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Indicator Details — Native Americans: Crude Prevalence of Diabetesa
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a  P<0.001 for comparison of prevalence by age, gender, and obesity..

Nearly one-half of this American Indian cohort had diabetes at baseline, and prevalence of diabetes was higher in older, female, and obese study participants.
Chart Explanation: About 46% of this American Indian cohort had diabetes at baseline. Prevalence of diabetes was significantly higher among older, female, and obese study participants, relative to their counterparts.
The Strong Heart Study consisted of several components and three study exams (baseline, 1989-1992; second exam, 1993-1995; and third exam, 1998-1999), followed by morbidity and mortality surveillance of 4,500 tribal participants. Strong Heart enrolled men and women aged 45-74 at baseline from 13 American Indian tribes/communities in Arizona, Oklahoma, and the Dakotas. A total of 4,458 Strong Heart participants had baseline information on diabetes status, by self-reported diagnosis, fasting glucose >126 mg/dl, or reported use of oral hypoglycemic medications or insulin.
Description of MeasurePrevalence of diabetes
Data SourceStrong Heart Study
Type of Data SourcePrivate
Data SetSHS
Health Care System DataNo
Regional or National?National
Demographic GroupAmerican Indians aged 45-74 from 13 tribes/communities 
NumeratorNumber of participants with existing diabetes at baseline exam
DenominatorAll participants completing baseline exam
Definition of CKD--- 
Glomerular filtration rate---
Primary Data Source IndicatorPercentage of participants with existing diabetes at baseline by self-reported diagnosis, use of oral hyperglycemics, or fasting glucose >126 mg/dl
Primary Indicator Method of MeasurementQuestionnaire, Laboratory
Frequency of Measurement (Primary)Once (cross-sectional at baseline)
U.S. Region Covered by Primary VariableArizona, Oklahoma, and the Dakotas
Period Currently Available1989–1992
Pending DataPossible continued passive follow-up only
Additional Data Items of InterestAge, gender, obesity, hypertension
Limitations of IndicatorPossible misclassification
Analytical ConsiderationsAnalysis performed by SHS investigators; denominators for each study exam and indicator must be defined properly

Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd