IDF DIABETES ATLAS
8th edition 2017
NORTH AMERICA & CARIBBEAN
EUROPE
Half the global diabetes healthcare spending
occurs in this region
USD 1 in every USD 4 of the global diabetes
healthcare spending occurs in this region
1 in 7 adults in this region is at risk
of type 2 diabetes
1 in 6 live births is affected by
hyperglycaemia in pregnancy
2045
62million
46million
+35%
2045
67million
58million
2017
+16%
2017
2045
+110%
WESTERN
PACIFIC
82million
39million
1 in 3 adults with
diabetes lives
in this region
2017
MIDDLE EAST
AND NORTH AFRICA
1 in 3 deaths
attributable to
diabetes happen
in this region
1 in 5 live births are
affected by hyperglycaemia
in pregnancy
2045
42million
2045
1 out of 2 deaths due to
diabetes were in people
under the age of 60
+62%
183million
+15%
159million
26million
2017
2017
SOUTH AND
CENTRAL AMERICA
2 out of 5 people with
diabetes were undiagnosed
+156%
Only 4% of global healthcare
expenditure for diabetes
spent in this region
+48%
Deaths attributable
diabetes by age (20-79 years)
Colour
palette //to Regions
73%
3,5
3
46%
2,5
36%
1,5
20%
1
0.5
0,5
0.2
High income countries Middle income countries Low income countries
0
Deaths due to diabetes in millions
Proportion of deaths before 60 years
25%
4
3.2
10%
Among high income countries, 79% of global healthcare
expenditure on diabetes was spent, but only 36% of deaths
below 60 years occured
by income group and age
30%
0%
4 out of 5 people with diabetes live in
low- and middle-income countries
4,5
70%
1 in 4 live births is affected
by hyperglycaemia in pregnancy
Total
expenditure and mean
healthcare
expenditure per person and per income group
Prevalence
estimates
of diabetes (20-79
years) way // Tables
Colour palette
// 6(%)
colour
way
3 colour
in healthcare
Appendices
Brand
Colours
80%
50%
1 in 5 adults with diabetes
lives in this region
3 out of 4 deaths due to
diabetes were in people under
the age of 60
Almost half of the 4 million people who die
from diabetes are under the age of 60
60%
SOUTH-EAST ASIA
2 out of 3 people with
diabetes are undiagnosed
20%
19%
High income countries
Middle income countries
Low income countries
15%
17%
14%
9%
7%
4%
5%
2%
1%
3%
0%
20-24
25-29
30-34
5%
4%
35-39
40-44
19%
18%
12%
9%
6%
5%
19%
15%
12%
10%
18%
20%
22%
21%
7%
6%
45-49
50-54
8%
55-59
8%
60-64
7%
65-69
6%
70-74
5%
7,000
6,767
600
575
6,000
500
5,000
400
4,000
300
3,000
200
2,000
152
100
1,000
468
0
High income countries
75-79
70
Middle income countries
1
Total healthcare expenditure (Billion USD)
425million
40%
2017
2017
Mean healthcare expenditure per person (USD)
WORLD
151million
82million
+84%
16million
AFRICA
2045
629million
2017
2045
2045
41million
0
Low income countries
Half of people with diabetes
don’t know they have it
352 million people are at risk
of developing type 2 diabetes
The top 10 countries for number of adults with diabetes
account for 60% of people with diabetes and 69% of global
healthcare expenditure on diabetes
Undiagnosed percentage and undiagnosed cases of
diabetes (20-79 years) by region
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
348
expenditure, 2017
127
100
millions
100%
90%
85
80
80%
70%
108
120
millon
100
70
69%
60%
60
57%
40%
38%
30
22
20%
19
60
40
30%
54
96
96
84
84
73
72
60
40
36
40
36
33
33
32
29
36
30
24
24
10
13
12
12
0
AFR
EUR
MENA
NAC
SACA
SEA
WP
0
AFR
EUR
MENA
NAC
SACA
SEA
WP
24
20
19
10
12
5
0
48
42
20
10
10
108
48
20
17
110
60
50
40%
38%
80
120
billion ID
114
72
54%
47
49%
50%
10%
90
120
million
people
9
8
7
8
8
2
0
0
China
India
United
States
Brazil
Mexico
Indonesia Russian
Federation
Egypt
Germany
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Pakistan
Country summary table: estimates 2017
* Based on extrapolation from similar countries
Country/territory
IDF
Region
Afghanistan*
MENA
Albania*
EUR
Algeria
MENA
Andorra*
EUR
Angola*
AFR
Adults with
diabetes
(20-79)
in 1,000s
Diabetes
age-adjusted
(20-79)
comparative
prevalence (%)
Adults with
Mean
Undiagnosed
diabetes-related
diabetes (20-79)
expenditure per
in 1,000s person (20-79) with
diabetes (R=2, USD)
Diabetes
related deaths
(20-79 years)
1,032.6
9.6%
718.7
112.3
19,147
249.0
10.1%
101.2
354.9
2,458
1,782.3
6.7%
1171.9
562.0
12,526
6.0
8.0%
2.2
4,159.0
32
350.8
3.9%
174.3
376.7
5,961
Country/territory
IDF
Region
Liberia*
AFR
Libya*
MENA
Liechtenstein*
Lithuania
Adults with
diabetes
(20-79)
in 1,000s
Diabetes
age-adjusted
(20-79)
comparative
prevalence (%)
Adults with
Mean
Undiagnosed
diabetes-related
diabetes (20-79)
expenditure per
in 1,000s person (20-79) with
diabetes (R=2, USD)
Diabetes
related deaths
(20-79 years)
44.1
2.4%
33.6
92.4
750
442.5
10.4%
190.1
578.7
3,121
EUR
2.8
7.8%
1.0
-
12
EUR
108.7
3.7%
38.9
1,350.2
1,275
Luxembourg
EUR
24.6
4.4%
8.8
10,680.3
118
Macau China*
WP
45.0
8.3%
21.8
-
-
Macedonia*
EUR
188.8
10.1%
76.7
452.2
1,964
372.8
3.9%
284.6
27.0
4,686
Anguilla*
NAC
1.3
12.6%
0.5
-
72
Antigua and Barbuda*
NAC
8.5
13.2%
2.6
1,086.5
15,546
Argentina
SACA
1,757.5
5.5%
629.8
907.0
2,012
Madagascar*
AFR
Armenia*
EUR
168.4
7.1%
68.4
214.1
4,576
Malawi*
AFR
Aruba*
NAC
11.3
11.6%
3.4
-
-
Malaysia
WP
Australia
WP
1,133.0
5.1%
403.8
7,820.5
4,576
Maldives
Austria
EUR
592.0
6.4%
211.7
6,554.2
2,861
Mali*
Azerbaijan*
EUR
484.6
7.1%
196.9
697.3
4,877
Bahamas*
NAC
Bahrain*
MENA
Bangladesh
SEA
Barbados
Belarus*
195.7
3.9%
149.4
60.1
6,819
3,492.6
16.7%
1,766.8
625.4
22,321
SEA
18.4
9.2%
10.0
1,894.8
112
AFR
143.4
2.4%
109.5
102.1
2,532
Malta
EUR
42.3
8.8%
15.1
2,778.3
197
161
37.9
13.2%
11.5
2,319.8
320
Marshall Islands
WP
10.6
30.5%
5.6
749.6
165.3
16.5%
62.9
1,769.9
560
Martinique*
NAC
51.3
11.6%
15.6
-
-
6,926.3
8.4%
3878.7
51.4
97,641
Mauritania*
AFR
42.9
2.4%
21.3
94.6
566
NAC
35.6
13.6%
9.3
1,363.9
294
Mauritius
SEA
227.8
22.0%
121.1
535.2
2,609
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
Montenegro*
EUR
57.9
10.1%
23.5
-
657
Montserrat*
NAC
0.5
13.2%
0.1
-
-
1,641.9
7.1%
705.2
294.6
9,977
Bermuda
NAC
6.6
13.0%
2.0
-
-
Bhutan*
SEA
40.2
9.8%
21.8
142.7
304
Bolivia
SACA
391.0
6.9%
108.6
348.4
4,404
Morocco
MENA
Bosnia and Herzegovina*
EUR
366.9
10.1%
149.1
554.1
3,691
Mozambique
AFR
Botswana
AFR
52.5
4.8%
26.1
653.2
1,251
Myanmar
WP
Brazil
SACA
12,465.8
8.1%
5734.3
1,405.9
108,587
Namibia*
AFR
292.7
3.3%
253.7
87.1
9,259
1,399.0
4.6%
747.0
35.2
34,205
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
Panama
SACA
215.9
8.3%
77.4
1,467.4
1,318
China
WP
Papua New Guinea
WP
639.8
17.7%
341.6
144.7
6,463
Colombia
SACA
Paraguay*
SACA
298.0
8.3%
106.8
777.5
2,654
Comoros
Peru
SACA
1,130.8
5.9%
452.3
565.7
7,129
Cook Islands*
Philippines
WP
3,721.9
7.1%
2,481.4
234.1
39,387
Costa Rica
5.9%
1,008.1
1,153.7
18,096
5,788
1,199.8
8.5%
258.1
1,555.1
7,103
11,4394.8
9.7%
61294.0
549.4
842,994
2,671.4
7.4%
957.3
853.7
17,038
AFR
31.2
11.9%
16.1
100.1
340
WP
1.5
12.0%
0.7
-
7
SACA
319.1
8.8%
114.4
1,390.3
1,712
Poland
EUR
2,235.8
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
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
Republic of Congo*
AFR
Republic of Korea
WP
Curaçao*
NAC
18.7
11.6%
5.7
-
-
Cyprus
EUR
93.2
9.2%
34.1
2,191.5
395
Czech Republic
EUR
767.8
6.8%
274.5
1,626.7
5,627
Réunion
Romania
Democratic People's Republic of
Korea*
WP
Democratic Republic of the Congo*
842.0
4.0%
674.0
-
17,064
AFR
1,706.7
6.1%
1302.9
38.3
28,550
Denmark
EUR
386.7
6.4%
253.6
7,768.8
2,210
Djibouti*
AFR
39.5
6.0%
19.6
315.1
542
Dominica*
NAC
6.0
11.6%
2.1
571.1
64
Dominican Republic
SACA
520.8
8.2%
186.6
433.7
6,541
Ecuador
SACA
Egypt
MENA
El Salvador*
554.5
5.6%
198.7
931.4
3,907
8,222.6
17.3%
4367.0
268.4
71,293
SACA
332.7
8.9%
119.2
422.7
2,927
Equatorial Guinea*
AFR
31.8
7.8%
15.8
1,189.6
537
Eritrea*
AFR
83.5
6.0%
63.8
49.9
1,283
Estonia
EUR
55.3
4.0%
19.8
1,572.8
544
Ethiopia
AFR
2,567.9
7.5%
1960.3
48.8
30,972
Faroe Islands*
EUR
2.5
5.3%
0.9
-
-
Federated States of Micronesia*
WP
6.1
12.0%
3.2
702.7
58
Fiji
WP
81.7
14.5%
43.5
298.5
843
Finland
EUR
370.3
5.8%
224.4
5,378.5
2,063
France
EUR
3276.4
4.8%
1228.3
6,123.9
18,305
French Guiana*
SACA
13.1
8.3%
4.7
-
-
French Polynesia
WP
45.4
22.6%
22.0
-
-
Gabon*
AFR
66.0
7.2%
32.8
551.2
919
Gambia
AFR
14.4
1.9%
11.0
64.2
189
Georgia*
EUR
232.6
7.1%
94.5
385.8
2,764
Germany
EUR
7,476.8
8.3%
2555.4
5,891.1
40,198
Ghana
AFR
518.4
5.0%
257.6
106.5
9,778
Greece
EUR
578.3
4.5%
206.7
2,056.5
3,069
Greenland
EUR
0.9
2.2%
0.3
-
-
Grenada
NAC
6.5
10.7%
2.3
766.6
103
Guadeloupe*
NAC
53.5
11.6%
18.9
-
-
Guam
WP
26.1
21.5%
12.6
-
-
Guatemala
SACA
752.7
10.2%
269.7
398.5
7,709
Guinea*
AFR
122.2
2.4%
93.3
61.3
2,004
Guinea-Bissau*
AFR
18.4
2.4%
14.1
73.2
361
Guyana*
NAC
52.4
11.6%
18.5
356.4
886
Haiti
NAC
351.4
6.6%
217.9
108.6
5,561
Honduras
SACA
285.8
7.2%
102.4
362.6
1,818
Hong Kong China
WP
636.0
8.3%
409.8
-
-
Hungary
EUR
706.8
7.5%
117.8
1,224.0
8,584
Iceland*
EUR
18.0
5.3%
6.4
6,130.4
70
India
SEA
72,946.4
10.4%
42210.3
119.4
997,803
Indonesia
WP
10,276.1
6.3%
7571.4
165.6
114,069
Iraq
MENA
1,411.5
8.8%
664.1
543.6
15,641
Ireland
EUR
141.5
3.3%
50.6
5,975.4
704
Islamic Republic of Iran
MENA
4,985.5
9.6%
1748.5
532.9
32,415
Israel
EUR
415.8
6.7%
148.7
4,162.1
1,888
Italy
EUR
3,402.3
4.8%
1216.4
3,700.8
14,549
Jamaica
NAC
Japan
WP
Jordan
148.9
7.2%
74.0
302.3
2706
3,465.4
6.8%
1,319.8
2,582.3
33,564
AFR
109.7
13.8%
39.0
-
-
EUR
1,785.3
9.7%
369.6
649.3
20,585
Russian Federation
EUR
8,455.3
6.2%
4,540.5
1,175.7
115,985
Rwanda
AFR
203.3
4.3%
155.2
101.5
3,877
Samoa
WP
7.4
9.2%
3.6
543.0
82
San Marino*
EUR
2.1
5.6%
0.7
3,991.1
9
Sao Tome and Principe*
AFR
Saudi Arabia
MENA
Senegal*
1.8
2.4%
0.9
331.1
20
3,852.0
17.7%
1,516.5
1,661.4
14,665
AFR
135.6
2.4%
103.5
100.5
1,856
Serbia*
EUR
858.9
10.1%
349.0
760.7
10,045
Seychelles
AFR
7.5
10.6%
3.5
668.8
68
Sierra Leone*
AFR
59.9
2.4%
45.8
173.6
1,653
Singapore
WP
606.0
11.0%
327.1
3,268.2
4,387
Sint Maarten*
NAC
3.6
13.2%
1.1
-
-
Slovakia
EUR
405.8
7.3%
98.5
1,836.0
3,828
Slovenia
EUR
161.6
7.3%
57.8
2,520.4
946
Solomon Islands
WP
43.0
18.7%
23.0
167.9
335
Somalia*
AFR
216.3
6.0%
165.2
-
3,957
South Africa
AFR
1,826.1
5.5%
1,548.5
935.4
42,621
South Sudan*
AFR
431.4
10.4%
329.4
-
6,434
Spain
EUR
3,584.5
7.2%
1,017.6
3,045.0
15,557
Sri Lanka
SEA
1,198.1
10.7%
428.7
184.8
15,534
St Kitts and Nevis
NAC
5.0
12.8%
1.5
1,068.3
61
St Lucia*
NAC
14.2
11.6%
5.0
703.3
146
St Vincent and the Grenadines*
NAC
8.4
11.6%
3.0
833.7
117
State of Palestine
MENA
168.8
10.6%
42.3
-
-
Sudan
MENA
2,247.0
15.7%
965.2
225.1
27,615
Suriname
NAC
45.7
12.5%
16.1
841.5
544
Swaziland*
AFR
17.0
3.9%
8.5
474.7
970
Sweden
EUR
499.3
4.8%
178.5
8,356.0
2,221
Switzerland
EUR
469.4
5.6%
167.8
11,825.0
1,754
Syrian Arab Republic*
MENA
705.7
8.2%
303.1
122.0
7,052
Taiwan
WP
1,958.0
8.8%
838.0
-
-
Tajikistan*
EUR
267.5
7.1%
108.7
140.1
2,614
Thailand
WP
4,208.6
7.0%
1,849.4
310.0
44,045
Timor L'Este*
WP
32.9
6.9%
17.6
113.1
370
Togo
AFR
172.1
6.2%
158.4
62.7
2,647
Tokelau
WP
0.2
27.0%
0.1
-
-
Tonga
WP
7.3
15.4%
5.0
340.1
68
Trinidad and Tobago
NAC
117.4
11.0%
35.8
1,536.2
1,335
Tunisia
MENA
762.2
8.5%
571.6
444.4
5,303
Turkey
EUR
6,694.5
12.1%
2,558.8
813.6
46,270
Turkmenistan*
EUR
210.5
7.1%
85.6
306.8
2,952
Tuvalu*
WP
1.8
27.3%
0.9
761.6
15
Uganda
AFR
259.1
2.5%
197.8
112.4
6,154
Ukraine*
EUR
2,836.3
7.1%
1,152.6
249.1
41,505
United Arab Emirates
MENA
1185.5
17.3%
482.5
2,269.3
2,160
United Kingdom
EUR
2,747.7
4.3%
508.3
4,988.6
14,593
United Republic of Tanzania
AFR
897.0
5.8%
714.9
104.1
17,725
United States of America
NAC
30,187.5
10.8%
11,543.8
11,638.3
176,740
Uruguay*
SACA
152.8
6.9%
47.3
1961.9
1,096
US Virgin Islands
NAC
12.3
12.3%
3.4
-
-
Uzbekistan
EUR
1,236.4
7.6%
362.8
201.9
13,409
Vanuatu*
WP
16.2
12.0%
8.6
263.9
126
Venezuela
SACA
1,311.4
6.5%
469.9
1,417.7
10,242
Viet Nam
WP
3,535.7
6.0%
1,887.9
216.6
29,068
Western Sahara*
AFR
9.6
2.4%
7.4
-
-
209.3
11.3%
51.2
378.6
2,130
7,234.2
5.7%
3368.6
3,925.4
70,347
MENA
408.1
11.8%
156.3
619.4
2,838
Kazakhstan*
EUR
818.2
7.1%
332.5
833.0
10,471
Kenya
AFR
458.9
2.9%
165.2
153.7
7,865
Kiribati
WP
13.0
22.7%
7.0
224.6
108
Kuwait
MENA
441.0
15.8%
74.1
1,960.4
1,219
Kyrgyzstan*
EUR
220.8
7.1%
89.7
139.0
2,483
Lao People's Democratic Republic*
WP
115.2
4.0%
61.5
61.7
2,548
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