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A Look Back... and Forward

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Ibegan as editor-in-chief of Clinical Diabetes with the first issue of 2003. As I move toward the end of my term, I reflect on various key topics that have come to the forefront in the world of diabetes since then, many of which we have brought to you through these pages. Because this will be the last issue for me and my associate editors, it seems appropriate now to revisit some of the topics that are still relevant, issues that will undoubtedly continue to affect diabetes care in the future.

Diabetes in the United States and around the world has reached epidemic proportions, and the numbers are expected to continue to rise. It has been projected that one in three Americans born in 2000 will develop diabetes.¹ World-wide, there were 194 million adults with diabetes in 2003, and this number is expected to reach 333 million by 2025, with many cases arising in poorer, developing countries.²

A rise in obesity rates during the past decade is to blame for much of the increase in type 2 diabetes. Today, nearly two-thirds of American adults are overweight or obese.³ In 2005, the American Diabetes Association (ADA), the North American Association for the Study of Obesity (NAASO), and the American Society for Clinical Nutrition (ASCN) jointly published a position statement emphasizing the importance of lifestyle modification in weight management for both the prevention and treatment of type 2 diabetes.⁴ This effort was directed at making weight management a priority in health care to reverse the . . . [Full Text of this Article]

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