The American Diabetes Association Releases the Standards of Care in Diabetes–2024
New guidelines include updates to recommendations around new class of obesity drugs, new screening practices, diabetes technology, and the use of teplizumab.
ARLINGTON, Va. /PRNewswire/ — Today, the American Diabetes Association® (ADA) released the Standards of Care in Diabetes—2024 (Standards of Care), a set of comprehensive and evidence-based guidelines for managing type 1, type 2, gestational diabetes, and prediabetes based on the latest scientific research and clinical trials. It includes strategies for diagnosing and treating diabetes in both youth and adults, methods to prevent or delay type 2 diabetes and its associated comorbidities like cardiovascular disease (CVD) and obesity, and therapeutic approaches aimed at minimizing complications and enhancing health outcomes.
“The latest ADA guidelines present pivotal updates for health care professionals, ensuring comprehensive, evidence-based care for diabetes management. These changes reflect our ongoing commitment to optimizing patient outcomes through informed, adaptable, and patient-centered health care practices,” said Robert Gabbay, MD, PhD, the ADA’s chief scientific and medical officer. “The ADA’s Standards of Care ensures health care professionals, especially our primary care workforce, provide the best possible care to those living with diabetes.”
New updates in managing obesity in people with diabetes, including approaches to reduce therapeutic inertia, support more personalization, and incorporate additional obesity measurements beyond body mass index (i.e., waist circumference, waist-to-hip ratio, and/or waist-to-height ratio).
New screening recommendations for heart failure in people with diabetes.
Updated recommendations for peripheral arterial disease (PAD) screening in people with diabetes.
Guidance on screening and the use of teplizumab, approved to delay the onset of type 1 diabetes.
Moreguidance on the use of new obesity medications, glucagon-like peptide 1 (GLP-1) agonists or dual glucose-dependent insulinotropic polypeptide (GIP) receptor agonists, to reach sustained weight management goals.
Explore new updates now available in the Standards of Care in Diabetes—2024.
Updates in guidance on the diagnosis and classification of diabetes.
A focus on hypoglycemia prevention and management.
Emphasis on screening people with diabetes for nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis at primary care and diabetes clinics.
New emphasis on the evaluation and treatment of bone health and added attention to diabetes-specific risk factors for fracture.
A focus on screening and management of people with diabetes and disability.
Emphasis on enabling health care providers to master diabetes technology, using artificial intelligence for retinal screenings with necessary referrals, and embracing telehealth and digital tools for diabetes self-management education.
New information on the possible association between COVID-19 infections and new onset of type 1 diabetes.
“As the ADA’s chair of professional practice committee, I’m excited to share our latest updates to advance diabetes care through new scientific insights and technological innovation, all aimed at enhancing experience for people with diabetes and health care professionals in managing this complex condition,” said Nuha A. El Sayed, MD, MM Sc, the ADA’s senior vice president of health care improvement.
Updated immunization guidance to include newly approved RSV vaccines in adults over 60 years of age with diabetes.
New emphasis on cultural sensitivity in diabetes self-management education, with considerations for changing reimbursement policies.
More detail and emphasis on psychosocial screening protocols to better identify diabetes distress.
The importance of diabetes technology, with an emphasis on continuous glucose monitors (CGMs) and automated insulin delivery (AID) systems.
Continued emphasis on inclusion and person-centered care.
“At the ADA, we are focused on improving the quality of care for anyone who lives with diabetes, prediabetes, or who is at risk of developing diabetes. The Standards of Care are critical to ensuring the improved treatment of diabetes, a chronic disease that requires continuous care through a well-informed and coordinated health care team. These standards equip health care professionals with the gold standard in diabetes care, ensuring the highest level of service and knowledge in the field,” said Chuck Henderson, the ADA’s chief executive officer.
The ADA annually updates its Standards of Care through the efforts of its Professional Practice Committee (PPC). Comprising 21 global experts from diverse professional backgrounds, the PPC includes physicians, nurse practitioners, certified diabetes care and education specialists, registered dietitians, pharmacists, and methodologists. Its members hold expertise in areas like adult and pediatric endocrinology, epidemiology, public health, cardiovascular risk management, kidney disease, microvascular complications, preconception and pregnancy care, weight management, diabetes prevention, behavioral and mental health, inpatient care, and technology in diabetes management. Additionally, the committee collaborates with 19 specialized content experts. The 2024 Standards of Care has garnered endorsements from the American College of Cardiology (Section 10), the American Society of Bone and Mineral Research (Bone section in Section 4), and the Obesity Society (Section 8).
Today, the Standards of Care in Diabetes—2024 is available online and is published as a supplement to the January 2024 issue of Diabetes Care®. A shortened version of the guidelines, known as the Abridged Standards of Care, will be made available for primary care providers in the journal Clinical Diabetes®, along with a convenient Standards of Care app as well as a Standards of Care pocket chart. The online version will be annotated in real-time with necessary updates if new evidence or regulatory changes merit immediate incorporation through the “living” Standards of Care process. Other Standards of Care resources, including a webcast with continuing education (CE) credit and a full slide deck, can be found on the ADA’s professional website, DiabetesPro®.
About the American Diabetes Association The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to bend the curve on the diabetes epidemic and help people living with diabetes thrive. For 83 years, the ADA has driven discovery and research to treat, manage, and prevent diabetes while working relentlessly for a cure. Through advocacy, program development, and education we aim to improve the quality of life for the over 133 million Americans living with diabetes or prediabetes. Diabetes has brought us together, what we do next will make us Connected for Life®. To learn more or to get involved, visit us at diabetes.org or call 1-800-DIABETES (1-800-342-2383). Join the fight with us on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), LinkedIn (American Diabetes Association), Twitter (@AmDiabetesAssn), and Instagram (@AmDiabetesAssn).
Rod: A creative force, blending words, images, and flavors. Blogger, writer, filmmaker, and photographer. Cooking enthusiast with a sci-fi vision. Passionate about his upcoming series and dedicated to TNC Network. Partnered with Rebecca Washington for a shared journey of love and art.
View all posts
Rod: A creative force, blending words, images, and flavors. Blogger, writer, filmmaker, and photographer. Cooking enthusiast with a sci-fi vision. Passionate about his upcoming series and dedicated to TNC Network. Partnered with Rebecca Washington for a shared journey of love and art.
(Family Features) Throughout history, humans’ ability to rely on one another has been crucial to survival. Despite modern developments that help individuals live with minimal human engagement, the human need to connect remains.
However, in many parts of America, a trend toward isolation is emerging. Over the past two decades, people are spending more time alone and less time engaging with others in person, according to data from the Office of the U.S. Surgeon General. One segment of Americans at particular risk of social isolation, loneliness and their negative impacts are select populations who live in rural areas.
“There is an urgent need to take action and improve mental health in rural America,” said Jeff Winton, dairy farmer and founder and chairman of Rural Minds, a nonprofit mental health advocacy organization that partnered with Pfizer to raise awareness about the physical and mental risks of social isolation. “Challenges to mental health can be inherent in a rural lifestyle, including a belief in self-reliance as a virtue, fear of judgment and difficulty getting an appointment with a limited number of mental health professionals, among others.”
Many Americans are increasingly spending more time alone according to the American Time Use Survey. They are increasingly more likely to take meetings, shop, eat and enjoy entertainment at home, making it easier for them to stay within their own four walls and avoid social interactions.
Authentic human connection is a basic but often unacknowledged necessity for health, “as essential to survival as food, water and shelter,” according to the U.S. Surgeon General’s Advisory on the Health Effects of Social Connection and Community.
Understanding Social Isolation
According to the Centers for Disease Control and Prevention (CDC), about one-third of U.S. adults reported feeling lonely and about one-fourth said they don’t have social and emotional support (the basis of social isolation).
The concepts of social isolation and loneliness can go hand-in-hand, but the two are actually quite different.
Social isolation is defined by an absence of relationships or contact with others. Someone experiencing loneliness may or may not have social connections, but lacks feelings of closeness, support or belonging. Despite the distinction, both can have a negative impact on a person’s mental and even physical health.
Several factors can influence a person’s risk for social isolation and loneliness.
“Social connection is a dynamic that changes over time,” said Nikki Shaffer, senior director, occupational health and wellness, Pfizer. “Transient feelings of loneliness or solitude may be beneficial because they can serve as motivation to reconnect. However, chronic loneliness (even if someone is not isolated) and isolation (even if someone is not lonely) can represent significant health concerns.”
Isolation in Rural America
Compared to people who live in urban areas, many rural Americans experience higher rates of depression and suicide but are less likely to access mental health care services, according to the “Health Disparities in Rural America: Current Challenges and Future Solutions” study published in “Clinical Advisor.” What’s more, CDC data shows suicide rates among people living in rural areas can be 64-68% higher than those in large urban areas.
Rural areas have 20% fewer primary care providers compared to urban areas, according to a report in JAMA, and the Health Resources and Services Administration reports more than 25 million rural Americans, more than half of rural residents, live in mental health professional shortage areas.
Among rural counties, 65% lack a psychiatrist. Nearly 30% of rural Americans don’t have internet access in their homes, which complicates the option for telehealth. These figures from Rural Minds exemplify the challenges facing rural America.
“Some people in rural communities still don’t understand or accept that mental illness is a disease,” said Winton, who grew up on a rural farm. “Rather, a mental illness can often be viewed as a personal weakness or character flaw. A lot of the stigma around mental illness results in unwarranted shame, which adds to the burden for someone already suffering from mental illness.”
Health Impacts of Social Isolation
Loneliness is far more than just a bad feeling; it harms both individual and societal health. In fact, loneliness and social isolation can increase the risk for premature death by 26% and 29%, respectively.
Lacking social connection can increase the risk for premature death as much as smoking up to 15 cigarettes a day or drinking six alcoholic drinks daily.
In addition, poor or insufficient social connection is associated with increased risk of disease, including a 29% increased risk of heart disease and a 32% increased risk of stroke.
Social isolation is also associated with increased risk for anxiety, depression and dementia. Additionally, a lack of social connection may increase susceptibility to viruses and respiratory illness.
Learn more about the impact of social isolation, especially on residents of rural areas, and the steps you can take to reduce isolation and loneliness by visiting ruralminds.org.
Boost Your Social Connections
Take a proactive approach to combatting social isolation and loneliness with these everyday actions that can promote stronger social ties.
Invest time in nurturing your relationships through consistent, frequent and high-quality engagement with others. Take time each day to reach out to a friend or family member.
Minimize distractions during conversation to increase the quality of the time you spend with others. For instance, don’t check your phone during meals with friends, important conversations and family time.
Seek out opportunities to serve and support others, either by helping your family, co-workers, friends or people in your community or by participating in community service.
Be responsive, supportive and practice gratitude. As you practice these behaviors, others are more likely to reciprocate, strengthening social bonds, improving relationship satisfaction and building social capital.
Participate in social and community groups such as religious, hobby, fitness, professional and community service organizations to help foster a sense of belonging, meaning and purpose.
Seek help during times of struggle with loneliness or isolation by reaching out to a family member, friend, counselor, health care provider or the 988 crisis line.
Regulations have cleaned up cars, power plants and factories, leaving cleaner air while economies have grown.
Cavan Images/Josh Campbell via Getty ImagesRichard E. Peltier, UMass Amherst
The Trump administration is “reconsidering” more than 30 air pollution regulations, and it offered industries a brief window to apply for exemptions that would allow them to stop following many air quality regulations immediately if approved. All of the exemptions involve rules finalized in 2024 and include regulations for hazardous air pollutants that cause asthma, heart disease and cancer.
The results – if regulations are ultimately rolled back and if those rollbacks and any exemptions stand up to court challenges – could impact air quality across the United States.
“Reconsideration” is a term used to review or modify a government regulation. While Environmental Protection Agency Administrator Lee Zeldin provided few details, the breadth of the regulations being reconsidered affects all Americans. They include rules that set limits for pollutants that can harm human health, such as ozone, particulate matter and volatile organic carbon.
Zeldin wrote on March 12, 2025, that his deregulation moves would “roll back trillions in regulatory costs and hidden “taxes” on U.S. families.“
What Zeldin didn’t say is that the economic and health benefits from decades of federal clean air regulations have far outweighed their costs. Some estimates suggest every $1 spent meeting clean air rules has returned $10 in health and economic benefits.
How far America has come, because of regulations
In the early 1970s, thick smog blanketed American cities and acid rain stripped forests bare from the Northeast to the Midwest.
Air pollution wasn’t just a nuisance – it was a public health emergency. But in the decades since, the United States has engineered one of the most successful environmental turnarounds in history.
Thanks to stronger air quality regulations, pollution levels have plummeted, preventing hundreds of thousands of deaths annually. And despite early predictions that these regulations would cripple the economy, the opposite has proven true: The U.S. economy more than doubled in size while pollution fell, showing that clean air and economic growth can – and do – go hand in hand.
The numbers are eye-popping.
An Environmental Protection Agency analysis of the first 20 years of the Clean Air Act, from 1970 to 1990, found the economic benefits of the regulations were about 42 times greater than the costs.
The EPA later estimated that the cost of air quality regulations in the U.S. would be about US$65 billion in 2020, and the benefits, primarily in improved health and increased worker productivity, would be around $2 trillion. Other studies have found similar benefits.
That’s a return of more than 30 to 1, making clean air one of the best investments the country has ever made.
Science-based regulations even the playing field
The turning point came with the passage of the Clean Air Act of 1970, which put in place strict rules on pollutants from industry, vehicles and power plants.
These rules targeted key culprits: lead, ozone, sulfur dioxide, nitrogen oxides and particulate matter – substances that contribute to asthma, heart disease and premature deaths. An example was the removal of lead, which can harm the brain and other organs, from gasoline. That single change resulted in far lower levels of lead in people’s blood, including a 70% drop in U.S. children’s blood-lead levels.
Air Quality regulations lowered the amount of lead being used in gasoline, which also resulted in rapidly declining lead concentrations in the average American between 1976-1980. This shows us how effective regulations can be at reducing public health risks to people.USEPA/Environmental Criteria and Assessment Office (1986)
The results have been extraordinary. Since 1980, emissions of six major air pollutants have dropped by 78%, even as the U.S. economy has more than doubled in size. Cities that were once notorious for their thick, choking smog – such as Los Angeles, Houston and Pittsburgh – now see far cleaner air, while lakes and forests devastated by acid rain in the Northeast have rebounded.
Comparison of growth areas and declining emissions, 1970-2023.EPA
And most importantly, lives have been saved. The Clean Air Act requires the EPA to periodically estimate the costs and benefits of air quality regulations. In the most recent estimate, released in 2011, the EPA projected that air quality improvements would prevent over 230,000 premature deaths in 2020. That means fewer heart attacks, fewer emergency room visits for asthma, and more years of healthy life for millions of Americans.
The economic payoff
Critics of air quality regulations have long argued that the regulations are too expensive for businesses and consumers. But the data tells a very different story.
EPA studies have confirmed that clean air regulations improve air quality over time. Other studies have shown that the health benefits greatly outweigh the costs. That pays off for the economy. Fewer illnesses mean lower health care costs, and healthier workers mean higher productivity and fewer missed workdays.
The EPA estimated that for every $1 spent on meeting air quality regulations, the United States received $9 in benefits. A separate study by the non-partisan National Bureau of Economic Research in 2024 estimated that each $1 spent on air pollution regulation brought the U.S. economy at least $10 in benefits. And when considering the long-term impact on human health and climate stability, the return is even greater.
Hollywood and downtown Los Angeles in 1984: Smog was a common problem in the 1970s and 1980s.Ian Dryden/Los Angeles Times/UCLA Archive/Wikimedia Commons, CC BY
The next chapter in clean air
The air Americans breathe today is cleaner, much healthier and safer than it was just a few decades ago.
Yet, despite this remarkable progress, air pollution remains a challenge in some parts of the country. Some urban neighborhoods remain stubbornly polluted because of vehicle emissions and industrial pollution. While urban pollution has declined, wildfire smoke has become a larger influence on poor air quality across the nation.
That means the EPA still has work to do.
If the agency works with environmental scientists, public health experts and industry, and fosters honest scientific consensus, it can continue to protect public health while supporting economic growth. At the same time, it can ensure that future generations enjoy the same clean air and prosperity that regulations have made possible.
By instead considering retracting clean air rules, the EPA is calling into question the expertise of countless scientists who have provided their objective advice over decades to set standards designed to protect human lives. In many cases, industries won’t want to go back to past polluting ways, but lifting clean air rules means future investment might not be as protective. And it increases future regulatory uncertainty for industries.
The past offers a clear lesson: Investing in clean air is not just good for public health – it’s good for the economy. With a track record of saving lives and delivering trillion-dollar benefits, air quality regulations remain one of the greatest policy success stories in American history.
This article, originally published March 12, 2025, has been updated with the administration’s offer of exemptions for industries.Richard E. Peltier, Professor of Environmental Health Sciences, UMass Amherst
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Celebrating National Nutrition Month: A Heartfelt Tribute to Nourishing Seniors
On March 19, 2025, Tanner Terrace residents celebrated National Nutrition Month with a community event led by Diana Gregory Outreach Services, focusing on healthy eating and nutrition education for seniors.
Diana Gregory (center) with Pam Giannonatti (L), Angela Banks (R), and nutritionist Debbie Polisky at the Tanner Terrace event. Image Credit: Larry Jones
March 19, 2025, marked a significant day for the residents of Tanner Terrace in Glendale, Arizona, as they came together to celebrate National Nutrition Month. The event, held from 2 PM to 3:30 PM, aimed to emphasize the importance of healthy eating among seniors and featured a special focus on enhancing their nutritional knowledge.
The gathering was organized by Diana Gregory Outreach Services, a non-profit dedicated to enriching lives through healthy eating. Over the years, this organization has worked tirelessly to provide access to fresh produce and nutritional education for low-income seniors, veterans, and vulnerable individuals in the community.
A Flavorful Presentation
The afternoon began with a lively presentation titled Food, Fun, and Fitness, led by certified nutritionist Debbie Polisky. The interactive session engaged residents in discussions about the benefits of balanced nutrition and simple ways to incorporate healthy foods into their diets. Attendees were eager to learn and ask questions, creating a vibrant atmosphere filled with enthusiasm for healthier living.
As a delightful conclusion to the presentation, each of the 100 seniors in attendance received a pre-packed bag of fresh produce from Fry’s Food Stores, complete with recipes and nutritional information. Watching the smiles on the seniors’ faces as they received these gifts was a heartwarming reminder of the impact of community support.
Generous Support from Fry’s Food Stores
At the outset of the event, Diana Gregory was presented with a generous check from Fry’s Food Stores. This contribution is vital for supporting Diana Gregory Outreach Services and its initiatives. Gregory proudly stated, “We have been serving the town for 16 years, and last year alone, we served over 30,000 seniors and veterans. This kind of support is critical to continue our mission.”
Pam Giannonatti, the Corporate Affairs Manager for Fry’s, emphasized their commitment to fighting food insecurity. With initiatives like “Zero Hunger, Zero Waste,” Fry’s aims to provide fresh food not only in their stores but also to those in need within the community. “Last year alone, we were able to provide over 16 million meals to hungry Arizonans,” Girardi remarked, highlighting the company’s dedication to wholesome nutrition and community welfare.
The Mission of Diana Gregory Outreach Services
Diana Gregory Outreach Services has a clear and impactful mission: to enrich lives through healthy eating. By addressing health disparities and championing holistic nutrition and fitness, the organization ensures that vulnerable populations have access to the resources they need to thrive. Their commitment is straightforward but profound: “We have a responsibility to ensure no veteran, senior, and their families in our community go to bed hungry.”
The culmination of the event was not just about handing out fresh produce; it symbolized a community rallying together to support its most vulnerable members. Flyers were distributed to the residents of Tanner Terrace, spreading awareness about future initiatives and encouraging participation in further programs designed to enhance healthy living.
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A Community Commitment
As I observed this event, it became clear that initiatives like these serve a dual purpose: they enrich the lives of seniors by providing them with crucial resources and foster a sense of community among participants. For many seniors, events like these also offer an opportunity to socialize and engage with their neighbors, enhancing their overall well-being.
As National Nutrition Month concludes, the event at Tanner Terrace stands as a shining example of how community partnerships—between organizations, businesses, and residents—can work in harmony to create a healthier future for all. By continuing to support initiatives that prioritize nutrition, we can make a lasting impact on our community’s health and wellness.
In the spirit of National Nutrition Month, let us carry forward the lessons learned and the connections made, ensuring that every member of our community has access to the nourishment they need to lead fulfilling lives.
The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.
Rod: A creative force, blending words, images, and flavors. Blogger, writer, filmmaker, and photographer. Cooking enthusiast with a sci-fi vision. Passionate about his upcoming series and dedicated to TNC Network. Partnered with Rebecca Washington for a shared journey of love and art.
View all posts
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(Family Features) Throughout history, humans’ ability to rely on one another has been crucial to survival. Despite modern developments that help individuals live with minimal human engagement, the human need to connect remains.
However, in many parts of America, a trend toward isolation is emerging. Over the past two decades, people are spending more time alone and less time engaging with others in person, according to data from the Office of the U.S. Surgeon General. One segment of Americans at particular risk of social isolation, loneliness and their negative impacts are select populations who live in rural areas.
“There is an urgent need to take action and improve mental health in rural America,” said Jeff Winton, dairy farmer and founder and chairman of Rural Minds, a nonprofit mental health advocacy organization that partnered with Pfizer to raise awareness about the physical and mental risks of social isolation. “Challenges to mental health can be inherent in a rural lifestyle, including a belief in self-reliance as a virtue, fear of judgment and difficulty getting an appointment with a limited number of mental health professionals, among others.”
Many Americans are increasingly spending more time alone according to the American Time Use Survey. They are increasingly more likely to take meetings, shop, eat and enjoy entertainment at home, making it easier for them to stay within their own four walls and avoid social interactions.
Authentic human connection is a basic but often unacknowledged necessity for health, “as essential to survival as food, water and shelter,” according to the U.S. Surgeon General’s Advisory on the Health Effects of Social Connection and Community.
Understanding Social Isolation
According to the Centers for Disease Control and Prevention (CDC), about one-third of U.S. adults reported feeling lonely and about one-fourth said they don’t have social and emotional support (the basis of social isolation).
The concepts of social isolation and loneliness can go hand-in-hand, but the two are actually quite different.
Social isolation is defined by an absence of relationships or contact with others. Someone experiencing loneliness may or may not have social connections, but lacks feelings of closeness, support or belonging. Despite the distinction, both can have a negative impact on a person’s mental and even physical health.
Several factors can influence a person’s risk for social isolation and loneliness.
“Social connection is a dynamic that changes over time,” said Nikki Shaffer, senior director, occupational health and wellness, Pfizer. “Transient feelings of loneliness or solitude may be beneficial because they can serve as motivation to reconnect. However, chronic loneliness (even if someone is not isolated) and isolation (even if someone is not lonely) can represent significant health concerns.”
Isolation in Rural America
Compared to people who live in urban areas, many rural Americans experience higher rates of depression and suicide but are less likely to access mental health care services, according to the “Health Disparities in Rural America: Current Challenges and Future Solutions” study published in “Clinical Advisor.” What’s more, CDC data shows suicide rates among people living in rural areas can be 64-68% higher than those in large urban areas.
Rural areas have 20% fewer primary care providers compared to urban areas, according to a report in JAMA, and the Health Resources and Services Administration reports more than 25 million rural Americans, more than half of rural residents, live in mental health professional shortage areas.
Among rural counties, 65% lack a psychiatrist. Nearly 30% of rural Americans don’t have internet access in their homes, which complicates the option for telehealth. These figures from Rural Minds exemplify the challenges facing rural America.
“Some people in rural communities still don’t understand or accept that mental illness is a disease,” said Winton, who grew up on a rural farm. “Rather, a mental illness can often be viewed as a personal weakness or character flaw. A lot of the stigma around mental illness results in unwarranted shame, which adds to the burden for someone already suffering from mental illness.”
Health Impacts of Social Isolation
Loneliness is far more than just a bad feeling; it harms both individual and societal health. In fact, loneliness and social isolation can increase the risk for premature death by 26% and 29%, respectively.
Lacking social connection can increase the risk for premature death as much as smoking up to 15 cigarettes a day or drinking six alcoholic drinks daily.
In addition, poor or insufficient social connection is associated with increased risk of disease, including a 29% increased risk of heart disease and a 32% increased risk of stroke.
Social isolation is also associated with increased risk for anxiety, depression and dementia. Additionally, a lack of social connection may increase susceptibility to viruses and respiratory illness.
Learn more about the impact of social isolation, especially on residents of rural areas, and the steps you can take to reduce isolation and loneliness by visiting 
