Abstract

The worldwide prevalence of diabetes mellitus is projected to reach 5.4% (300 million individuals) by 2025, and the evolving pandemic of childhood obesity in Western countries has caused a significant increase in insulin resistance and type 2 diabetes. The potential societal impact is enormous, and growing appreciation of the scale of the problem is reflected in increasingly frequent public pronouncements by Western political leaders. There is an urgent need to develop and deploy systems for preventing the development of diabetes in individuals at risk, and for effective delivery of complex care to those who develop the condition.

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