51% increase WORLD 2045 700 million 2030 578 million 2019 463 million Age groups (years) 20–29 154,200 30–39 365,300 40–49 572,100 50–59 853,500 60–69 1,169,200 70–79 1,097,000 0 1,200,000 1,000,000 800,000 600,000 400,000 200,000 AFR EUR MENA NAC SACA SEA WP IDF Region Proportion (%) of people with undiagnosed diabetes Number (million) of people with undiagnosed diabetes 0 60 70 80 90 100 50 40 30 20 10 0 60 70 80 90 100 50 40 30 20 10 IDF Region 0 120 140 160 100 80 60 40 20 WP SEA SACA NAC MENA EUR AFR 45 37 35 55 34 31 137 Diabetes-related health expenditure (billion USD) Number (million) of adults with diabetes China India United States of America Pakistan Brazil Mexico Indonesia Germany Egypt Bangladesh 300 250 200 150 100 50 0 120 100 80 60 40 20 0 Age groups (years) 0 20–24 5 10 15 20 25 25–29 30–34 35–39 40–44 45–49 55–59 60–64 65–69 70–74 75–79 High-income countries Middle-income countries Low-income countries 100 200 300 400 500 0 3,000 4,000 5,000 2,000 1,000 0 High-income countries 494 265 Middle-income countries Low-income countries Total diabetes-related health expenditure (billion USD) Mean diabetes-related health expenditure per person (USD) 3,105 170 1 817 143% increase 47 million 29 million 2045 2030 2019 19 million 63 million 2045 56 million 2030 48 million 2019 33% increase 49 million 40 million 32 million 2045 2030 2019 55% increase 2045 2030 2019 108 million 76 million 55 million 96% increase 212 million 2045 197 million 2030 163 million 2019 31% increase 153 million 2045 115 million 2030 88 million 2019 74% increase 68 million 2045 66 million 2030 59 million 2019 15% increase GLOBAL Fact sheet Need more information? Deaths attributable to diabetes by age (20–79 years), 2019 Number and percentage of adults (20–79 years) with undiagnosed diabetes in IDF Regions, 2019 Prevalence (%) estimates of diabetes by age and income group, 2019 Number (million) of adults (20–79 years) with impaired glucose tolerance per IDF Region, 2019 IDF: International Diabetes Federation, AFR: Africa, EUR: Europe, MENA: Middle East and North Africa, NAC: North America and Caribbean, SACA: South and Central America, SEA: South-East Asia, WP: Western Pacific Total diabetes-related and mean health expenditure per person and per income group, 2019 Top 10 countries for number of adults with diabetes (20–79 years) and their health expenditure, 2019 Diabetes affects people of all ages, typically showing higher prevalence with increasing age up to 60–69 years. 4 out of every 5 adults with undiagnosed diabetes live in low- and middle-income countries. 1 in 5 people older than 65 years have diabetes. 1 in 3 of adults at risk of developing type 2 diabetes, live in the Western Pacific Region. 87% of diabetes-related deaths occur in low- and middle-income countries. But, only 35% of diabetes-related health expenditure is spent there. 67% of adults with diabetes live in top 10 countries and 70% of diabetes-related health expenditure is spent in these countries. Corporate sponsor North America & Caribbean y 1 in 6 adults in this Region is at risk of type 2 diabetes y 43% of global diabetes-related health expenditure occurs in this Region South & Central America y 2 in 5 people with diabetes were undiagnosed y Only 9% of global diabetes-related health expenditure for diabetes is spent in this Region Africa y 3 in 5 people with diabetes are undiagnosed y 3 in 4 deaths due to diabetes were in people under the age of 60 Middle East & North Africa y 1 in 8 people have diabetes y 1 in 2 deaths due to diabetes were in people under the age of 60 Western Pacific y 1 in 3 adults with diabetes lives in this Region y 1 in 3 deaths due to diabetes occur in this Region South-East Asia y 1 in 5 adults with diabetes lives in this Region y 1 in 4 live births are affected by hyperglycaemia in pregnancy Europe y 1 in 6 live births are affected by hyperglycaemia in pregnancy y The Region has the highest number of children and adolescents (0–19 years) with type 1 diabetes – 297,000 in total www.diabetesatlas.org or scan QR code or contact [email protected]IDF DIABETES ATLAS 9 th edition 2019 Number of adults (20–79 years) with diabetes worldwide The 9 th edition has been produced thanks to an educational grant (2018–2019) from: With the additional support of:
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Colour palette // Regions Colour palette // 6 colour way 3 colour way // Tables in Appendices Brand Colours
51%increase
WORLD2045 700 million2030 578 million
2019 463 million
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817
Dia
bete
s-re
late
d he
alth
exp
endi
ture
(bill
ion
USD
)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817
Dia
bete
s-re
late
d he
alth
exp
endi
ture
(bill
ion
USD
)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817
Dia
bete
s-re
late
d he
alth
exp
endi
ture
(bill
ion
USD
)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817
Dia
bete
s-re
late
d he
alth
exp
endi
ture
(bill
ion
USD
)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817
Dia
bete
s-re
late
d he
alth
exp
endi
ture
(bill
ion
USD
)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
100
200
300
400
500
0
3,000
4,000
5,000
2,000
1,000
0
AFR EUR MENA NAC SACA SEA WP
High-income countries
494
265
Middle-income countries
Low-income countries
Tota
l dia
bete
s-re
late
d he
alth
ex
pend
iture
(bill
ion
USD
)
Mea
n di
abet
es-r
elat
ed h
ealth
ex
pend
iture
per
per
son
(USD
)
Age groups (years)
IDF Region
0
120
140
160
100
80
60
40
20
WPSEASACANACMENAEURAFR
Age groups (years)
0
20–2
4
5
10
15
20
25
25–2
9
30–3
4
35–3
9
40–4
4
45–4
9
55–5
9
60–6
4
65–6
9
70–7
4
75–7
9
High-incomecountries
Middle-incomecountries
Low-incomecountries
3,105
170
20–29
154,200
30–39
365,300
40–49
572,100
50–59
853,500
60–69
1,169,200
70–79
1,097,000
0
1,200,000
1,000,000
800,000
600,000
400,000
200,000
1
817D
iabe
tes-
rela
ted
heal
th e
xpen
ditu
re(b
illio
n U
SD)
Num
ber
(mill
ion)
of a
dults
with
dia
bete
s
Chin
a
Indi
a
Uni
ted
Stat
esof
Am
eric
a
Paki
stan
Bra
zil
Mex
ico
Indo
nesi
a
Ger
man
y
Egyp
t
Ban
glad
esh
300
250
200
150
100
50
0
120
100
80
60
40
20
0
IDF Region
Prop
ortio
n (%
) of p
eopl
e w
ith u
ndia
gnos
ed d
iabe
tes
Num
ber
(mill
ion)
of p
eopl
ew
ith u
ndia
gnos
ed d
iabe
tes
0
60
70
80
90
100
50
40
30
20
10
0
60
70
80
90
100
50
40
30
20
10
4537 35
55
3431
137
143% increase
47 million
29 million
2045
2030
2019 19 million
63 million2045
56 million2030
48 million2019
33% increase
49 million
40 million
32 million
2045
2030
2019
55% increase
2045
2030
2019
108 million
76 million55 million
96% increase
212 million2045
197 million2030
163 million2019
31% increase
153 million2045
115 million2030
88 million2019
74% increase
68 million2045
66 million2030
59 million2019
15% increase
GLOBAL Fact sheet
Need more information?
Deaths attributable to diabetes by age (20–79 years), 2019
Number and percentage of adults (20–79 years) with undiagnosed diabetes in IDF Regions, 2019
Prevalence (%) estimates of diabetes by age and income group, 2019
Number (million) of adults (20–79 years) with impaired glucose tolerance per IDF Region, 2019
IDF: International Diabetes Federation, AFR: Africa, EUR: Europe, MENA: Middle East and North Africa, NAC: North America and Caribbean, SACA: South and Central America, SEA: South-East Asia, WP: Western Pacific
Total diabetes-related and mean health expenditure per person and per income group, 2019
Top 10 countries for number of adults with diabetes (20–79 years) and their health expenditure, 2019
Diabetes affects people of all ages, typically showing higher prevalence with increasing age up to 60–69 years.
4 out of every 5 adults with undiagnosed diabetes live in low- and middle-income countries.
1 in 5 people older than 65 years have diabetes.
1 in 3 of adults at risk of developing type 2 diabetes, live in the Western Pacific Region.
87% of diabetes-related deaths occur in low- and middle-income countries. But, only 35% of diabetes-related health expenditure is spent there.
67% of adults with diabetes live in top 10 countries and 70% of diabetes-related health expenditure is spent in these countries.
Corporate sponsor
North America & Caribbean
y 1 in 6 adults in this Region is at risk of type 2 diabetes y 43% of global diabetes-related health expenditure occurs in this Region
South & Central America
y 2 in 5 people with diabetes were undiagnosed yOnly 9% of global diabetes-related health expenditure for diabetes is spent in this Region
Africa
y 3 in 5 people with diabetes are undiagnosed y 3 in 4 deaths due to diabetes were in people under the age of 60
Middle East & North Africa
y 1 in 8 people have diabetes y 1 in 2 deaths due to diabetes were in people under the age of 60
Western Pacific
y 1 in 3 adults with diabetes lives in this Region y 1 in 3 deaths due to diabetes occur in this Region
South-East Asia
y 1 in 5 adults with diabetes lives in this Region y 1 in 4 live births are affected by hyperglycaemia in pregnancy
Europe
y 1 in 6 live births are affected by hyperglycaemia in pregnancy y The Region has the highest number of children and adolescents (0–19 years) with type 1 diabetes – 297,000 in total