Disease Management & Health Outcomes

, Volume 11, Issue 8, pp 489–498

Improving the Health Status of US Working Adults with Type 2 Diabetes Mellitus

A Review
  • Fevzi Akinci
  • Bernard J. Healey
  • Joseph S. Coyne
Leading Article

DOI: 10.2165/00115677-200311080-00002

Cite this article as:
Akinci, F., Healey, B.J. & Coyne, J.S. Dis-Manage-Health-Outcomes (2003) 11: 489. doi:10.2165/00115677-200311080-00002


Diabetes mellitus is the seventh leading cause of death (sixth leading cause of death by disease) in the US. Approximately 5.9% of the US population has diabetes and one-third of those with diabetes are unaware that they have the condition. Diabetes is the leading cause of adult blindness, end-stage renal disease, and non-traumatic lower extremity amputation.

The annual per-capita incremental cost of diabetes among employees compared with individuals without diabetes has been estimated at $US4410 (1998 values). Furthermore, more than 30% of the costs associated with diabetic employees are attributable to medically related work absences and disability, and this is estimated to cause a one-third reduction in earnings due to reduced workforce participation.

The incidence of diabetes and long term medical complications could be reduced through more effective diabetes education and patient self-management. Intensive management of diabetes can help workers remain productive, decrease costs associated with complications, and reduce associated costs for overtime. Policy complications from this review encourage employers and Medicare/Medicaid to invest in diabetes education and Wellness programs.

Copyright information

© Adis Data Information BV 2003

Authors and Affiliations

  • Fevzi Akinci
    • 1
  • Bernard J. Healey
    • 1
  • Joseph S. Coyne
    • 2
    • 3
  1. 1.The William G. McGowan School of BusinessKing’s CollegeWilkes-BarreUSA
  2. 2.Washington State UniversitySpokaneUSA
  3. 3.Peking UniversityBeijingChina

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