IDF DIABETES ATLAS

8th edition 2017

NORTH AMERICA & CARIBBEAN EUROPE

Half the global diabetes healthcare spending 1 in 7 adults in this region is at risk USD 1 in every USD 4 of the global diabetes 1 in 6 live births is affected by
occurs in this region of type 2 diabetes healthcare spending occurs in this region hyperglycaemia in pregnancy

2045
62million
+35% 2045
46million 67million
2017
+16%
58million
2017

2045
WESTERN
82million PACIFIC
+110%
39million 1 in 3 adults with
2017 diabetes lives
in this region
MIDDLE EAST
1 in 3 deaths
AND NORTH AFRICA attributable to
1 in 5 live births are diabetes happen
affected by hyperglycaemia in this region
in pregnancy
1 out of 2 deaths due to 2045
2045 diabetes were in people
+15%
183million
42million +62% under the age of 60
159million
26million 2017
2017

SOUTH AND
CENTRAL AMERICA
2 out of 5 people with 2045 2045
diabetes were undiagnosed
41million 151million
Only 4% of global healthcare +156% +84%
expenditure for diabetes 16million 82million
spent in this region 2017 2017

AFRICA
2045 SOUTH-EAST ASIA
629million WORLD 2 out of 3 people with
diabetes are undiagnosed 1 in 5 adults with diabetes
lives in this region
425million +48% 3 out of 4 deaths due to
diabetes were in people under 1 in 4 live births is affected
2017 the age of 60 by hyperglycaemia in pregnancy

Almost half of the 4 million people who die 4 out of 5 people with diabetes live in Among high income countries, 79% of global healthcare
from diabetes are under the age of 60 low- and middle-income countries expenditure on diabetes was spent, but only 36% of deaths
below 60 years occured
Deaths attributable
Colour palette //to Regions
diabetes by age (20-79 years) Prevalence
Colour palette // 6(%) estimates
colour way of diabetes (20-79 years) way // Tables
3 colour Total
in healthcare
Appendicesexpenditure and mean healthcare
Brand expenditure per person and per income group
Colours
by income group and age
7,000 6,767 600
Mean healthcare expenditure per person (USD)

80% 4,5 575

Total healthcare expenditure (Billion USD)

25%
73% 6,000
70% 4 22%
500
21%
Proportion of deaths before 60 years

20%
60% 3,5 20% 19% 5,000
Deaths due to diabetes in millions

3.2 High income countries 17%

400
Middle income countries 19% 19%
50% 3 Low income countries 18% 18% 4,000
46% 15%
14%
300
40% 2,5 12% 15%
36% 3,000
30% 1,5 10% 9% 12%
200
6% 2,000
5% 9% 152
20% 1 8% 8%
4% 7% 7% 7%
5% 6% 6% 1,000 100
10% 0.5 0,5 5% 5%
2% 468
0.2 1% 4%
3% 70 1
0% 0 0% 0 0
High income countries Middle income countries Low income countries 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 High income countries Middle income countries Low income countries

Half of people with diabetes 352 million people are at risk The top 10 countries for number of adults with diabetes
don’t know they have it of developing type 2 diabetes account for 60% of people with diabetes and 69% of global
healthcare expenditure on diabetes
Undiagnosed percentage and undiagnosed cases of Number of adults (20-79 years) with IGT per IDF region, 2017 Top 10 countries for number of adults with diabetes (20-79 years) and their healthcare
diabetes (20-79 years) by region expenditure, 2017 348

127 120
million
120
people 114 billion ID

110
100% 100 108 108
millions 120
millon
90% 90 96 96
85

80% 80 100
84 84

70% 69% 70 73
72 72
80
60% 60
57%
54% 60 60

50% 49% 47 50
60 54
48 42 48
40% 40% 40
38% 38% 40
36 32 30 36
30% 30 40
36 33 33 29
24
20% 22 19 20 24
19 20 24
17
20 13 12 10
10% 10 10 10 12 12
5 9 8 7 8 8
2
0 0 0 0
0
AFR EUR MENA NAC SACA SEA WP AFR EUR MENA NAC SACA SEA WP China India United Brazil Mexico Indonesia Russian Egypt Germany Pakistan
States Federation

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Country summary table: estimates 2017
* Based on extrapolation from similar countries
Country/territory IDF Adults with Diabetes Adults with Mean Diabetes Country/territory IDF Adults with Diabetes Adults with Mean Diabetes
Region diabetes age-adjusted Undiagnosed diabetes-related related deaths Region diabetes age-adjusted Undiagnosed diabetes-related related deaths
(20-79) (20-79) diabetes (20-79) expenditure per (20-79 years) (20-79) (20-79) diabetes (20-79) expenditure per (20-79 years)
in 1,000s comparative in 1,000s person (20-79) with in 1,000s comparative in 1,000s person (20-79) with
prevalence (%) diabetes (R=2, USD) prevalence (%) diabetes (R=2, USD)

Afghanistan* MENA 1,032.6 9.6% 718.7 112.3 19,147 Liberia* AFR 44.1 2.4% 33.6 92.4 750
Albania* EUR 249.0 10.1% 101.2 354.9 2,458 Libya* MENA 442.5 10.4% 190.1 578.7 3,121
Algeria MENA 1,782.3 6.7% 1171.9 562.0 12,526 Liechtenstein* EUR 2.8 7.8% 1.0 - 12
Andorra* EUR 6.0 8.0% 2.2 4,159.0 32 Lithuania EUR 108.7 3.7% 38.9 1,350.2 1,275
Angola* AFR 350.8 3.9% 174.3 376.7 5,961 Luxembourg EUR 24.6 4.4% 8.8 10,680.3 118
Anguilla* NAC 1.3 12.6% 0.5 - 72 Macau China* WP 45.0 8.3% 21.8 - -
Antigua and Barbuda* NAC 8.5 13.2% 2.6 1,086.5 15,546 Macedonia* EUR 188.8 10.1% 76.7 452.2 1,964
Argentina SACA 1,757.5 5.5% 629.8 907.0 2,012 Madagascar* AFR 372.8 3.9% 284.6 27.0 4,686
Armenia* EUR 168.4 7.1% 68.4 214.1 4,576 Malawi* AFR 195.7 3.9% 149.4 60.1 6,819
Aruba* NAC 11.3 11.6% 3.4 - - Malaysia WP 3,492.6 16.7% 1,766.8 625.4 22,321
Australia WP 1,133.0 5.1% 403.8 7,820.5 4,576 Maldives SEA 18.4 9.2% 10.0 1,894.8 112
Austria EUR 592.0 6.4% 211.7 6,554.2 2,861 Mali* AFR 143.4 2.4% 109.5 102.1 2,532
Azerbaijan* EUR 484.6 7.1% 196.9 697.3 4,877 Malta EUR 42.3 8.8% 15.1 2,778.3 197
Bahamas* NAC 37.9 13.2% 11.5 2,319.8 320 Marshall Islands WP 10.6 30.5% 5.6 749.6 161
Bahrain* MENA 165.3 16.5% 62.9 1,769.9 560 Martinique* NAC 51.3 11.6% 15.6 - -
Bangladesh SEA 6,926.3 8.4% 3878.7 51.4 97,641 Mauritania* AFR 42.9 2.4% 21.3 94.6 566
Barbados NAC 35.6 13.6% 9.3 1,363.9 294 Mauritius SEA 227.8 22.0% 121.1 535.2 2,609
Belarus* EUR 482.5 5.2% 196.1 592.6 7,540 Mexico NAC 12,030.1 13.1% 4,504.1 957.3 85,932
Belgium EUR 500.8 4.3% 179.1 6,150.1 2,806 Moldova EUR 190.0 5.7% 77.2 318.4 2,337
Belize NAC 31.5 17.1% 13.0 443.4 318 Monaco* EUR 2.2 5.5% 0.8 9,634.9 11
Benin AFR 41.0 1.0% 31.3 78.1 676 Mongolia WP 97.8 4.8% 69.3 308.3 1,245
Bermuda NAC 6.6 13.0% 2.0 - - Montenegro* EUR 57.9 10.1% 23.5 - 657
Bhutan* SEA 40.2 9.8% 21.8 142.7 304 Montserrat* NAC 0.5 13.2% 0.1 - -
Bolivia SACA 391.0 6.9% 108.6 348.4 4,404 Morocco MENA 1,641.9 7.1% 705.2 294.6 9,977
Bosnia and Herzegovina* EUR 366.9 10.1% 149.1 554.1 3,691 Mozambique AFR 292.7 3.3% 253.7 87.1 9,259
Botswana AFR 52.5 4.8% 26.1 653.2 1,251 Myanmar WP 1,399.0 4.6% 747.0 35.2 34,205
Brazil SACA 12,465.8 8.1% 5734.3 1,405.9 108,587 Namibia* AFR 45.5 3.9% 22.6 924.8 933
British Virgin Islands NAC 2.8 13.7% 0.9 - - Nauru WP 1.5 24.1% 0.7 683.0 15
Brunei Darussalam* WP 41.1 12.8% 19.9 1,337.8 278 Nepal SEA 657.2 7.3% 532.1 70.8 11,693
Bulgaria EUR 424.3 5.8% 137.8 798.0 5,982 Netherlands EUR 969.8 5.3% 346.7 7,038.8 4771
Burkina Faso* AFR 152.4 2.4% 116.3 74.0 3,327 New Caledonia* WP 46.2 23.4% 22.4 - -
Burundi* AFR 132.9 6.0% 101.4 44.0 2,822 New Zealand WP 326.1 8.1% 83.8 6,090.0 1,374
Cambodia WP 246.2 4.0% 154.3 111.8 5,030 Nicaragua SACA 373.4 11.5% 133.8 272.9 2,925
Cameroon AFR 680.4 7.2% 338.1 110.4 15,758 Niger* AFR 167.8 2.4% 128.1 53.5 3,028
Canada NAC 2,603.2 7.4% 793.6 6,519.5 11,303 Nigeria* AFR 1,702.9 2.4% 846.3 240.4 40,329
Cape Verde* AFR 6.3 2.4% 3.1 299.1 56 Niue* WP 0.3 27.3% 0.1 - 1
Cayman Islands* NAC 5.4 13.2% 1.7 - - Norway* EUR 298.0 5.3% 106.5 12,033.4 1,349
Central African Republic* AFR 120.2 6.1% 91.7 28.9 3,281 Oman MENA 367.7 12.6% 161.0 1,034.9 1,205
Chad* AFR 235.3 6.1% 179.6 77.2 5,792 Pakistan MENA 7,474.0 8.3% 4,594.3 62.4 79,354
Channel Islands* EUR 7.0 4.3% 2.5 - - Palau WP 2.4 15.9% 1.3 1,631.3 16
Chile SACA 1,199.8 8.5% 258.1 1,555.1 7,103 Panama SACA 215.9 8.3% 77.4 1,467.4 1,318
China WP 11,4394.8 9.7% 61294.0 549.4 842,994 Papua New Guinea WP 639.8 17.7% 341.6 144.7 6,463
Colombia SACA 2,671.4 7.4% 957.3 853.7 17,038 Paraguay* SACA 298.0 8.3% 106.8 777.5 2,654
Comoros AFR 31.2 11.9% 16.1 100.1 340 Peru SACA 1,130.8 5.9% 452.3 565.7 7,129
Cook Islands* WP 1.5 12.0% 0.7 - 7 Philippines WP 3,721.9 7.1% 2,481.4 234.1 39,387
Costa Rica SACA 319.1 8.8% 114.4 1,390.3 1,712 Poland EUR 2,235.8 5.9% 1,008.1 1,153.7 18,096
Côte d'Ivoire* AFR 217.3 2.4% 108.0 177.6 4,962 Portugal EUR 1,065.0 9.8% 464.2 2,230.1 5,788
Croatia EUR 219.0 5.6% 92.0 1,266.3 1,628 Puerto Rico SACA 400.6 12.9% 124.0 - -
Cuba* SACA 897.6 8.3% 321.7 1,027.2 7,061 Qatar* MENA 259.2 16.5% 98.7 3,061.6 513
Curaçao* NAC 18.7 11.6% 5.7 - - Republic of Congo* AFR 148.9 7.2% 74.0 302.3 2706
Cyprus EUR 93.2 9.2% 34.1 2,191.5 395 Republic of Korea WP 3,465.4 6.8% 1,319.8 2,582.3 33,564
Czech Republic EUR 767.8 6.8% 274.5 1,626.7 5,627 Réunion AFR 109.7 13.8% 39.0 - -
Democratic People's Republic of Romania EUR 1,785.3 9.7% 369.6 649.3 20,585
WP 842.0 4.0% 674.0 - 17,064
Korea*
Russian Federation EUR 8,455.3 6.2% 4,540.5 1,175.7 115,985
Democratic Republic of the Congo* AFR 1,706.7 6.1% 1302.9 38.3 28,550
Rwanda AFR 203.3 4.3% 155.2 101.5 3,877
Denmark EUR 386.7 6.4% 253.6 7,768.8 2,210
Samoa WP 7.4 9.2% 3.6 543.0 82
Djibouti* AFR 39.5 6.0% 19.6 315.1 542
San Marino* EUR 2.1 5.6% 0.7 3,991.1 9
Dominica* NAC 6.0 11.6% 2.1 571.1 64
Sao Tome and Principe* AFR 1.8 2.4% 0.9 331.1 20
Dominican Republic SACA 520.8 8.2% 186.6 433.7 6,541
Saudi Arabia MENA 3,852.0 17.7% 1,516.5 1,661.4 14,665
Ecuador SACA 554.5 5.6% 198.7 931.4 3,907
Senegal* AFR 135.6 2.4% 103.5 100.5 1,856
Egypt MENA 8,222.6 17.3% 4367.0 268.4 71,293
Serbia* EUR 858.9 10.1% 349.0 760.7 10,045
El Salvador* SACA 332.7 8.9% 119.2 422.7 2,927
Seychelles AFR 7.5 10.6% 3.5 668.8 68
Equatorial Guinea* AFR 31.8 7.8% 15.8 1,189.6 537
Sierra Leone* AFR 59.9 2.4% 45.8 173.6 1,653
Eritrea* AFR 83.5 6.0% 63.8 49.9 1,283
Singapore WP 606.0 11.0% 327.1 3,268.2 4,387
Estonia EUR 55.3 4.0% 19.8 1,572.8 544
Sint Maarten* NAC 3.6 13.2% 1.1 - -
Ethiopia AFR 2,567.9 7.5% 1960.3 48.8 30,972
Slovakia EUR 405.8 7.3% 98.5 1,836.0 3,828
Faroe Islands* EUR 2.5 5.3% 0.9 - -
Slovenia EUR 161.6 7.3% 57.8 2,520.4 946
Federated States of Micronesia* WP 6.1 12.0% 3.2 702.7 58
Solomon Islands WP 43.0 18.7% 23.0 167.9 335
Fiji WP 81.7 14.5% 43.5 298.5 843
Somalia* AFR 216.3 6.0% 165.2 - 3,957
Finland EUR 370.3 5.8% 224.4 5,378.5 2,063
South Africa AFR 1,826.1 5.5% 1,548.5 935.4 42,621
France EUR 3276.4 4.8% 1228.3 6,123.9 18,305
South Sudan* AFR 431.4 10.4% 329.4 - 6,434
French Guiana* SACA 13.1 8.3% 4.7 - -
Spain EUR 3,584.5 7.2% 1,017.6 3,045.0 15,557
French Polynesia WP 45.4 22.6% 22.0 - -
Sri Lanka SEA 1,198.1 10.7% 428.7 184.8 15,534
Gabon* AFR 66.0 7.2% 32.8 551.2 919
St Kitts and Nevis NAC 5.0 12.8% 1.5 1,068.3 61
Gambia AFR 14.4 1.9% 11.0 64.2 189
St Lucia* NAC 14.2 11.6% 5.0 703.3 146
Georgia* EUR 232.6 7.1% 94.5 385.8 2,764
St Vincent and the Grenadines* NAC 8.4 11.6% 3.0 833.7 117
Germany EUR 7,476.8 8.3% 2555.4 5,891.1 40,198
State of Palestine MENA 168.8 10.6% 42.3 - -
Ghana AFR 518.4 5.0% 257.6 106.5 9,778
Sudan MENA 2,247.0 15.7% 965.2 225.1 27,615
Greece EUR 578.3 4.5% 206.7 2,056.5 3,069
Suriname NAC 45.7 12.5% 16.1 841.5 544
Greenland EUR 0.9 2.2% 0.3 - -
Swaziland* AFR 17.0 3.9% 8.5 474.7 970
Grenada NAC 6.5 10.7% 2.3 766.6 103
Sweden EUR 499.3 4.8% 178.5 8,356.0 2,221
Guadeloupe* NAC 53.5 11.6% 18.9 - -
Switzerland EUR 469.4 5.6% 167.8 11,825.0 1,754
Guam WP 26.1 21.5% 12.6 - -
Syrian Arab Republic* MENA 705.7 8.2% 303.1 122.0 7,052
Guatemala SACA 752.7 10.2% 269.7 398.5 7,709
Taiwan WP 1,958.0 8.8% 838.0 - -
Guinea* AFR 122.2 2.4% 93.3 61.3 2,004
Tajikistan* EUR 267.5 7.1% 108.7 140.1 2,614
Guinea-Bissau* AFR 18.4 2.4% 14.1 73.2 361
Thailand WP 4,208.6 7.0% 1,849.4 310.0 44,045
Guyana* NAC 52.4 11.6% 18.5 356.4 886
Timor L'Este* WP 32.9 6.9% 17.6 113.1 370
Haiti NAC 351.4 6.6% 217.9 108.6 5,561
Togo AFR 172.1 6.2% 158.4 62.7 2,647
Honduras SACA 285.8 7.2% 102.4 362.6 1,818
Tokelau WP 0.2 27.0% 0.1 - -
Hong Kong China WP 636.0 8.3% 409.8 - -
Tonga WP 7.3 15.4% 5.0 340.1 68
Hungary EUR 706.8 7.5% 117.8 1,224.0 8,584
Trinidad and Tobago NAC 117.4 11.0% 35.8 1,536.2 1,335
Iceland* EUR 18.0 5.3% 6.4 6,130.4 70
Tunisia MENA 762.2 8.5% 571.6 444.4 5,303
India SEA 72,946.4 10.4% 42210.3 119.4 997,803 Turkey EUR 6,694.5 12.1% 2,558.8 813.6 46,270
Indonesia WP 10,276.1 6.3% 7571.4 165.6 114,069 Turkmenistan* EUR 210.5 7.1% 85.6 306.8 2,952
Iraq MENA 1,411.5 8.8% 664.1 543.6 15,641 Tuvalu* WP 1.8 27.3% 0.9 761.6 15
Ireland EUR 141.5 3.3% 50.6 5,975.4 704 Uganda AFR 259.1 2.5% 197.8 112.4 6,154
Islamic Republic of Iran MENA 4,985.5 9.6% 1748.5 532.9 32,415 Ukraine* EUR 2,836.3 7.1% 1,152.6 249.1 41,505
Israel EUR 415.8 6.7% 148.7 4,162.1 1,888 United Arab Emirates MENA 1185.5 17.3% 482.5 2,269.3 2,160
Italy EUR 3,402.3 4.8% 1216.4 3,700.8 14,549 United Kingdom EUR 2,747.7 4.3% 508.3 4,988.6 14,593
Jamaica NAC 209.3 11.3% 51.2 378.6 2,130 United Republic of Tanzania AFR 897.0 5.8% 714.9 104.1 17,725
Japan WP 7,234.2 5.7% 3368.6 3,925.4 70,347 United States of America NAC 30,187.5 10.8% 11,543.8 11,638.3 176,740
Jordan MENA 408.1 11.8% 156.3 619.4 2,838 Uruguay* SACA 152.8 6.9% 47.3 1961.9 1,096
Kazakhstan* EUR 818.2 7.1% 332.5 833.0 10,471 US Virgin Islands NAC 12.3 12.3% 3.4 - -
Kenya AFR 458.9 2.9% 165.2 153.7 7,865 Uzbekistan EUR 1,236.4 7.6% 362.8 201.9 13,409
Kiribati WP 13.0 22.7% 7.0 224.6 108 Vanuatu* WP 16.2 12.0% 8.6 263.9 126
Kuwait MENA 441.0 15.8% 74.1 1,960.4 1,219 Venezuela SACA 1,311.4 6.5% 469.9 1,417.7 10,242
Kyrgyzstan* EUR 220.8 7.1% 89.7 139.0 2,483 Viet Nam WP 3,535.7 6.0% 1,887.9 216.6 29,068
Lao People's Democratic Republic* WP 115.2 4.0% 61.5 61.7 2,548 Western Sahara* AFR 9.6 2.4% 7.4 - -
Latvia EUR 102.0 4.9% 36.5 1,135.2 1,051 Yemen MENA 530.5 5.4% 118.0 156.4 5,904
Lebanon MENA 585.4 12.7% 251.4 773.7 5,530 Zambia* AFR 222.0 3.9% 110.3 178.9 7,192
Lesotho* AFR 30.3 3.9% 15.1 198.3 1,394 Zimbabwe AFR 99.4 1.8% 75.9 117.2 2,757