IDF DIABETES ATLAS     5

NORTH AMERICA
AND CARIBBEAN

WESTERN PACIFIC

• 1 out of every 3 dollars spent on

• 1 in 9 adults in this region

• 1 in 3 adults with diabetes

diabetes healthcare was spent in
this region

has diabetes

• More than half of people with

1 in 10 adults in this region
has diabetes

edition  |  2012 update

EUROPE

MIDDLE EAST AND
NORTH AFRICA

More healthcare dollars were
spent on diabetes in this region
than any other

th

lives in this region

• 6 of the top 10 countries

• 21.2 million people in this region

diabetes in this region don’t
know they have it

for diabetes prevalence are
Pacific Islands

have diabetes and don’t know it

6.7%

10.5%
38.6%
UNDIAGNOSED

55 M

PREVALENCE

PREVALENCE
29.2%
UNDIAGNOSED

38 M

10.9%

52.9%
UNDIAGNOSED

34 M

PREVALENCE

51.1%
UNDIAGNOSED

70 M

8.7%
9.2%
4.3%

8.3%
PREVALENCE

PREVALENCE

45.5%
UNDIAGNOSED

26 M

PREVALENCE

8.0%

PREVALENCE

15 M

PREVALENCE

132 M

81.2%
UNDIAGNOSED

50%
UNDIAGNOSED

WORLD
371 M
people living with
diabetes

SOUTH AND CENTRAL
AMERICA

AFRICA

Only 5% of all healthcare
dollars for diabetes were
spent in this region

Over the next 20 years, the number
of people with diabetes in the
region will almost double

1 in 11 adults in this region
has diabetes

This region has the highest
mortality rate due to diabetes

57.9%
UNDIAGNOSED

SOUTH-EAST
ASIA
1 in 5 of all undiagnosed cases
of diabetes is in this region
1 in 4 deaths due to diabetes
occurred in this region
*all estimates are presented as comparative rates

More than 371 million
people have diabetes.

The number of people
with diabetes is increasing
in every country.

Half of people with
diabetes don’t know
they have it.

TOP 10 COUNTRIES / TERRITORIES FOR PEOPLE WITH
DIABETES (20-79 YEARS)

TOP 10 COUNTRIES / TERRITORIES FOR PREVALENCE* (%)
OF DIABETES (20-79 YEARS)

UNDIAGNOSED PERCENTAGE AND UNDIAGNOSED CASES OF
DIABETES (20-79 YEARS) BY REGION

70

Brazil

13.4

Russian
Federation

3 Marshall Islands

27.1

12.7

4 Kiribati

25.5

5 Tuvalu

24.8

6 Kuwait

23.9

Mexico

10.6

Indonesia

7.6

Egypt

7.5

7 Saudi Arabia

23.4

Japan

7.1

8 Qatar

23.3

Pakistan

6.6

9 Bahrain

22.4

10 Vanuatu

22.0

0

10

20

30

40

50

60

70

80

90

100

Millions

*

140

60

58%

53%

50

45%

76

0

60
36

20

21

12

comparative prevalence

18

100
80

29%

30

10

50%

38%

40

120

51%

11

40
20

12

0

Cases in Millions

30.1

World

2 Nauru

160

Western Pacific

80

South-East Asia

37.2

South and
Central America

1 Federated States of Micronesia

North America and
the Caribbean

24.1

200
180

81%

Middle East and
North Africa

USA

90

187

Europe

63.0

100

PREVALENCE (%)

Percentage

India

COUNTRY /TERRITORY

Africa

92.3

China

4 out of 5 people with
diabetes live in low- and
middle-income countries.

Half of people who die
from diabetes are under
the age of 60.

4.8 million people died and
471 billion USD were spent
due to diabetes in 2012.

PREVALENCE* (%) ESTIMATES OF DIABETES (20-79 YEARS)
BY INCOME GROUP AND AGE

DEATHS ATTRIBUTABLE TO DIABETES BY AGE (20-79 YEARS)

HEALTHCARE EXPENDITURES AND DEATHS PER 1,000 DUE
TO DIABETES BY INCOME GROUP

40

45

50

55

60

High-income
Upper middle-income

Lower middle-income
Low-income

CORPORATE SPONSORS | IDF would like to express
its thanks to the following sponsors for their generous
support of this update of the IDF Diabetes Atlas:

65

70

75 80
Age (years)

9
-5 s
5 0 e ar
y

2
1.

M

7
ye 0-79
ar
s

1.
3

6
ye 0 - 6
ar 9
s

Supported through an
unrestricted grant by the
Novo Nordisk Changing
Diabetes® initiative

200
150

0.5

0.5
53

100
29

1.2

50
0

www.idf.org/diabetesatlas
© International Diabetes Federation, 2012

Billions (USD)

1.0

0.0

M

250

1.1

Low-income

35

300

1.2

Lower middleincome

30

1.3

High-income

25

*comparative prevalence

1.5

M

M

5%
20

350

Deaths per 1,000

0. 6

1.
2

0.1 M

10 %

M

40
yea-49
rs

15 %

0. 4

20 %

400

Upper middleincome

20 -29
ye ar s

-3 9
3 0 ar s
ye

25 %

387

2.0

98 43.09 253.18 1.386.16 156.93 321.81 84.029 2.12 8.03 9.003 28.97 5.68 679.532.48 11.550.02 143.73 191.10 5.62 391.45 56.56 22.15 10.91 292.36 162.761 303 744 107.357.28 95.44 300.94 124.021 2.65 4.03 16.29 7.16 5.551.169 311.308.93 4.65 78.41 117.19 140.74 3.20 1.560 470 6.182.32 10.29 5.92 1.73 132.77 6.637 8.06 436.80 172.85 60.22 11.04 7.59 108.154 95 15.52 15.50 545.85 5.58 62.61 7.181.36 11.48 3.92 419.91 3.37 1.33 823.08 6.459 490 1.32 3.51 119.66 12.64 56.577.85 WP AFR MENA AFR AFR - 3.22 5.21 3.52 12.26 6.554.30 1.36 7. People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Diabetes cases (20-79) in 1000s Diabetes comparative prevalence (%) WHO Standard  Diabetesrelated deaths (20-79) Mean diabetesrelated expenditure per person with diabetes (USD) Number of people with undiagnosed diabetes (20-79) in 1000s MENA EUR MENA EUR AFR NAC NAC SACA EUR NAC WP EUR EUR NAC MENA SEA NAC EUR EUR NAC AFR NAC SEA 849.61 720.07 10.03 2.20 72.37 354.56 12.35 465.67 12.300 3.03 608.80 149.50 6.18 5.54 174.54 2.87 18.13 73.776 25.65 6.88 221.36 7.99 170.477 30.677.71 12.51 95.36 5.58 231.67 6.14 187.47 721.343 7.52 12.09 453.68 6.11 5.32 7.78 57.55 7.82 86.992.15 7.88 1.01 7.16 6.62 99 394.91 2.318.98 30.30 60.11 15.04 5.94 62.21 3.66 266.76 0.007.83 4.88 3.03 259.36 6.821 2.659 10.80 7.01 7.96 50.76 51.46 3.889 - 91.33 842.511.91 89.170.521.54 7.583 100 1.39 517.17 1.406 7.68 30.859 146 2.71 2.92 46.01 11.681.642.04 3.81 264.92 0.57 12.91 2.88 5.281.52 2.966 483 856 2.272.22 NAC 24.42 13.57 2.91 302.031.61 1.949 2.181.57 2.99 AFR SACA NAC WP EUR AFR AFR WP AFR NAC AFR NAC AFR AFR EUR SACA WP WP WP SACA AFR AFR WP SACA AFR EUR SACA EUR EUR WP AFR EUR AFR NAC SACA SACA MENA SACA AFR AFR EUR AFR WP EUR EUR SACA WP COUNTRY/ TERRITORY IDF REGION Diabetes cases (20-79) in 1000s Diabetes comparative prevalence (%) WHO Standard  Diabetesrelated deaths (20-79) Mean diabetesrelated expenditure per person with diabetes (USD) Number of people with undiagnosed diabetes (20-79) in 1000s Gabon Gambia Georgia Germany Ghana Greece Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia (Fed.20 390.270.72 9.39 83.71 3.26 3.61 4.46 1.09 3.14 140.35 3.54 1.514.18 123.539.59 16.567 3.06 209.06 1.58 5.71 311.355 25.150 60.207 14.40 1.367 1.622.06 722.60 54.31 5.06 3.75 354.760.602 281 2.49 477.13 75.36 413.357 1.66 448.97 2.07 120.25 106 42.69 233.732 124.14 10.321.77 547.98 80.440.895.93 43.44 2.95 1.13 429.60 305.160 3.99 4.33 150.02 6.56 28.87 5.01 14.521.35 166.15 10.74 26.37 7.01 20.39 184.397 274 1.73 12.964.082.249.85 21.18 1.478.12 11.15 8.45 3.57 366.13 8.51 1.81 4.633 8.52 3.18 7.89 658.54 23.33 5.422 38 2.05 1.66 7.12 1.321.507.220 63 107 35.48 9.03 9.162.21 11.062 3.79 7.10 - - 3.50 609.39 5.66 7.86 37.82 818.68 186.733 168 1.30 8.198.48 2.30 336.392 4.27 184 377.347 1.39 469.350.45 5.56 362.27 513.46 3.284.89 16.059.354 2.79 187.47 3.199 - 831 737.933 2.752 1.18 110.73 1.75 2.492 84.68 79.03 650.68 185.05 92.83 934.85 469.386.59 257.031.763 15 661 29.01 72.59 6.19 1.604.49 MENA 343.91 951.61 332.23 160.88 76.435.226 226 8.43 11.61 869.44 1.643.82 7.48 10.34 23.50 7.72 295.36 162 953.88 966.32 293.77 1.77 114.51 160.52 532.65 1.09 3.105.569 10.58 923.174 8.240 14.02 9.36 4.144.334 139 - 814.26 402.31 936.31 0.21 5.91 11.343.67 AFR 492.15 405.68 5.62 92.56 34.65 27.11 12.33 82.60 2.338 7.90 71.85 11.144.13 0.27 193.89 6.41 18.36 9. Macao SAR Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Dem.60 9.987 4.723.903.40 SACA 1.12 11.568 7.29 1.89 9.417.52 36.60 309.057 155.74 4.52 NAC WP EUR AFR MENA AFR EUR AFR AFR WP EUR EUR WP AFR AFR EUR SEA MENA NAC AFR EUR EUR MENA WP EUR EUR WP WP AFR WP WP NAC MENA EUR EUR WP AFR EUR MENA EUR .33 9.156 40.23 1.133 1.22 6.28 2.40 0.77 598.86 5.15 589.76 3.13 1.223.07 4.43 14.83 62.26 8.94 8.68 401.85 4.07 3.802.208.79 8.81 335.46 23.202 3.859.58 1.66 25.605 3.013.31 629.28 261.869 1.427 86.717. States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Occupied Palestinian Territory Oman AFR AFR EUR EUR AFR EUR NAC NAC WP SACA AFR AFR NAC NAC SACA EUR EUR SEA WP MENA MENA EUR EUR EUR NAC WP MENA EUR AFR WP MENA EUR 69.167 4.19 7.54 16.99 1.86 6.441.80 MENA 129.01 5.82 2.62 17.06 206.02 638.09 6.21 164.49 1.29 242.082.752 27.603.49 6.29 15.57 259.067.28 5.81 9.011 4.282.766.91 110.64 10.97 41.56 73.17 5.74 0.59 9.72 45.80 1.06 47.81 6.85 3.101.122 11.90 236.25 0.40 412.22 243.20 67.68 595.13 3.41 29.64 11.96 15.53 2.73 1.84 7.75 8.15 - - 72.33 7.75 7.04 8.79 1.72 11.265 6.76 1.45 490.78 268 568.87 212.61 16.24 57.28 1.97 7.207.88 361.584 388.93 5.04 82.86 2.588 17.41 7.539 220.87 227.144.254 6 1.73 19.22 20.30 30.55 6.459 18.39 115.45 607.617.838.80 10.12 3.113.857 12.40 992.160.54 4.96 5.27 241.40 7.64 5.80 0.51 271.25 1.51 2.20 70.81 605.465 37.17 794.96 2.50 5.220.42 1.94 2.727 27 11.978.263 2.495.28 221.45 265.98 23.64 34.13 0.50 33.290 17.12 1.747 118.78 5.01 487.25 333.77 12.86 506.96 55.69 303.414.570.56 6.759.70 109.15 244.76 15.44 6.63 8.66 2.39 MENA 145.54 190.55 1.87 7.30 SACA EUR WP 157.52 585.71 84.53 7.21 7.60 53.04 3.90 181.01 242 - 77.973 5.85 133.95 83.38 319.34 239.18 815.50 67.650.403.06 13.54 5.93 10.95 2.52 9.95 2.703 38 4.89 414.25 3.39 64.84 81.71 2.14 307.13 5.38 937.99 12.33 361.284.991 2.53 0.430 8.97 108.71 2.79 5.093.29 740.89 4.30 97.31 240.55 80.17 1.60 EUR 267.76 303.65 33.12 13.694.40 158.80 2.71 5.01 47.88 61.774.05 1.73 993.740 15.773 879 12.29 1.01 811.079.378 201 1.66 32.92 21.126 - 6.140.85 108.820 328 922.11 673.70 9.33 3.319.182 1.17 12.108.13 2.20 1.879.26 7.70 915.62 7.20 59.842 1.74 424.87 24.97 2.89 5.233 326 1.51 5.664 73.82 11.06 2.26 6.58 1.21 7.09 89.165 2.824.72 2.65 180.37 247.56 37.63 EUR EUR EUR AFR AFR WP SEA AFR EUR WP NAC AFR SEA NAC WP COUNTRY/ TERRITORY IDF REGION Diabetes cases (20-79) in 1000s Diabetes comparative prevalence (%) WHO Standard  Diabetesrelated deaths (20-79) Mean diabetesrelated expenditure per person with diabetes (USD) Number of people with undiagnosed diabetes (20-79) in 1000s Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Réunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan TFYR Macedonia Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Western Sahara Yemen Zambia Zimbabwe World MENA WP SACA WP SACA SACA WP EUR EUR SACA MENA WP EUR AFR EUR EUR AFR NAC NAC 6.562 630.548.30 101.23 5.79 142.03 225.168.64 142.02 1.24 246.285 23.226.07 1.84 251.78 8.536 2.79 84.890 621 29.62 9.248.492.30 648.28 412.08 9.590. Hong Kong SAR China.14 36.16 1.612.671.107.30 482.61 5.63 12.92 12.03 695.72 18.184.04 1.90 10.63 332.81 15.478.20 45.73 15.016.99 539.84 17.06 12.82 93.92 1.28 136.54 37.59 102.263 163 6.93 5.602 1.57 94.13 25.63 149.12 EUR MENA AFR AFR 166.75 24.81 165.18 15.451 45.33 31.593 17.03 5.55 755.192 11.13 193.20 9.68 371.162 125 80.94 3.13 9.01 21.59 153 14 51 20.061.165.14 19.22 4.42 827.36 3 16.04 59.44 22.452.71 8.48 15.94 428.02 543.16 902 770.73 3.23 7.03 68.03 49.183 5.20 283.94 4.14 5.38 5.977 3.67 498.85 2.91 230.58 9.334 25 11.28 1.07 2.03 1.606.09 47.336 18 1.21 4.736 2.41 136.70 24.08 44.49 344.87 898.01 802.20 55.59 11 3.252.600.335.399.79 3.265 1.120.31 5.32 10.95 589.71 80.48 1.03 9.41 9.66 24.61 131.25 8.19 29.87 7.22 72.681 1.207.850 34.22 1.52 72.57 7.64 14.88 172.05 1.59 0.64 10.24 7.437.14 3.82 15.266 99 7.777.22 413.53 79.62 9.81 561.483 58 1.89 11.074.71 8.18 14.34 5.67 8.013.32 850.22 351.66 3.73 7.28 12.296 23.46 2.99 67.69 1.826 2.97 96.35 183.40 9.19 1.19 108.68 1.55 6.12 3.15 4.582.19 143.226 10.061 21.87 279.45 70.38 3.25 192.21 38.34 4.49 7.806 24.35 421.31 47.655 2.68 11.37 872.93 1.27 141.48 889.10 22.77 5.07 6.71 6.100.22 509.416 1.47 468.84 10.781 502 48 5.44 205.188 1.083 235 203 948 1.98 23.14 6.329.610.02 9.28 335.380 914.10 1.97 10.58 563.480 512 9.978.86 7.21 120.71 109.86 12.15 68.93 3.15 2.88 293.837 32.65 21.48 894.39 2.96 6.559 479 3.70 738.46 24.35 530.642 3.38 11.281.66 500.962 129.12 276.34 3.17 782.67 1.63 419.39 1.103 4.08 223.09 0.93 394.23 6.80 5.60 131.05 9.76 12.66 1.47 363.327.567 63.95 173.89 12.76 28.459 1.781 5.30 252 1.23 2.96 12.750 2.73 29.75 3.252 7.90 EUR WP EUR MENA AFR WP AFR WP SEA EUR NAC WP WP SACA AFR AFR WP EUR 2.22 26.04 142.399 4.67 107.24 21.31 109.673.76 3.145.67 1.036 1.45 5.92 3.676.42 SACA 325.001 5.45 11.72 116.04 1.09 65.58 1.54 2.58 4.45 3.25 150.26 1.30 3.29 24.65 9.816 5.Country summary table: estimates for 2012 COUNTRY/ TERRITORY IDF REGION Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China China.06 23.75 312.30 11.09 5.55 5.07 78.61 92.79 105.67 38.764.54 129.94 2.71 4.58 188.452.03 9.86 732.38 4.80 63.046 62.64 31.200 10.89 7.60 262.064.330 267 10.54 182.057.99 60.83 9.21 240.527 75.91 478.36 9.30 143.26 407.29 279.21 1.47 1.55 23.95 1.30 1.96 6.887 728.26 1.59 578.13 6.44 97.76 35.72 3.56 34.80 5.13 470.16 15.40 4.70 - 125.296.18 154.70 12.379.06 3.30 52.21 222.60 1.60 WP 144.222 6.17 38.01 154.48 209.81 3 1.086.535 29.98 12.325 52.72 NAC 11.16 189.237.75 8.205 584 2.113 10.73 16.39 13.88 4.61 1.333 88.67 3.

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