By International Diabetes Federation

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27). 7 million. Diabetes and IGT prevalence Considerable extrapolation was required in this region as 15 countries did not have any epidemiological data from which prevalence estimates could be derived. New studies in Mexico78,79 were used to extrapolate prevalence estimates for several countries in the region. New studies were also used for Argentina80, Brazil81 and Chile82, all of which were of specific regional populations. South America and Central America have similar age distribution profiles.

For Cambodia, this was a doubling in national prevalence, for the Philippines a tripling, and for Thailand more than tripling; all of these countries had prevalence estimates previously based on a 1996 report from Thailand100. For Viet Nam, the estimates based on the Ho Chi Minh City survey of 2001 are twice those from the survey a decade previously from Hanoi101. For South Korea, the new survey96 showed a 25% higher prevalence than of that used previously102. The new Singapore data led to slightly lower overall prevalence than the 1998 data103.

The chronicity of the disease and diabetic complications places an immense burden on people with diabetes and their families. The landscape of sub-Saharan Africa is dominated by the twin disasters of poverty and HIV infection. While HIV infection and consequent AIDS so dominate the health needs for sub-Saharan Africa, there is only a small proportion of the population reaching ages at which type 2 diabetes becomes a major health concern. 5% by 2025. Thus the effects of HIV and malnutrition combine to greatly reduce the size of groups most at risk for type 2 diabetes.

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