EDITORIAL
Mortality in diabetes mellitus: revisiting the data from a developing region of the world
Madras Diabetes Research Foundation & Dr Mohan’s Diabetes Specialities Centre, WHO Collaborating Centre for Noncommunicable Diseases, Prevention and Control, Chennai, India
Correspondence to:
Professor V Mohan, Madras Diabetes Research Foundation & Dr Mohan’s Diabetes Specialities Centre, who Collaborating Centre For Noncommunicable Diseases, Prevention & Control, 4, Conran Smith Road, Gopalapuram, Chennai - 600 086, India; drmohans@vsnl.net
Accepted 2 March 2009
Keywords: mortality; diabetes; developing countries; Asian Indians
| The first 150 words of the full text of this article appear below. |
There are an estimated 246 million people with diabetes in the world, of whom about 80% reside in developing countries.1 India is the country that currently has the largest number of people with diabetes (40.9 million), and this number is expected to increase to 69.9 million by the year 2025.1 The most disturbing trend is a shift in age of onset of diabetes to a younger age in recent years. This presents a serious challenge to the healthcare system because, at the peak of their working career, people with diabetes have an excess risk of mortality and morbidity compared with those without diabetes.2–4 Indeed, over two-thirds of deaths attributable to diabetes occur in developing countries.5 Asian Indians with diabetes also have higher mortality than people with diabetes from other ethnic groups.6
Although diabetes is often not recorded as the cause of death, globally, it is believed to be the fifth
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