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If whites, African Americans, Native Americans, and Hispanics all had the same age-specific diabetes mortality rates as that of Asians and Pacific Islanders, we would avoid 19,160 deaths each year. This represents a 31 percent decline in diabetes deaths, and a saving of 360,774 years of life each year.

These differences are also stark when we look at not just deaths from diabetes, but serious complications as well. These include kidney failure, amputations of legs damaged by poor circulation, and blindness. We don’t have reliable data on these complications for every racial and ethnic group, but we do know that African Americans have a 4-fold higher risk of developing kidney failure than whites, and a 3-fold higher risk for lower extremity amputations than whites. (You may have seen the recent special on Ella Fitzgerald, from which I learned that she had both legs amputated because of complications from diabetes.)