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June 7, 2026Diabetes

2326-P: A Growing Crisis: Geographic and Demographic Disparities in Diabetes and Hematological Disorder Mortality in the United States (1999–2020)

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Why the study?

Diabetes mellitus and hematological disorders pose substantial, intersecting health challenges in the US, but long-term national mortality trends were uncharacterized.

Population

217,168 deaths attributed to hematological disorders and diabetes mellitus in the US

Comparison

Demographic and geographic subgroups

Design

Retrospective epidemiological study using CDC WONDER data and Joinpoint regression

Key result

Between 1999 and 2020, US mortality rates for diabetes and hematological disorders increased significantly, with the sharpest rise occurring from 2018 to 2020 (APC 18.20).

Authors

HSHamayle SaeedNSNOOR UL AIN SALEEMMTMUHAMMAD SOHAIB A. TARIQ

Discussion

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Overview

Comorbid diabetes and hematological disorders warrant clinical vigilance; this observational study leaves open modifiable risk factors and intervention targets.

Key Points

  • This study investigates trends in mortality rates for diabetes mellitus and hematological disorders in the U.S. from 1999 to 2020.
  • Analyzed CDC WONDER data for age-adjusted mortality rates of DM and HD.
  • Calculated annual percent changes in mortality using Joinpoint regression.
  • Included demographic and geographic subgroup analyses.
  • 217,168 deaths from hematological disorders and diabetes mellitus recorded.
  • Mortality rates showed a significant increase with an APC of 2.95 from 1999-2006, declining slightly to -0.73 from 2006-2018, then rising sharply at 18.20 from 2018-2020.
  • Non-metropolitan areas had higher mortality rates (35.09) compared to metropolitan areas (28.26), with males showing a higher annual average percent change (2.69) than females (1.65).

Study Design

Type

Observational (n=217,168)

Multicenter

Yes

Structured PICO

P
Population
217,168 deaths attributed to hematological disorders and diabetes mellitus in the United States from 1999 to 2020.
O
Outcome
Age-adjusted mortality rates (AAMR) per 100,000 for DM and HD as contributing causes of deathhard clinical

Mortality attributed to diabetes and hematological disorders in the US increased significantly from 1999 to 2020, with a sharp rise between 2018 and 2020 and notable geographic and demographic disparities.

Cite This Study

Saeed et al. (2026) conducted an observational in Diabetes mellitus and hematological disorders (n=217,168). Time period (1999-2020) and demographic/geographic factors was evaluated on Age-adjusted mortality rates (AAMR) per 100,000 for DM and HD as contributing causes of death. Between 1999 and 2020, US mortality rates for diabetes and hematological disorders increased significantly, with the sharpest rise occurring from 2018 to 2020 (APC 18.20).

synapsesocial.com/papers/6a250cbc7def13d035e1cee6https://doi.org/10.2337/db26-2326-p
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