Diabetes mellitus among ethnic seniors - Contrasts with diabetes in whites

Diabetes mellitus is one of the most common chronic diseases affecting olde r persons in the United States. It occurs in 18% of persons between 65 and 75 years of age and in as many as 40% of persons over 80 years of age. The prevalence of diabetes mellitus varies considerably by ethnic group and is higher among most minority groups in the United States than among non-Hispa nic white persons. Published data also show increased complications and mor tality rate from diabetes in the minority groups. In this article, we revie w the current literature on the prevalence, complications, and mortality-ra te affects of diabetes mellitus and the results of interventions in three m ajor minority groups in the United States, namely African Americans, Hispan ic Americans, and Native Americans. Recent studies of diabetes mellitus in Mexican seniors also are described. Our review focuses primarily on patient s with non-insulin-dependent diabetes mellitus, because by far this is the most prevalent type in older persons.