December 8, 2021 – Currently has one in 10 adults in the world diabetes, and those numbers are expected to only increase over the next decades, according to the International Diabetes Federation ‘s new Atlas of Diabetes.
The increases are greatest starting in adulthood type 1 diabetes and in young people s type 2 diabetes.
IDF Diabetes Atlas 10th edition it was published on the Internet Monday.
Half of people with diabetes, or about 240 million adults, are undiagnosed, and another 319 million have some form of diabetes. prediabetes, says the co-chair of the Atlas, Ph.D. Dianna Magliano. More than 75% of all adults with diabetes now live in low- and middle-income countries. About 6.7 million deaths in 2021 could be linked to diabetes.
There are also more people with prediabetes, children with type 1 diabetes and pregnancies with diabetes, she says.
“There is a strong need for effective intervention strategies and policies to stop the growing number of people developing diabetes worldwide,” says Magliano, head of diabetes and population health at the Baker Heart and Diabetes Institute in Australia.
Increase in deaths among those under 60
One-third of the 6.7 million diabetes-related deaths in 2021 were among people under the age of 60, says Elbert S. Huang, MD, a professor of medicine and public health at the University of Chicago. This shows that there is more need for diabetes prevention programs around the world.
Diabetes and COVID-19: Increased risk
COVID-19 carries a higher risk for people with diabetes, says Gillian Booth, MD, a professor in the Department of Medicine at the Institute of Health Policy, Management and Evaluation at the University of Toronto.
Highly blood sugar and high glycated hemoglobin (HbA1c) – a measure of long-term blood sugar control in diabetes – can be used to predict severe outcomes.
“Further research is needed to understand the relationship between COVID-19 and diabetes and how best to address the disproportionate burden of COVID-19 among humans. lives with diabetesSays Booth.
More research is needed on type 1 diabetes beginning in adults
Jessica Harding, Ph.D., an assistant professor at Emory University in Atlanta, also draws attention to the growing number of adults diagnosed with type 1 diabetes.
“The burden of type 1 that occurs in adults is increasingly being recognized [diabetes]“She says, noting that studies to date have focused mainly on children, and it can also be difficult to distinguish type 1 from type 2 in adults.
The countries with the highest incidence of type 1 diabetes in adults over the age of 20 were the East African state of Eritrea, followed by Sweden, Ireland and Finland.
While the Nordic countries – Finland, Sweden and Norway – are among the world’s leaders in the incidence of both type 1 in childhood (0-14 years) and in adults, Eritrea is not even among the top 10 for type 1 diabetes beginning in childhood , which makes this a bit of a mystery.
“There is an urgent need to improve the quality and quantity of information on type 1 diabetes beginning in adults, especially in low- and middle-income countries,” says Harding.
Type 2 Diabetes in Young People: A Call for Better Information
As previously reported, there has been a large increase type 2 diabetes among young people, creating a greater need for education and prevention measures.
“The emergence of advanced complications during the most productive period of life has a significant impact on individuals, communities, and the health economy,” says Andrea Luk, MD, associate professor in the Department of Medicine and Therapy at the Chinese University of Hong Kong.
The black population in the United States, as well as the indigenous populations of the United States and Canada, along with Brazil and Mexico, reported the highest numbers type 2 diabetes in my youth. The lowest rates were recorded in Europe.
Childhood obesity it is not the only factor. Others include family history, inequalities, access to health care and cultural practices, says Luke.
“Some populations with a low prevalence of obesity, such as East Asians, reported higher rates of incidence of type 2 diabetes beginning in youth than populations with a higher burden of childhood obesity,” she says.
The rate of type 2 diabetes is generally low in younger children, but it is rising puberty. The disease tends to affect more girls than boys in their youth, but this reverses in adulthood. Young people with type 2 diabetes are at risk of more harmful effects due to uncontrolled blood sugar and the resulting complications, such as heart and kidney disease, Luke says.