Abstract

Where high-income countries lead, others need help to follow. Studies done in high-income countries have shown that while adults with diabetes are at increased risks of death from various causes, such risks are now far lower than ever before. For example, analyses by the Emerging Risk Factors Collaboration showed that death from any cause, death from cardiovascular disease, and death from cancer were 80%, 130%, and 25% higher, respectively, in people with diabetes compared with those without diabetes in recent decades. And this gap in outcomes continues to shrink with the widespread and earlier use of clinically effective therapies to lower glucose, blood pressure, and cholesterol. In fact, diabetes-associated mortality risks in high-income countries are so improved that better survival, rather than increased incidence, is now the key driver for rising diabetes prevalence.

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