Study: Diabetes prevalence has doubled in past 25 years
BALTIMORE — Cases of diabetes and pre-diabetes in the United States have nearly doubled since 1988, suggests new research released Tuesday from the Johns Hopkins Bloomberg School of Public Health, with obesity apparently to blame for the surge. The researchers also found that the burden of the disease has not hit all groups equally, with alarming increases in diabetes in blacks, Hispanics and the elderly.
According to new research reported in the April 15, 2014 issue of the Annals of Internal Medicine, diabetes increased from 6% to 10% in the past two decades, and pre-diabetes also doubled in prevalence over the same period. Depending on the definition used, current estimates of the prevalence of pre-diabetes range from 12% to 30% in the population. "There is a growing need to recognize this serious issue, especially since most cases of diabetes can be prevented through weight loss and other lifestyle changes," stated lead author, Elizabeth Selvin, an associate professor at the Johns Hopkins Bloomberg School of Public Health.
In 2010, approximately 21 million American adults ages 20 years or older had confirmed diabetes — either diagnosed or undiagnosed. The investigators analyzed data from more than 43,000 participants collected over two decades in the National Health and Nutrition Examination Surveys.
While diabetes has increased dramatically in the population, the investigators found that the proportion of cases of diabetes that are undiagnosed has decreased. Currently, only 11% of diabetes cases in the U.S. population are undiagnosed, suggesting major improvements in screening and diagnosis of diabetes during the last two decades. "The implications of the increase in pre-diabetes and diabetes are enormous, but the good news is we are doing better with screening and diagnosis," Selvin said.
The investigators found a greater prevalence of pre-diabetes and diabetes, particularly undiagnosed diabetes, in ethnic minorities compared with whites. This disparity has increased over the past 20 years. "The substantially greater prevalence of pre-diabetes and diabetes, and poor rates of glycemic control — even among persons with medication-treated diabetes — in ethnic minority populations is particularly concerning," Selvin said. "Especially since blacks and Mexican Americans also are at a greater risk for complications of diabetes."
Total diabetes in blacks was nearly double the prevalence in whites (15% vs. 9%). Mexican Americans also had a greater prevalence of diabetes than whites (12% vs. 9%). Racial and ethnic differences also existed in treatment of diabetes and glycemic control. Among persons diagnosed with diabetes who reported currently taking medications, only 52% of non-Hispanic blacks and 43% of Mexican Americans had HbA1c levels less than 7% compared with 57% of non-Hispanic whites.
Harris Teeter launches new yearly payment option for online shoppers
MATTHEWS, N.C. — In celebration of its 150th Express Lane Online Shopping location, which opened last week, the grocer launched a new payment option.
Harris Teeter’s Express Lane Online Shopping service was introduced in 2000 to the company’s home market of Charlotte, N.C. The goal: To make grocery shopping as easy and convenient as possible. The service has now grown to 150 locations throughout the company’s footprint, with the most recent location opening last week at the new Canton Crossing Harris Teeter in Baltimore, Md.
To celebrate the milestone, Harris Teeter has launched a new payment option. In addition to the $4.95 per order option and the $16.95 monthly option — already in place for shoppers who frequently use the service — shoppers can now choose to pay $99.95 for the entire year, allowing them to place as many orders as they would like throughout the year without incurring additional charges.
Shoppers can add the yearly fee to their Express Lane Online Shopping bill when placing an order. From that date, the normal service fee will be automatically waived on all orders for the next 365 days.
How does Express Lane Online Shopping work? Shoppers place their order online at HarrisTeeter.com, and associates will shop for them. Customers are able to choose from any products offered in the stores. Coupons are accepted and stores simply need four hours advance notice to fill orders. As a special offer, Harris Teeter also always credits the $4.95 service fee for new, first-time users.
Klondike announces new Kandy Bars
ENGLEWOOD CLIFFS, N.J. — Klondike, a Unilever brand, has announced Klondike Kandy Bars, which combine the traditional Klondike ice cream with a candy bar shell.
The new bars are offered in three varieties:
- Klondike Kandy Bars Caramel & Peanuts, which features vanilla ice cream topped with caramel, as well as a chocolate-flavored coating with crunchy peanuts;
- Klondike Kandy Bars Fudge Krunch, which features chocolate ice cream topped with chocolate fudge and coated with rice crispy pieces; and
- Klondike Kandy Bars Cookie & Creams, which features vanilla ice cream with a dark chocolate cookie crunch topped with thick chocolate fudge. The bar is covered in a white chocolate flavored coating with a dark chocolate cookie crunch.
"Klondike Kandy Bars combine the iconic taste of Klondike bars with the rich flavor and crunchy bites of candy bars. They are sure to be the most irresistible new ice cream treats this summer," said Alfie Vivian, VP refreshments for Unilever North America.