Diabetes Care, Vol 16, Issue 1 257-259, Copyright © 1993 by American Diabetes Association
Diabetes prevalence, incidence, and complications among Alaska Natives, 1987
CD Schraer, LR Bulkow, NJ Murphy and AP Lanier
Diabetes Program, Alaska Area Native Health Service, Anchorage 99501.
OBJECTIVE--To provide descriptive epidemiological data on diabetes mellitus
among Alaska Natives, including incidence, updated prevalence, and
incidence rates of ESRD, LEA, MI, and stroke in the diabetic population.
RESEARCH DESIGN AND METHODS--In IHS and tribal contract hospitals and
clinics throughout Alaska, Alaskan Indians, Eskimos, and Aleuts living in
Alaska with documented diabetes mellitus were studied from 1986 to 1987.
RESULTS--The number of diabetic patients increased from 610 to 708, and the
prevalence changed from 15.7 to 17.4/1000 (not a statistically significant
increase). Incidence rates per 10,000 diabetic person-yr for complications
were 38 for ESRD, 69 for LEA, 92 for MI, and 92 for stroke.
CONCLUSIONS--The prevalence of diabetes mellitus increased during the
period of observation, but not to a statistically significant degree.
Incidence rates for diabetes are lower than for the U.S. general
population, but complications rates are as high as those in other diabetic
populations.