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1
HOUSE RESOLUTION

 
2    WHEREAS, November is American Diabetes Month, and
3approximately 1,325,000 people in Illinois, or 12.5% of the
4adult population, have diabetes; residents of Asian American
5heritage comprise 7.8% of the population of the State of
6Illinois; and
 
7    WHEREAS, Diabetes is the fifth leading cause of death among
8Asian Americans; and
 
9    WHEREAS, Asian Americans are over 30% more likely to have
10diabetes than white Americans; and
 
11    WHEREAS, Asian Americans are also at greater risk of
12developing prediabetes, diabetes, and associated risks, such
13as cardiovascular disease, at a lower body mass index (BMI)
14than whites, Hispanics, African Americans, or Native
15Americans; and
 
16    WHEREAS, Asian Americans face a healthcare disparity in
17type 2 diabetes detection and diagnosis; this is due in part to
18general guidelines calling for screening at a body mass index
19of 25kg/m2; this current guideline misses 36% of diabetes
20diagnoses in Asian Americans over the age of 45 in Illinois,
21approximately 16,030 individuals; this also underestimates the

 

 

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1prevalence of prediabetes among Asian Americans and the
2increased risk of both among younger Asian Americans; and
 
3    WHEREAS, Two out of three persons with type 2 diabetes die
4from heart attack or stroke, and adults with diabetes are at
5risk for developing end stage renal disease and kidney failure,
6blindness, and lower limb loss; and
 
7    WHEREAS, The per capita health care cost of direct medical
8expenses for diagnosed and undiagnosed diabetes, prediabetes,
9and gestational diabetes, along with associated indirect costs
10and productivity loss in Illinois, is an estimated $8,981 per
11year; in 2017, the annual cost for diabetes in Illinois was
12estimated at $8.7 billion in medical costs plus $3.2 billion in
13productivity loss; and
 
14    WHEREAS, Early detection and treatment can mitigate
15diabetes-related complications, risks, and costs; and
 
16    WHEREAS, Interventions focusing on nutrition, physical
17activity, and healthy weight loss have been shown to reverse
18prediabetes, improve glucose function in diabetics, and reduce
19the need for multiple medications; and
 
20    WHEREAS, Screening Asian American patients aged 45 and
21older at a body mass index of 23kg/m2 instead of 25kg/m2 would

 

 

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1unmask over 9,222 diabetes cases and many thousands more
2prediabetes cases and would lead to increased screenings among
3younger Asian Americans at risk for diabetes at BMI 23, thereby
4initiating treatment or early interventions to reduce negative
5co-morbidities like heart diseases, kidney diseases, and limb
6amputation; and
 
7    WHEREAS, The National Institutes of Health found that more
8than half of Asian Americans with diabetes are undiagnosed,
9greatly increasing their overall health risk; and
 
10    WHEREAS, According to community-based participatory
11research and studies on Asian American subpopulations, Asian
12Americans also have increased risk for diabetes and
13prediabetes; and
 
14    WHEREAS, Recent analysis of cross-sectional national data
15shows Asian Americans are the least likely ethnic group to
16receive recommended diabetes screening, with a 34% lower rate
17of diabetes screening than white Americans; and
 
18    WHEREAS, The World Health Organization recommends
19screening Asian patients at a lower body mass index than
20non-Hispanic whites, and the 2015 official guidelines of the
21American Diabetes Association recommend that Asian Americans
22should be tested for type 2 diabetes at a body mass index of

 

 

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123; and
 
2    WHEREAS, The Asian American, Native Hawaiian, and Pacific
3Islander Diabetes Coalition has coordinated the Screen at 23
4campaign with the support of over 40 national and regional
5health organizations; and
 
6    WHEREAS, The State of Illinois has the opportunity to join
7Hawaii, California, and Massachusetts as the fourth state to
8formally recognize and recommend screening adult Asian
9Americans for type 2 diabetes at a body mass index of 23,
10enabling thousands of individuals to get the early care and
11treatment needed to live healthier and happier lives;
12therefore, be it
 
13    RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
14HUNDREDTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that we
15endorse and support the Screen at 23 campaign and urge the
16Illinois Department of Public Health to endorse and support the
17Screen at 23 campaign's efforts to increase awareness of
18diabetes among Asian American communities, including using
19appropriate screening measures for Asian American patients,
20and to eliminate disparities; and be it further
 
21    RESOLVED, That the Illinois Department of Public Health is
22urged to actively encourage, via existing communication

 

 

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1protocols and internal mechanisms, all public and private
2health providers and facilities to also participate in these
3efforts; and be it further
 
4    RESOLVED, That suitable copies of this resolution be
5delivered to the Governor and the Director of Public Health.