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

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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).

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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

• Deaths due to Diabetes as Underlying Cause
• Diagnosed Diabetes Prevalence
• Dilated Eye Exams Among Persons with Diabetes
• Hemoglobin Screening among Adults with Diagnosed Diabetes
• Lower Extremity Amputations among Persons with Diabetes

Kidney Disease

• Deaths due to Kidney Disease
• Deaths due to End-Stage Renal Disease (ESRD)
• Incidence of ESRD
• Incidence of ESRD due to Diabetes

Diabetes - Adults (BRFSS)

• Diabetes Prevalence - Crude Rates
• Diabetes Prevalence - Age-adjusted Rates
• Ever Told You Have Prediabetes - Crude Rates
• Ever Told You Have Prediabetes - Age-adjusted Rates

Kidney Disease - Adults (BRFSS)

• Kidney Disease Prevalence - Crude Rates
• Kidney Disease Prevalence - Age-adjusted Rates

Hospitalizations

• Emergency Department and Inpatient Hospital Discharges

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

Mortality

• Mortality Counts and Rates

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

New Jersey Department of Health

• Diabetes Prevention and Control
• End Stage Renal Disease (ESRD) Patient Assistance Program

U.S. Department of Health and Human Services

• Chronic Kidney Disease (CKD) Initiative
• Diabetes Programs and Initiatives
• National Institute of Diabetes and Digestive and Kidney Diseases
• U.S. Diabetes Surveillance System
• Healthy People 2020
• Healthy People 2030