Diabetes in Missouri: prevalence and high-risk populations.

Diabetes was reported as an underlying or contributory cause of 3,706 deaths among Missouri residents in 1991, and the estimated direct and indirect costs of the disease in the state exceeded $450 million. Behavioral Risk Factor Surveillance System data indicate that, although diabetes is prevalent throughout the state's population, it is more prevalent among females, elderly persons, minority races, and persons with low educational and income levels. Individual practitioners should emphasize the reduction of health risk factors among their diabetic patients. Through regular monitoring of risks for diabetic complications and early intervention, a significant number of diabetic complications can be prevented or delayed.