Implementation and evaluation of diabetes prevention and control programs depends on reliable data. The following data sources tell us how many people in Texas are estimated to have diabetes and the groups most affected by the disease. They allow for development of culturally appropriate messages and assist in focusing prevention efforts on high-risk populations.
The Diabetes Program at DSHS develops epidemiological reports on diabetes incidence, prevalence, morbidity, and mortality in Texas. The program contracts for annual statewide telephone surveys through the Texas Behavioral Risk Factor Surveillance System, participates in statewide and international collaborative data collection projects, and reviews information from the Health Plan Employer Data and Information Set (HEDIS) and the TMF Health Quality Institute, which is the state’s Medicare Quality Improvement Organization.
Data from these and other sources are collected and illustrated in the burden report below. The Diabetes Program updates this report periodically as data collection occurs and data is verified for publication. The Texas Diabetes Fact Sheet offers at-a-glance diabetes prevalence and mortality statistics for Texas by race/ethnicity, age, and gender.
Requests for specific data will be addressed as time and availability of data permit. To ensure that data requests are fulfilled in a timely manner, please submit your requests at least two weeks before the data are needed.
- Diabetes in Texas, 2009, PowerPoint Presentation (2.8 mb, PPT, viewing information)
PowerPoint presentation featuring estimated diabetes prevalance from the 2008 Texas BRFSS survey and mortality data from 2003-2006. Right-click on the link above and choose "Save Target As. . ." to save the presentation to your computer for full use with Microsoft PowerPoint.
- The Burden of Diabetes in Texas (2.1 mb, PDF viewing information)
Includes prediabetes/diabetes prevalence and risk factor data from the Texas BRFSS, mortality rates, hospitalization rates, and health plan performance indicators (HEDIS measures). Updated April 2013.
- Texas Chronic Disease Burden Report, (PDF viewing information)
This report was prepared by the Texas Department of State Health Services’ Health Promotion and Chronic Disease Prevention Section to monitor outcomes for certain chronic disease conditions and associated behavioral risk factors in Texas. The content of this report provides information on deaths, prevalence, trends over time, hospitalizations, and cost. The chronic diseases included in this report are ischemic heart disease, stroke, lung cancer, female breast cancer, cervical cancer, colorectal cancer, prostate cancer, asthma, arthritis, and diabetes mellitus.
Diabetes-Related Services Under Texas Medicaid
The Texas Diabetes Council collects information on state agency expenditures for diabetes-related services, including Texas Medicaid. In Texas, estimated Medicaid reimbursement for diabetes-related services in 2006 reached almost $443 million, and Children's Health Insurance Plan (CHIP) payments for 2007 were an estimated $3.6 million. The summary below includes tables prepared by the Research Team, Strategic Decision Support, Texas Health and Human Services Commission, in developing the estimated number of persons with diabetes served by Texas Medicaid and related costs to be reported in the Plan to Prevent and Control Diabetes in Texas, 2010-2011.
Texas Behavioral Risk Factor Surveillance System (BRFSS)
The Texas Behavioral Risk Factor Surveillance System (BRFSS) is a population-based, random-digit-dialed telephone survey of health behaviors among Texas adults (18 and older). Much of what is known about diabetes in Texas is based on responses to BRFSS questions regarding the disease and its risk factors. Prevalence estimates of risk factors, health indicators, and preventive health practices can be obtained using the BRFSS query system.
When searching for estimates of diabetes prevalence for specific years and geographic areas, select "Awareness: Diabetes. " This query provides data on BRFSS survey respondents 18 years and older who report that they have been diagnosed with diabetes (does not include gestational diabetes).
Texas BRFSS data, along with other data sources, are also summarized on the Diabetes Data and Trends page of the Centers for Disease Control and Prevention's web site.
Diabetes Data and Trends - Texas Surveillance Data
2007 Diabetes Prevalence by County
For Texas counties with fifty or more respondents to the 2007 Texas BRFSS, estimates of diabetes prevalence were calculated and are presented below. It is important to note that the BRFSS is designed to provide estimates of diabetes prevalence at the state and public health region level. Estimates for smaller geographic areas (counties) will have wider confidence intervals, meaning these estimates may be less reliable than local surveys or other localized methods used by counties to estimate their diabetes prevalence. This should be kept in mind when determining the context in which to present estimates of diabetes prevalence at the county level.
Texas Community Diabetes Surveys
Since 2003, Community Diabetes Surveys have been implemented in selected Texas counties to provide local diabetes prevalence estimates, as well as information on adult resident health status, personal health habits and use of preventive health services.
Hospital Discharge Data - Texas Health Care Information Collection (THCIC)
Lower extremity amputations among patients with diabetes result in hospitalizations that can be prevented or reduced through timely and effective primary care. The THCIC report on preventable hospitalizations examines hospital admission rates for amputation by county. A report on pediatric diabetes short-term complications is also available.
A comparison of amputation rates for border and non-border counties using 2003 hospital discharge data revealed significantly higher amputation rates in border counties. The rate of amputations for the 32 Texas counties within 100 kilometers of the Texas-Mexico border was 8.3 per 10,000 persons, compared to 4.5 per 10,000 persons in non-border counties.
Read Geographic Disparities in Diabetes-Related Amputations --- Texas-Mexico Border, 2003. MMWR Weekly, November 24, 2006 / 55(46);1251-1253 (link to Centers for Disease Prevention and Control web site)
U.S.-Mexico Border Diabetes Prevention and Control Project
The goal of the U.S.-Mexico Border Diabetes Prevention and Control Project is to reduce the impact of diabetes on the residents living along the U.S.-Mexico border, through a model of participation and shared leadership along the border region. The first phase of the project was to conduct a prevalence survey of diabetes and related biological and behavioral risk factors. The survey was administered from February 2001 to October 2002 to a stratified, random sample of 4,027 individuals, representative of the non-institutionalized population aged 18 years or older living in the U.S.-Mexico border region.