Table 2.3 Estimates of the Direct, Indirect and Total Cost Burden of Diabetes for 50 States and the District of Columbia, 2002
Diabetes Care Quality Improvement: A Resource Guide for State Action
| State | Population Estimates (in 1,000s)a | Diabetes Prevalence (in 1,000s)b | Percent of Population With Diabetes | Direct Medical Cost of Diabetesc | Indirect Cost of Diabetesd | Total Cost Burden of Diabetes |
|---|---|---|---|---|---|---|
| United States | 288,369 | 15,139 | 5.2% | $115,071,539,000 | $49,792,171,000 | $164,863,710,000 |
| Alabama | 4,487 | 301 | 6.7% | $2,287,901,000 | $989,989,000 | $3,277,890,000 |
| Alaska | 644 | 19 | 3.0% | $144,419,000 | $62,491,000 | $206,910,000 |
| Arizona | 5,456 | 249 | 4.6% | $1,892,649,000 | $818,961,000 | $2,711,610,000 |
| Arkansas | 2,710 | 156 | 5.8% | $1,185,756,000 | $513,084,000 | $1,698,840,000 |
| California | 35,116 | 1,795 | 5.1% | $13,643,795,000 | $5,903,755,000 | $19,547,550,000 |
| Colorado | 4,507 | 153 | 3.4% | $1,162,953,000 | $503,217,000 | $1,666,170,000 |
| Connecticut | 3,461 | 157 | 4.5% | $1,193,357,000 | $516,373,000 | $1,709,730,000 |
| Delaware | 807 | 44 | 5.5% | $334,444,000 | $144,716,000 | $479,160,000 |
| District of Columbia | 571 | 37 | 6.5% | $281,237,000 | $121,693,000 | $402,930,000 |
| Florida | 16,713 | 1,038 | 6.2% | $7,889,838,000 | $3,413,982,000 | $11,303,820,000 |
| Georgia | 8,560 | 454 | 5.3% | $3,450,854,000 | $1,493,206,000 | $4,944,060,000 |
| Hawaii | 1,245 | 61 | 4.9% | $463,661,000 | $200,629,000 | $664,290,000 |
| Idaho | 1,341 | 57 | 4.3% | $433,257,000 | $187,473,000 | $620,730,000 |
| Illinois | 12,601 | 646 | 5.1% | $4,910,246,000 | $2,124,694,000 | $7,034,940,000 |
| Indiana | 6,159 | 331 | 5.4% | $2,515,931,000 | $1,088,659,000 | $3,604,590,000 |
| Iowa | 2,937 | 139 | 4.7% | $1,056,539,000 | $457,171,000 | $1,513,710,000 |
| Kansas | 2,716 | 122 | 4.5% | $927,322,000 | $401,258,000 | $1,328,580,000 |
| Kentucky | 4,093 | 228 | 5.6% | $1,733,028,000 | $749,892,000 | $2,482,920,000 |
| Louisiana | 4,483 | 252 | 5.6% | $1,915,452,000 | $828,828,000 | $2,744,280,000 |
| Maine | 1,294 | 71 | 5.5% | $539,671,000 | $233,519,000 | $773,190,000 |
| Maryland | 5,458 | 281 | 5.1% | $2,135,881,000 | $924,209,000 | $3,060,090,000 |
| Massachusetts | 6,428 | 287 | 4.5% | $2,181,487,000 | $943,943,000 | $3,125,430,000 |
| Michigan | 10,050 | 571 | 5.7% | $4,340,171,000 | $1,878,019,000 | $6,218,190,000 |
| Minnesota | 5,019 | 182 | 3.6% | $1,383,382,000 | $598,598,000 | $1,981,980,000 |
| Mississippi | 2,872 | 201 | 7.0% | $1,527,801,000 | $661,089,000 | $2,188,890,000 |
| Missouri | 5,673 | 293 | 5.2% | $2,227,093,000 | $963,677,000 | $3,190,770,000 |
| Montana | 909 | 37 | 4.1% | $281,237,000 | $121,693,000 | $402,930,000 |
| Nebraska | 1,729 | 74 | 4.3% | $562,474,000 | $243,386,000 | $805,860,000 |
| Nevada | 2,173 | 97 | 4.5% | $737,297,000 | $319,033,000 | $1,056,330,000 |
| New Hampshire | 1,275 | 55 | 4.3% | $418,055,000 | $180,895,000 | $598,950,000 |
| New Jersey | 8,590 | 439 | 5.1% | $3,336,839,000 | $1,443,871,000 | $4,780,710,000 |
| New Mexico | 1,855 | 81 | 4.4% | $615,681,000 | $266,409,000 | $882,090,000 |
| New York | 19,158 | 1,025 | 5.4% | $7,791,025,000 | $3,371,225,000 | $11,162,250,000 |
| North Carolina | 8,320 | 462 | 5.6% | $3,511,662,000 | $1,519,518,000 | $5,031,180,000 |
| North Dakota | 634 | 28 | 4.4% | $212,828,000 | $92,092,000 | $304,920,000 |
| Ohio | 11,421 | 674 | 5.9% | $5,123,074,000 | $2,216,786,000 | $7,339,860,000 |
| Oklahoma | 3,494 | 187 | 5.4% | $1,421,387,000 | $615,043,000 | $2,036,430,000 |
| Oregon | 3,522 | 160 | 4.5% | $1,216,160,000 | $526,240,000 | $1,742,400,000 |
| Pennsylvania | 12,335 | 717 | 5.8% | $5,449,917,000 | $2,358,213,000 | $7,808,130,000 |
| Rhode Island | 1,070 | 51 | 4.8% | $387,651,000 | $167,739,000 | $555,390,000 |
| South Carolina | 4,107 | 263 | 6.4% | $1,999,063,000 | $865,007,000 | $2,864,070,000 |
| South Dakota | 761 | 36 | 4.7% | $273,636,000 | $118,404,000 | $392,040,000 |
| Tennessee | 5,797 | 373 | 6.4% | $2,835,173,000 | $1,226,797,000 | $4,061,970,000 |
| Texas | 21,780 | 1,150 | 5.3% | $8,741,150,000 | $3,782,350,000 | $12,523,500,000 |
| Utah | 2,316 | 73 | 3.2% | $554,873,000 | $240,097,000 | $794,970,000 |
| Vermont | 617 | 26 | 4.2% | $197,626,000 | $85,514,000 | $283,140,000 |
| Virginia | 7,294 | 356 | 4.9% | $2,705,956,000 | $1,170,884,000 | $3,876,840,000 |
| Washington | 6,069 | 272 | 4.5% | $2,067,472,000 | $894,608,000 | $2,962,080,000 |
| West Virginia | 1,802 | 134 | 7.4% | $1,018,534,000 | $440,726,000 | $1,459,260,000 |
| Wisconsin | 5,441 | 225 | 4.1% | $1,710,225,000 | $740,025,000 | $2,450,250,000 |
| Wyoming | 499 | 19 | 3.8% | $144,419,000 | $62,491,000 | $206,910,000 |
a Source: Population Division, US Census Bureau; Release Date: December 20 2002. Table ST-EST2002-01 Available at: http://www.census.gov/popest/archives/2000s/vintage_2002/ST-EST2002-01.html.
b Source: CDC Diabetes Surveillance System. Available at: http://apps.nccd.cdc.gov/DDTSTRS/StateSurvData.aspx
cThe estimated direct medical cost per person with diabetes is $7,601 in excess of the cost of people without diabetes, adjusting for age. American Diabetes Association (ADA) (2003). Economic costs of diabetes in the US in 2002. Diabetes Care 26(3):917-932.
d The estimated indirect cost per person with diabetes is $3,289. American Diabetes Association (ADA) (2003). Economic costs of diabetes in the US in 2002. Diabetes Care 26(3):917-932.


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