11 million Americans are living with undiagnosed diabetes, CDC estimates

The Centers for Disease Control and Prevention estimates that 11 million people in the United States have diabetes without knowing it. These individuals are at risk for developing serious health issues, such as heart disease, kidney failure, and vision loss, before they ever receive a diagnosis. For those who do know their status, the condition demands constant attention to diet, medication, and physical activity.

The American Diabetes Association identifies Type 2 diabetes as the leading cause of amputations in the country. It is also the primary cause of new cases of kidney disease. Diabetes ranks as the seventh leading cause of death in the U.S., affecting an estimated 40 million people nationwide.

The burden of the disease is not evenly distributed. Novant Health endocrinologist Dr. Adam Spitz describes North Carolina as part of the "diabetes belt," a region with higher prevalence rates than the national average. Spitz states that roughly one million people in North Carolina have a confirmed diagnosis. He adds that another 250,000 residents in the state have undiagnosed diabetes, a group he describes as particularly vulnerable because they are developing complications in silence.

The number of people at risk extends beyond those already diagnosed. Spitz estimates that three million people in North Carolina have prediabetes, a condition where blood sugar levels are elevated but not yet high enough to be classified as diabetes. He notes that these individuals are at a critical decision point where lifestyle changes can prevent progression to full diabetes.

Treatment options have expanded in recent years. Newer medications, including GLP-1 drugs like Ozempic and Wegovy, have helped many patients manage their symptoms. However, Spitz points out that access remains a barrier. He says that people in rural and underserved communities often lack consistent access to healthcare providers and education on healthy lifestyle choices.

Andrew Tucker, a resident of Charlotte, was diagnosed with Type 2 diabetes at age 35. He weighed approximately 250 pounds at the time and was working long hours in graduate school. Tucker noted that his family history, including a father and grandfather with the disease, played a role in his condition. Since his diagnosis, he has lost more than 30 pounds, changed his diet, and increased his physical activity.

Tucker uses a continuous glucose monitor to track his blood sugar levels in real time. In a recent video of a medical appointment, his doctor reported that his average sugar level had improved to 129. Tucker continues to bike and stay active to maintain his health.

Symptoms of undiagnosed diabetes often include excessive thirst, extreme fatigue, and frequent urination. Medical professionals advise anyone experiencing these signs to consult a doctor for testing.