Diabetes and other chronic non-communicable diseases (NCDs) are significant public health challenges in the 21st century. It is estimated that 3.8 million deaths were attributable to diabetes in 2007, equivalent to 6% of all deaths globally. India, which has the largest population of diabetes patients of any country, diabetes accounts for 9.7% of these deaths. The prevalence of diabetes is rapidly rising all over the globe at an alarming rate. The prevalence of type 2 diabetes is increasing dramatically across the globe and in some areas has reached epidemic proportions. Over the past 30 yr, the status of diabetes has changed from being considered as a mild disorder of the elderly to one of the major causes of morbidity and mortality affecting the youth and middle aged people. It is important to note that the rise in prevalence is seen in all six inhabited continents of the globe. The International Diabetes Federation has predicted that the number of individuals with diabetes will increase from 240 million in 2007 to 380 million in 2025, with 80% of the disease burden in low and middle-income countries.2 More than 60% of the world’s population with diabetes will come from Asia, because it remains the world’s most populous region. [pic]
The 10 countries estimated to have the highest numbers of people with diabetes in 2000 and 2030 are listed in Table. The “top three” countries are the same as those identified for 1995 (India, China, and U.S.). Bangladesh, Brazil, Indonesia, Japan, and Pakistan also appear in the lists for both 2000 and 2030. The Russian Federation and Italy appear in the list for 2000 but are replaced by the Philippines and Egypt for 2030, reflecting anticipated changes in the population size and structure in these countries between the two time periods. [pic]
In developing countries, the majority of people with diabetes are in the 45- to 64-year age range, similar to the finding reported...