CDC estimates 11 million Americans have hidden diabetes

The Centers for Disease Control and Prevention estimates that approximately 11 million people in the United States live with undiagnosed diabetes. This figure represents a substantial portion of the 40 million Americans currently managing the disease. The condition ranks as the seventh leading cause of death in the country and is the primary cause of kidney disease.

North Carolina sits within a region often referred to as the diabetes belt, where rates remain higher than the national average. Dr. Adam Spitz, an endocrinologist at Novant Health, stated that about one million people in the state have a confirmed diagnosis. He added that another 250,000 residents likely have the condition without knowing it. Spitz noted that 3 million people in North Carolina have prediabetes, placing them at a critical decision point for prevention.

Type 2 diabetes occurs when the body fails to produce sufficient insulin or uses the hormone inefficiently. Obesity is a major risk factor, but genetics also play a role. Andrew Tucker, who was diagnosed at age 35, attributed his condition partly to his family history. Tucker weighed 250 pounds at the time of his diagnosis while attending graduate school. He lost more than 30 pounds after changing his diet and exercise routine, but the disease persisted.

Tucker described managing the condition as a constant vigilance. He uses a continuous glucose monitor to track his blood sugar in real time. In a recent doctor's visit, Tucker’s physician noted that his average sugar level has dropped to 129, an improvement from previous readings. Tucker said he bikes regularly to stay active and maintain his health.

Complications from undiagnosed diabetes can be severe. They include coronary artery disease, heart attacks, nerve damage, and amputations. The American Diabetes Association identifies Type 2 diabetes as the leading cause of amputation in the United States. Eye disease and advanced kidney failure are also common long-term risks.

Dr. Spitz said that while newer medications like Ozempic and Wegovy have helped many patients, access remains a barrier. He pointed out that people in rural or underserved communities often lack consistent healthcare access and education on healthy lifestyles. These gaps can lead to delayed diagnoses and more advanced complications at the time of detection.

Symptoms of undiagnosed diabetes often include excessive thirst, extreme fatigue, and frequent urination. Medical professionals advise individuals experiencing these signs to consult a doctor for testing. Early detection allows for better management and can reduce the risk of long-term health issues.

Tucker continues to make lifestyle adjustments to manage his condition. He relies on technology and regular physical activity to keep his numbers in check. His goal is to maintain his health and avoid the severe outcomes associated with unmanaged diabetes.