IDF Diabetes Atlas 2021

10th edition atlas@idf.org | www.diabetesatlas.org

Highlights
In 2021, IDF estimates show that:

1 in 10 1 in 18 3 in 4
Adults (20-79 years) Adults (20-79 years) has People with diabetes live in
has diabetes impaired fasting glucose low and middle-income countries
537 million people 319 million people

1 in 2 1 in 6 11.5%
Adults is undiagnosed Live births (21 million) affected Of global health expenditure spent
240 million people by hyperglycaemia in pregnancy, on diabetes (USD 966 billion)
80% have mothers with GDM

1 in 9 1.2 million 6.7 million

Adults (20-79 years) has Children and adolescents below Deaths attributed to diabetes
impaired glucose tolerance 20 years have type 1 diabetes
541 million people

2 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Highlights
In 2021, IDF estimates show that:

1.67 million US$206 billion

More USD spent on diabetes
700,000
More adults with impaired More pregnancies affected
glucose tolerance by hyperglycaemia

7.8 million 149,500 2.5 million

More adults with diabetes More children and adolescents More deaths caused by diabetes
undiagnosed with type 1 diabetes

73.6 million
More adults with diabetes

3 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

All editions of the Atlas
2000-2021

First edition, 2000 Second edition, 2003 Third edition, 2006 Fourth edition, 2009 Fifth edition, 2011

Sixth edition, 2013 Seventh edition, 2015 Eight edition, 2017 Ninth edition, 2019 Tenth edition, 2021

4 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Number of people with diabetes
Aged 20–79 years globally and by IDF region

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Estimates and projections
Global number of adults (20–79 years) in millions

6 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Number of adults with diabetes
Aged 20–79 years, 2021

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Prevalence of diabetes
By age and income group (%), 2021

8 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Estimated age-adjusted comparative prevalence of diabetes
In adults aged 20–79 years in 2021

9 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Number of people with diabetes
In adults aged 20–79 years living in urban and rural areas in 2021 and 2045

10 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Top 10 countries with diabetes
In adults aged 20–79 years and diabetes-related health expenditure, 2021

11 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Number and proportion of adults with undiagnosed diabetes
Aged 20–79 years, per region, 2021

12 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Proportion of adults with undiagnosed diabetes
Aged 20–79 years by country in 2021

13 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Age-sex standardised incidence rates of type 1 diabetes
Per 100,000 population per annum in children and adolescents aged 0–14 years and incidence of
adult-onset type 1 diabetes in adults aged 20–40 years

14 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Impaired glucose tolerance and impaired fasting glucose
Per IDF region, 2021

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Hyperglycaemia in pregnancy
Per IDF region, 2021

16 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Number of deaths by sex and age
Aged 20–79 years, 2021

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Total diabetes-related health expenditure for adults
Aged 20–79 years with diabetes in USD and ID

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Total diabetes-related expenditure and health expenditure
Per person and per income group, 2021

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Diabetes-related health expenditure as a percentage
of Gross Domestic Product (GDP)
By IDF region

21 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

 Limitations

 Our definition of diabetes is based on an epidemiological definition and we require only one abnormal glucose value,
compared to a clinical diagnosis where abnormal glucose on two tests is required to make a diagnosis

 Raw data is subject to heterogeneity in terms of calendar year, diagnostic method, representativeness and precision of
the study design. While we attempt to address this using analytic hierarchy process, bias may still be present

 For countries without in-country data, diabetes prevalence is extrapolated based on data from a country with similar
demography, economy and language group. This may introduce error

 There is a dearth of data from the African region

 For our projections, we only consider demographic changes in age, sex and urbanisation. We do not take into account
other factors that may influence diabetes incidence

22 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Contact | Website diabetesatlas.org
Summary

 In 2021, the IDF 10 Edition of the Atlas estimates that 1/10 people aged 20-79 have diabetes

 This equates to 537 million people in the world

 By 2045, this number will increase to 784 million

 There still remain gaps in our estimates due to absent and low-quality data in some parts of the world

 There is a strong need for effective intervention strategies and policies to stall the increase in the number of people
developing diabetes

23 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed

Acknowledgements

IDF Diabetes Atlas, 10th Edition Committee Data

Dianna J Magliano (Co-chair), Edward J Boyko (Co-chair), Beverley Balkau, Noel Barengo, The list of studies on which estimates in the IDF Diabetes Atlas
Elizabeth Barr, Abdul Basit, Christian Bommer, Gillian Booth, Bertrand Cariou, Juliana Chan, are based, and those considered, but not used, can be found at:
Hongzhi Chen, Lei Chen, Tawanda Chivese, Dana Dabalea, Hema Divakar, Daisy Duan, www.diabetesatlas.org
Bruce B Duncan, Michael Fang, Ghazal Fazli, Courtney Fischer, Kathryn Foti, Laercio Franco, Edward Gregg,
Leonor Guariguata, Akhil Gupta, Anthony Hanley, Jessica L Harding,
Corporate sponsors
William H Herman, Cheri Hotu, Cecilia Høgfeldt, Elbert Huang, Adam Hulman, Steven James,
The IDF Diabetes Atlas 10th edition has been produced thanks to
Alicia J Jenkins, Seung Jin Han, Calvin Ke, Emma L Klatman, Shihchen Kuo, Jean Lawrence,
educational grants from Novo Nordisk, Pfizer-MSD Alliance, and
Dinky Levitt, Xia Li, Lorraine Lipscombe, Paz Lopez-Doriga Ruez, Andrea Luk, Ronald C Ma,
Sanofi.
Jayanthi Maniam, Louise Maple-Brown, Jean-Claude Mbanya, Natalie McGlynn, Fernando Mijares Diaz,
Hiliary Monteith, Ayesha Motala, Estelle Nobecourt, Graham D Ogle, Katherine Ogurstova, Richard Oram,
Bige Ozkan, Emily Papadimos, Chris Patterson, Meda Pavkov, Cate Pihoker,
Justin Porter, Camille Powe, Ambady Ramachandran, Gojka Roglic, Mary Rooney, Julian Sacre, Elizabeth
Selvin, Baiju Shah, Jonathan E Shaw, David Simmons, Caroline Stein, Jannet Svensson, Olive Tang, Justin
Echouffo Tcheugui, Jincy Varghese, Amelia Wallace, Pandora L Wander,
Donald Warne, Mahmoud Werfalli, Sarah Wild, Jencia Wong, Yuting Xie, Xilin Yang, Lili Yuen,
Philip Zeitler, Ping Zhang, Sui Zhang, Xinge Zhang, Zhiguang Zhou

Editorial team
Edward J Boyko, Dianna J Magliano
Suvi Karuranga, Lorenzo Piemonte, Phil Riley, Pouya Saeedi, Hong Sun

Contributors
Mikkel Pape Dysted, Balázs Esztergályos, Sanju Gautam, Bruno Helman, Moritz Pinkepank, Adilson Randi,
Agus Salim, Katherine Wallis, Beatriz Yáñez Jiménez, Margaux Ysebaert,
GLOBODIAB Research Consortium

24 | IDF Diabetes Atlas 2021 – 10th edition www.idf.org @IntDiabetesFed