Trends and Disparities in Mortality due to Diabetes Mellitus and Sepsis in the US Adults: 1999-2023.

Publication date: Sep 01, 2025

Diabetes mellitus (DM) increases susceptibility to infection and worsens outcomes in sepsis, a leading cause of preventable death. However, population-level trends in sepsis-related mortality among diabetic individuals in the United States (US) remain poorly characterised, especially in the context of the COVID-19 pandemic. This study evaluates national patterns, temporal shifts, and demographic disparities in sepsis-related mortality in diabetic patients from 1999 to 2023. We conducted a retrospective analysis using the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Sepsis-related deaths with co-listed DM were extracted for US adults between 1999 and 2023. Age-adjusted mortality rates (AAMRs) were calculated and Joinpoint regression was used to estimate annual percentage changes (APCs) and identify significant trends. A total of 483,207 sepsis-related deaths occurred in individuals with DM during the study period. AAMRs declined significantly from 1999 to 2018 (APC: -1. 22; p 

Concepts Keywords
Covid Adult
Diabetes Aged
Epidemiologic Aged, 80 and over
Worsens COVID-19
Diabetes Mellitus
diabetes mellitus
disparities
epidemiology
Female
Health Status Disparities
Humans
Male
Middle Aged
Mortality
mortality
Retrospective Studies
SARS-CoV-2
Sepsis
sepsis
septic shock
United States
United States
Young Adult

Semantics

Type Source Name
disease MESH Diabetes Mellitus
disease MESH Sepsis
disease IDO susceptibility
disease MESH infection
disease MESH death
disease MESH COVID-19 pandemic
disease MESH Cause of Death
disease MESH Health Status
disease MESH septic shock

Original Article

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