At the Tipping Point:
Diabetes in Québec
key statistics1
2010
2020
7.2
9.9
563,000
832,000
21.9
22.9
Estimated cost of diabetes
$2.2 billion
$2.9 billion
Estimated annual out-of-pocket cost for type 1 diabetes
$838.55 (5.8% of individual income)
Estimated annual out-of-pocket cost for type 2 diabetes
$1546.58 (5.2% of individual income)
Estimated diabetes prevalence (%)
Estimated number of people with diabetes
Estimated prediabetes prevalence (%)
Estimated diabetes prevalence increase (%)
48% increase from 2010-2020
Estimated cost increase (%)
28% increase from 2010-2020
Policy Framework
Provincial strategy
• Diabetes care is integrated within a chronic
disease framework
Key indicators
Ranking2
Diabetes Prevalence
Top
Diabetes Prevalence Increase
Top
Best Practices/Major Developments since
Diabetes Report 2005
Prediabetes Prevalence
Cost Increase
Top
• Investir dans l’avenir (Invest in the Future)
• Diabetes education and surveillance
activities targeting Aboriginal communities
Out-of-pocket cost for type 2
diabetes
Top
Middle
Factors Influencing Diabetes in Québec
• QC has the second lowest rates for overweight and obesity; in fact, it has the lowest rate
of childhood obesity in Canada. In general it also has lower concentrations of people
from populations at higher risk of diabetes. These factors, along with its broader policy on
curbing childhood obesity, may contribute to its far lower diabetes prevalence and prevalence
increase.
1Estimated annual out-of-pocket costs for type 1 and type 2 diabetes are calculated based on composite case studies as noted in Diabetes: Canada at the Tipping
Point - Charting a New Path. As such, these situations apply to many people with diabetes in Québec, but not all.
2Top performers are those jurisdictions with the lowest prevalence, cost burden and type 2 out-of-pocket costs. Bottom performers are those jurisdictions with the
highest results in prevalence, cost burden and type 2 out-of-pocket costs. Middle performers fall in between these indicators.
At the Tipping Point: Diabetes in Quebec
Best Practices/Developments
since 2005
• QC introduced a strategy to enhance access to
bariatric surgery (2009).
• QC’s Investir dans l’avenir (Invest in the Future)
program is designed to provide healthier food
in schools and more physical activity aimed at
children.
• QC has diabetes education programs targeted at
Aboriginal populations and reports tracking of
diabetes among Aboriginal populations.
• Budgets for diabetes education have increased
substantially in the majority of regions in QC.
In Their Own Words:
People Living with
Diabetes in Québec
Sharon Rothwell
37
Beaconsfield
“ Greater access to new devices and
medications will strengthen personal selfmanagement and help reduce the risk
of deadly complications while reducing
demands on our healthcare system.”
3
Coverage for Medications, Devices and Supplies
Two composite case studies were compiled for Diabetes: Canada at
the Tipping Point - Charting a New Path to show the challenges faced
by Canadians living with diabetes. Access to medications, supplies
and devices still depends upon where they live in Canada. Below is a
snapshot of coverage in Quebec.
Listed
Restricted
Not
Listed
9
9
5
Vascular Protection
3
1
0
Dyslipidemia
6
0
0
Hypertension
9
0
0
Acute Coronary Syndromes
4
0
0
Diabetes in People with Heart Failure
4
0
0
Chronic Kidney Disease in Diabetes
2
0
0
Neuropathy
3
0
0
Obesity in Diabetes
0
0
1
Psychological Aspects of Diabetes
2
0
0
Smoking Cessation
3
0
0
COVERAGE FOR MEDICATIONS
Medications for Diabetes (23)
Medications for Complications (38)
Coverage for Supplies and Devices3
Janet, 22, Type 1 Diabetes Composite
Case Study: Annual premium: Varies
from $0 to $600 depending on income.
Deductible: $16/month. Co-insurance:
32% of drug costs to monthly maximum of
$80.25 depending on income.
Peter, 52, Type 2 Diabetes Composite
Case Study: Annual premium: varies
from $0 to $600, depending on income.
Deductible: $16/month
Co-insurance: 32% of drug costs to monthly
maximum of $80.25.
Blood Glucose strips
ü
Blood Glucose strips
ü
Ketone strips
ü
Ketone strips
ü
Lancets
û
Lancets
û
Meters
û
Meters
û
Syringes/Pen needles
ü
Oral medications
ü
Pumps
û
Pump supplies
û
Insulin
ü
Based on composite case studies as noted in Diabetes: Canada at the Tipping Point - Charting a New Path; see note 1.
2