ueda2013 prevalence and burden of diabetes-d.michael hirst

1. Upper Egypt Diabetes Association
Luxor, 30 January 2013
Prevalence and Burden of Diabetes,
globally and regionally
Sir Michael Hirst
President, International Diabetes Federation
www.idf.org

2. The Global Burden of Diabetes
1 person is diagnosed with diabetes every 3 seconds
1 person dies of the complications of diabetes every
7 seconds – 4.8 million deaths in 2012, half under 60
1 person loses a limb because of the complications of
diabetes every 24 seconds
www.idf.org

3. The Global Burden of Diabetes
In 2012 global total was 371 million
By 2030, it is predicted to rise to over
550 million
www.idf.org
People with Diabetes

4. The Global Burden of Diabetes
 Number of people with type 2 diabetes is increasing in
every country
 80% of people with diabetes live in low- and middle-
income countries
 The greatest number of people with diabetes are
between 40 to 59 years of age
 187 million people (50%) with diabetes are undiagnosed
www.idf.org

5. The Global Burden of Diabetes
www.idf.org
2012 2030
Global Prevalence [%] 8.3 9.9
Comparative Prevalence [%] 8.5 8.9
Number of people with diabetes 371m 552m
Diabetes at a Glance
(20 – 79 years old)

6. The Global Burden of Diabetes
www.idf.org

7. The Global Burden of Diabetes
Region 2012 [m] 2030 [m] Increase
AFR 15.0 28.0 87%
MENA 34.0 59.7 77%
SEA 71.0 120.9 70%
SACA 26.0 39.9 54%
WP 132.0 187.9 42%
NAC 38.0 51.2 35%
EUR 55.0 64.0 16%
WORLD 371.0 551.8 49%
www.idf.org
Adults with Diabetes
- Regional Analysis

8. The Global Burden of Diabetes
Top 10 Countries: Adults with Diabetes
www.idf.org
Country/Territory 2012 [m]
1. China 92.3
2. India 63.0
3. USA 24.1
4. Brazil 13.4
5. Russian Federation 12.7
6. Mexico 10.6
7. Egypt 7.6
8. Indonesia 7.5
9. Japan 7.1
10. Pakistan 6.6

9. The Global Burden of Diabetes
Top 10 Countries: Adults with Diabetes
www.idf.org
Country/Territory 2030 [m]
1. China 129.7
2. India 101.2
3. USA 29.6
4. Brazil 19.6
5. Bangladesh 16.8
6. Mexico 16.4
7. Russian Federation 14.1
8. Egypt 12.4
9. Indonesia 11.8
10. Pakistan 11.4

10. The Global Burden of Diabetes
Top 10 Countries: Prevalence of Diabetes in Adults
www.idf.org
Country/Territory 2012
1. Fed States of Micronesia 37.2%
2. Nauru 30.1%
3. Marshall Islands 27.1%
4. Kiribati 25.5%
5. Tuvalu 24.8%
6. Kuwait 23.9%
7. Saudi Arabia 23.4%
8. Qatar 23.3%
9. Bahrain 22.4%
10. Vanuatu 22.0%

11. The Global Burden of Diabetes
Top 10 Countries: Prevalence of Diabetes in Adults
www.idf.org
Country/Territory 2030
1. Kiribati 26.3%
2. Marshall Islands 23.0%
3. Kuwait 21.2%
4. Tuvalu 20.8%
5. Nauru 20.7%
6. Saudi Arabia 20.6%
7. Lebanon 20.4%
8. Qatar 20.4%
9. Bahrain 20.2%
10. United Arab Emirates 19.8%

12. The Global Burden of Diabetes
Undiagnosed diabetes by region

13. The Global Burden of Diabetes
www.idf.org
2012 2030
Global Prevalence [%] 6.4 7.1
Comparative Prevalence [%] 6.5 6.7
Number of people with diabetes 280m 398m
IGT at a Glance
(20 – 79 years old)

14. The Global Burden of Diabetes
Top 10 Countries: Prevalence of IGT in Adults
www.idf.org
Country/Territory 2012
1. Malaysia 18.4%
2. Kuwait 18.1%
3. Qatar 16.8%
4. Poland 16.6%
5. Bahrain 16.5%
6. United Arab Emirates 16.4%
7. Western Sahara 15.6%
8. Philippines 14.6%
9. Hong Kong 13.5%
10. Gambia 13.4%

15. The Global Burden of Diabetes
Top 10 Countries: Prevalence of IGT in Adults
www.idf.org
Country/Territory 2030
1. Malaysia 19.0%
2. Kuwait 18.3%
3. United Arab Emirates 17.2%
4. Bahrain 17.0%
5. Qatar 17.0%
6. Poland 16.3%
7. Western Sahara 16.1%
8. Philippines 15.0%
9. Gambia 14.8%
10. Ghana 14.0%

16. The Global Burden of Diabetes
Costs
 Diabetes caused at least US$471 billion in healthcare
expenditures in 2012
 11% of total healthcare expenditures in adults
www.idf.org

17. The Global Burden of Diabetes
www.idf.org

18. The Global Burden of Diabetes
www.idf.org

19. The Global Burden of Diabetes
Diabetes in the Young (0 – 14 yrs)
 490,100 children globally with type 1 diabetes
 77,800 children newly diagnosed each year
 Cases increasing by 3.0% per year
 Highest incidence in developed countries
 Children still dying, undiagnosed
www.idf.org

20. The Global Burden of Diabetes
Regional Roundup
 AFR: 81% of people with diabetes are undiagnosed
 EUR: the highest prevalence of type 1 diabetes in children
 MENA: 5 of the top 10 countries by diabetes prevalence
 NAC: 1 adult in 10 has diabetes
 SACA: 12.3% of all deaths were due to diabetes
 SEA: almost one-fifth of the world’s people with diabetes live
in just seven countries
 WP: 132 million adults have diabetes, the largest number in
any region
www.idf.org

21. The Global Burden of Diabetes
The Role of IDF
Influencing Global Health Policy Makers
 UN Resolution – Dec 2006
 UN High Level Meeting – Sept 2011
 Political Declaration on the Prevention and Control of NCDs
 UN – Post-2015 Development Framework
www.idf.org

22. The Global Burden of Diabetes
The Burden of NCDs in LMICs
 Responsible for 2 out of 3 deaths, and 50% of disabilities
 Leading cause of death in LMICs, 29 m deaths out of 36m
 Deaths projected to increase by 50% in absolute terms
 Largest increase in sub-Saharan Africa and Asia
 Affects younger populations
 Disproportionate impact on vulnerable populations
www.idf.org

23. The Global Burden of Diabetes
Impact of NCDs on Economic
Development
 NCDs cause cumulative economic losses of US$500 bn pa
 NCDs trap families in poverty, killing breadwinners
 NCDs affect people of working age, losing productivity that is
vital for development
www.idf.org

24. The Global Burden of Diabetes
Prevention and control of NCDs
Voluntary Global Targets
• Reduce avoidable mortality by 25% by 2025
• 10% reduction in harmful use of alcohol
• 10% reduction in prevalence of insufficient
physical exercise
www.idf.org

25. The Global Burden of Diabetes
Prevention and control of NCDs
Voluntary Global Targets
• 30% reduction in salt intake
• 30% reduction in use of tobacco use
• 25% reduction in prevalence of raised blood
pressure
www.idf.org

26. The Global Burden of Diabetes
Prevention and control of NCDs
Voluntary Global Targets
• Halt the rise in diabetes and obesity
• 80% availability of affordable basic
technologies and essential medicines
www.idf.org

27. The Global Burden of Diabetes
Prevention and control of NCDs
MENA Region: Riyadh Declaration Targets
• Reduction of salt, sugar and fats in food
• Priority given to maternal and child health
• Screening of all adults from age 25 years
• Promote well health widely in schools
www.idf.org

28. The Global Burden of Diabetes
Post- 2015 Development Framework
Definition of Health: Current definition for MDGs covers only
infectious disease and maternal and child health
GOAL: BROADEN TO INCLUDE NCD
Approach to Health: Integrating NCD Prevention and Control will drive
a new approach to health, with multi-sectoral action and health
capacity building
GOAL: IMPROVED HEALTH OUTCOMES; SUSTAINABLE HUMAN
AND ECONOMIC DEVELOPMENT
www.idf.org