diabetes than among adults without diabetes (MMWR
2003b, abstract). The SF Department of Public Health's plan
to decrease cardiovascular disease will not be successful unless
new
cases
of diabetes are prevented and existing cases are better managed.
The prevalence
of diabetes in the United States increased by 46.5% between 1991
and 2001 (MMWR
2004, full-text). The prevalence is highest among Latinos and
African Americans.
Type 2 diabetes
is increasing because of the rise in overweight/obesity.
This trend is alarming because diabetes is a major cause of cardiovascular
disease, blindness, amputation, and kidney disease.
Beginning in the
Fall of 2004, The SF Dept of Public Health, in collaboration with
Kaiser Permanente and the SF Community Clinic Consortium, will be
working to prevent and better manage diabetes in the Inner Mission.