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 dont

know they have it

for diabetes prevalence are

Pacific Islands

have diabetes and dont 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 dont 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

10

20

30

40

50

60

70

80

90

100

Millions

140

60

58%

53%

50

45%

76

60
36

20

21

12

comparative prevalence

18

100
80

29%

30

10

50%

38%

40

120

51%

11

40
20

12

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 (20-79YEARS)

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.

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

250

1.1

Low-income

35

300

1.2

Lower middleincome

30

1.3

High-income

25

*comparative prevalence

1.5

5%
20

350

Deaths per 1,000

0. 6

1.
2

0.1 M

10 %

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

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, Hong Kong SAR
China, Macao SAR
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Dem. 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

849.09
65.46
1,604.29
5.25
192.61
1.21
7.42
1,570.20
67.48
11.95
1,895.31
629.99
170.73
29.68
185.33
5,521.41
29.68
679.77
547.34
23.83
62.09
6.56
22.36

7.60
2.79
7.54
5.80
2.91
11.66
12.51
5.57
2.86
12.41
9.55
7.13
2.76
12.10
22.40
7.11
12.36
7.96
5.18
15.99
1.68
11.97
5.73

19,773
879
12,703
38
4,154
95
15,416
1,200
10,011
4,736
2,761
303
744
107,330
267
10,103
4,397
274
1,162
125

80.66
448.28
412.72
3,879.12
276.70
915.88
966.44
205.38
4,643.21
5,577.57
366.94
2,059.06
1,282.56
28.07
1,140.40
412.36
5,859.69
303.04
59.95
173.74

424.55
23.48
894.15
2.18
154.09
0.39
2.06
722.29
24.21
3.31
936.28
261.88
61.25
8.22
72.07
2,760.71
8.22
243.87
227.53
7.76
51.29
1.82
11.42

SACA

325.22

6.89

4,732

124.63

149.60

EUR

267.50

7.54

2,562

630.28

95.97

96.42
13,357.79
1.98
23.35
530.54
182.44
97.87
212.39
517.86
2,671.06
13.65
4.48

10.80
10.52
12.93
10.44
6.66
2.95
2.72
2.96
6.15
8.13
5.43
11.97

2,962
129,226
226
8,167
4,826
2,781
5,207
14,588
17,334
139
-

814.16
1,031.44
1,207.52
532.03
68.64
34.84
81.70
109.04
5,144.01
242
-

77.13
6,144.59
0.64
11.54
190.33
150.71
80.85
133.89
414.29
740.15
10.92
1.24

57.09

3.05

1,850

34.31

47.16

189.94
8.54
1,642.61
92,284.99
539.56
34.23
2,067.87
24.30
97.67
1.03
259.35
421.03
225.37
872.95
83.81
605.92

3.61
5.17
12.78
8.82
7.61
7.19
7.26
8.39
5.52
9.04
8.81
4.93
5.30
8.58
9.31
5.64

5,569
10,459
1,168,240
14,602
281
2,254
6
1,659
10,263
2,343
7,560
470
6,427

86.40
992.13
193.91
2,064.69
1,074.30
482.72
45.64
142.67
498.38
937.20
1,441.33
823.71
2,162.68
1,677.16

156.91
3.55
755.60
54,226.66
266.54
16.91
951.22
20.07
78.13
0.51
119.30
336.82
93.68
401.56
34.84
251.88

1,318.21

7.33

31,199

831

737.09

3.03

16,355

25.03

608.91

302.74
26.89
5.15
405.58
563.84
7,548.75
312.43
14.57
94.62
92.05
1,386.64
56.49
344.45
3,492.99
12.61
16.18

5.56
6.30
11.66
7.36
6.89
16.62
9.88
4.21
3.41
7.12
3.32
10.86
5.79
5.62
9.60
9.06

2,781
502
48
5,183
5,492
84,567
3,233
326
1,182
1,285
23,869
1,021
2,806
24,126
-

6,964.61
131.09
453.92
419.28
335.41
136.25
333.58
923.62
17.12
1,220.66
24.91
230.74
4,978.45
5,600.70
-

125.85
21.51
1.68
186.57
259.36
4,207.30
143.72
11.65
78.17
38.26
1,145.50
33.19
143.19
1,452.03
5.80
7.99

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. 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

69.96
12.79
105.11
5,248.75
354.02
638.77
6.70
24.36
11.15
589.14
187.14
19.39
64.76
303.34
239.59
578.13
8.80
63,013.87
7,551.94
4,478.13
1,182.06
209.06
436.73
3,903.06
206.57
7,107.72
295.82
818.61
720.73
15.56
362.40
158.84

10.19
1.97
2.77
5.52
3.16
5.22
11.68
6.33
9.05
9.93
4.36
3
16.08
6.66
7.14
6.12
3.20
9.01
5.14
10.59
9.71
5.54
7.85
5.57
12.34
5.12
11.62
7.71
4.66
25.46
23.86
6.30

1,378
201
1,451
45,222
6,973
5,266
99
7,202
3,459
490
1,265
6,165
2,338
7,483
58
1,013,057
155,465
37,593
17,265
1,605
3,003
28,354
2,046
62,949
2,740
15,290
17,733
168
1,029
2,584

388.20
45.63
332.28
5,079.77
114.76
3,399.70
738.71
311.52
36.98
30.35
166.15
68.48
209.40
1,272.16
6,284.99
67.98
80.22
413.65
180.65
6,590.28
2,723.30
3,507.22
351.88
3,321.50
545.47
468.78
57.58
231.95
1,281.53
79.20

55.97
10.56
37.71
2,181.91
292.45
265.54
2.18
7.93
5.51
271.01
154.59
16.01
21.09
89.18
110.21
240.33
3.66
32,184.34
4,437.52
2,495.89
658.82
86.90
181.55
1,622.50
67.26
3,511.21
164.88
293.68
595.40
9.14
140.92
46.60

WP

144.55

5.14

3,889

91.12

EUR
MENA
AFR
AFR

166.13
470.19
29.96
50.23

7.84
17.04
3.46
3.12

1,816
5,991
2,133
1,036

1,101.17
794.30
101.09
47.20

59.60
262.06
23.97
41.49

MENA

343.15

10.57

2,887

728.73

191.26

1.90
236.24
21.49
477.47
363.94
2,082.48
15.91
89.30
30.79
8.98
43.60
53.27
141.64
10,603.22

4.97
7.83
4.50
5.09
5.63
12.02
9.28
1.67
6.65
27.06
12.06
3.64
14.76
15.59

11
3,263
163
6,857
12,776
25,859
146
2,083
235
203
948
1,664
73,347

1,093.03
9,343.86
37.64
31.27
513.01
802.20
70.47
1,610.45
490.01
47.91
478.18
815.53

0.79
84.75
8.93
394.44
300.65
1,223.67
8.13
73.77
12.80
5.28
12.08
44.01
72.34
3,452.41

18.54

37.27

184

377.32

10.90

EUR
WP
EUR
MENA
AFR
WP
AFR
WP
SEA
EUR
NAC
WP
WP
SACA
AFR
AFR
WP
EUR

2.25
106
42.28
1,403.60
305.05
1,777.13
75.73
1.86
506.73
993.92
21.16
15.81
335.60
309.32
293.93
3,165.31
0.08
223.23

5.96
6.24
7.73
7.35
3.14
5.89
7.68
30.07
3.58
5.89
12.02
9.03
9.01
11.58
4.15
4.83
9.80
5.10

1,536
2,480
512
9,192
11,325
52,602
1,727
27
11,568
7,821
2,062
3,001
5,333
88,681
1,406

7,057.97
108.69
233.14
36.82
15.85
469.48
889.93
43.89
6,061.85
3,379.88
172.21
38.54
129.17
1,838.36
9,208.40

0.94
62.29
15.17
782.30
252
1,120.30
60.58
1.09
253.36
413.17
5.86
7.81
165.79
142.29
242.82
2,532.25
0.05
92.80

MENA

129.89

9.15

72.39

MENA

145.64

10.16

902

770.45

56.63

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
Runion
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

6,550.18
1.39
184.58
188.21
222.22
1,108.61
4,321.46
3,082.76
1,031.62
391.87
279.45
3,252.55
80.51
95.03
1,514.71
12,694.60
131.21
4.73
12.32

7.89
11.12
8.59
6.49
6.81
6.81
9.65
9.03
9.56
12.98
23.33
7.51
2.73
16.01
7.70
9.74
3.12
13.45
11.71

84,336
18
1,399
4,750
2,174
8,150
60,477
30,252
7,890
621
29,752
1,459
18,539
220,160
3,220
63
107

35.58
1,319.86
732.45
70.20
283.14
307.31
109.18
1,144.53
2,521.48
2,170.37
1,617.59
257.45
607.03
650.04
82.32
850.77
598.71

3,650.74
0.81
84.91
110.59
102.22
509.96
2,539.29
1,105.94
428.85
108.59
108.66
1,606.76
28.88
76.02
543.40
4,554.19
108.39
1.54
4.01

7.85

11.62

99

394.44

2.55

6.67
1.94
3.75
3,414.51
160.11
673.76
3.56
73.01
487.29
279.54
174.76
35.80
172.25
1,978.25
3,249.48
1,100.21
1,824.67
38.01
14.20
390.35
465.87
898.20
1,759.23
160.28
136.66
3,417.22
26.19
140.13
0.07
6.21
120.30
648.79
3,612.90
71.92
1.38
319.73
1,198.42
827.48
3,335.75

7.68
5.88
5.54
23.38
3.26
7.67
12.13
3.07
10.45
5.71
8.11
15.32
3.87
7.04
7.15
7.48
9.12
11.67
3.07
4.23
6.36
9.63
8.55
6.29
7.71
6.26
6.38
5.21
11.52
12.70
12.72
9.49
7.91
2.75
24.75
2.85
2.87
18.87
5.59

153
14
51
20,933
2,430
8,422
38
2,300
3,977
3,188
1,559
479
3,567
63,061
21,763
15 661
29,966
483
856
2,655
2,637
8,642
3,367
1,527
75,205
584
2,583
100
1,392
4,837
32,842
1,334
25
11,296
23,357
1,752
27,169

311.99
4,717.36
162
953.71
109.52
585.95
589.33
82.80
1,676.23
1,766.46
2,435.67
107.01
20.03
695.06
3,281.41
117.25
150.50
609.24
246.31
5,440.37
7,673.18
123.02
1,308.99
60.63
419.15
244.58
62.88
221.17
1,181.88
361.83
934.02
143.37
354.39
83.61
332.49
1,774.85
4,237.47

3.92
0.81
3
1,327.73
132.27
241.71
2.85
60.31
240.72
116.20
72.65
21.04
142.30
1,582.60
1,350.81
561.93
1,016.98
12.38
11.36
162.27
193.66
500.61
869.06
47.03
49.03
2,007.96
15.39
115.76
0.04
3.65
33.33
361.61
1,296.13
25.80
0.81
264.13
429.93
321.77
1,386.67

AFR

492.95

2.81

15,156

40.26

407.22

NAC

24,113.03

9.35

183,633

8,478.26

6,681.72

NAC

11.92

12.10

3.30

SACA
EUR
WP

157.33
842.46
24.50

6.02
6.44
22.04

1,122
11,820
328

922.68
79.80
149.52

72.37
247.18
14.40

SACA

1,764.90

10.39

13,380

914.01

811.85

WP
AFR
MENA
AFR
AFR
-

3,160.72
18.47
721.78
268
568.68
371,329.10

5.78
5.08
9.22
5.13
9.75
8.30

52,226
10,113
10,535
29,987
4,802,747

118.07
120.94
124.96
55.58
1,270.04

1,992.52
15.26
402.28
221.39
469.79
187,086.52

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