Mixed
Type 2 Diabetes Mellitus (T2DM) incidence in the United States increased nearly twenty-fold (from 3.52 to 59.30 per 1,000) between 1990 and 2024, driven by environmental and behavioral risk factors such as obesity and sedentary lifestyles.
The risk of developing Type 2 Diabetes in the US has skyrocketed over the last 30 years, largely due to lifestyle factors like obesity and inactivity, not just better testing. To mitigate this personal risk, focus on modifiable lifestyle factors (diet, activity) rather than assuming healthcare improvements have solved the underlying environmental drivers of the disease.
The near twenty-fold increase in T2DM incidence (3.52 to 59.30 per 1,000) suggests that current preventive strategies and lifestyle interventions have been insufficient in counteracting these environmental and behavioral risk factors
Why this rating
Large-scale retrospective cohort study (n=52.9 million) using real-world EHR data, though observational and subject to diagnostic coding changes.
Source
Epidemiological Patterns of Diabetes Mellitus in The United States of America: An Observational Multicenter Analysis From 1990 to 2024
Ahmed Y. Azzam et al. · ASIDE Internal Medicine · 2025
DOI 10.71079/aside.im.02202517
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