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Diabetes and Chronic Kidney Disease

Diabetes occurs when the body cannot produce enough insulin or cannot respond appropriately to insulin, which is a hormone that the body needs to absorb and use glucose (sugar) as fuel for the body's cells. Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications.1

Chronic kidney disease (CKD) is a condition in which the kidneys are damaged and cannot filter blood as well as they should. Because of this, excess fluid and waste from blood remain in the body and may cause other health problems, such as heart disease and stroke.2

Diabetes is the most common cause of kidney failure.3

1. Diabetes Overview. Healthy People 2020. 1/26/18.
2. Chronic Kidney Disease Basics. CDC. 12/21/17.
3. Chronic Kidney Disease Overview. Healthy People 2020. 5/2/18.
Diabetes is the seventh leading cause of death in the U.S. and New Jersey. (2016 data). It increases the risk of heart attack, kidney failure, lower limb amputations, and adult-onset blindness.4

Nephritis, nephrotic syndrome, and nephrosis (i.e., kidney disease) is the ninth leading cause of death in the U.S. and New Jersey. (2016 data).

4. Diabetes. Healthy People 2020. 1/26/18.
Diabetes and CKD are disproportionately distributed across the population. There are significant disparities in prevalence, treatment, and mortality based on race/ethnicity, socioeconomic status, and weight status.
  • Screening and Prevalence: The Behavioral Risk Factor Surveillance System (BRFSS) tracks the prevalence of kidney disease, diagnosed diabetes, and pre-diabetes among adults as well as hemoglobin screening and dilated eye exam rates among adults with diabetes.
  • Morbidity: The Hospital Inpatient Discharge Data system monitors inpatient hospital discharges, including hospitalization for CKD and diabetes-related conditions and procedures, such as lower extremity amputations.
  • Mortality: Death certificates are a fundamental source of demographic, geographic, and cause-of-death information. They make it possible to track every death in the nation due to diabetes.

Diabetes - Adults (BRFSS)

Kidney Disease - Adults (BRFSS)


Diagnosis - Hospital Discharges for Select Health Indicators: Diabetes or Nephritis, Nephrosis, Nephrotic Syndrome (Kidney Disease)


Cause of Death - NJDOH 24 major causes of death: Diabetes mellitus or Nephritis, nephrotic syndrome, and nephrosis (kidney disease)

The information provided above is from the Department of Health's NJSHAD web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 23 May 2024 2:34:55 from Department of Health, New Jersey State Health Assessment Data Web site: ".

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