The IDF Diabetes Atlas 5 th Edition

1. The IDF Diabetes Atlas5th Edition A summary of the figures and key findings

2. Acknowledgements Atlas committee Nigel Unwin, David Whiting, Leonor Guariguata, Anselm Hennis, AbdullatifHusseini, LinongJi, KatarzynaKissimova-Skarbek, Ingrid Libman, Elizabeth Mayer-Davis, Ayesha Motala, Venkat Narayan, AmbadyRamachandran, GojkaRoglic, Jonathan Shaw, Nick Wareham, Ping Zhang Editorial team Nigel Unwin, David Whiting, Leonor Guariguata, Gregory Ghyoot, Delice Gan Contributors Florencia Aguirre, AlaAlwan, Renee Bowers, Katie Dain, Gisela Dahlquist, Sheree Dodd, Olivier Jacqmain, Christie Jeon, Jean Claude Mbanya, Hannah Nicholls, Chris Patterson, Jessica Pledge, Giulia Reichmann, GojkaRoglic, Jonathan Shaw, GyulaSoltesz, Clara Weil, Ping Zhang, Xinzhi Zhang Other contributors Anne Belton, Trisha Dunning, Christopher Dye, Negina Gencheva, Martin Gillis, Philippe Glaziou, Anthony Harries, Ann Keeling, Helen McGuire, Michèle-Ann Okolotowicz

3. Corporate Sponsors

4. Key Messages • Diabetes is a huge and growing problem, and the costs to society are high and escalating • Diabetes is a neglected development issue, affecting all countries • There are cost-effective solutions to reverse the global diabetes epidemic • Diabetes is not only a health issue, its causes are multi-sectoral and it requires a multi-sectoral response • The UN High-level Meeting is not the end of international commitments on diabetes; it is the start of concerted and coordinated action

5. The Top 10s (number of people with diabetes)

6. The Top 10s (prevalence %)

8. The global burden • 366 million people have diabetes in 2011; by 2030 this will have risen to 552 million • The 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 • 183 million people (50%) with diabetes are undiagnosed • Diabetes caused 4.6 million deaths in 2011 • Diabetes caused at least USD 465 billion dollars in healthcare expenditures in 2011; 11% of total healthcare expenditures in adults (20-79 years) • 78,000 children develop type 1 diabetes every year

9. Prevalence (%) by region and age and sex

10. Prevalence of diabetes, 2011

11. Undiagnosed diabetes

12. Type 1 diabetes in the young

13. Deaths due to diabetes • 4.6 million deaths due to diabetes in 2011 • 8.2% of all-cause mortality • 48% in people under 60

14. Healthcare expenditures • USD 465 billion spent on healthcare for diabetes • 11% of all healthcare spending is for diabetes • USD 1,274 is spent on diabetes care per person with diabetes in 2011

15. Regional highlights Africa: 78% of people with diabetes are undiagnosed Europe: the highest prevalence of type 1 diabetes in children Middle East and North Africa: 6 of the top 10 countries by diabetes prevalence North America and Caribbean: 1 adult in 10 has diabetes South and Central America: 12.3% of all deaths were due to diabetes South-East Asia: almost one-fifth of the world’s people with diabetes live in just seven countries Western Pacific: 132 million adults have diabetes, the largest number of any region

16. Regional overview

17. Diabetes by income group

21. Diabetes and Tuberculosis • Focused on the linkages between the two diseases and a review of the evidence • Calculated the attributable cases of tuberculosis to diabetes • Highlights areas where there is a high double burden