2009, Number 4
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ABSTRACTType 2 diabetes involves the interplay of multiple genes and the environment and is currently observed among younger age groups. Universal screening is not a cost-effective strategy since it is preferable to identify at risk groups based on at risk scores. Diabetes is now an epidemic with an estimated 2007 global prevalence among adults of 246 million; by 2025 it will increase to 380 million. For Mexico the 2007 estimated prevalence among adults was 6.1 million and the 2025 projections will be of 10.8 million.
Diabetes is globally responsible for 3.8 million deaths, which exceeds those attributed to HIV/AIDS and malaria combined and for 55.6 million life years lost. The direct health care costs of people with diabetes are generally 2-3 fold greater than for those without the disease and 4-8 fold more if diabetes complications are present. The impact of diabetes on Mexico illustrates an increase of 26% in health care expenditures between the years 2003 -2005. Many of these costs were out-of-pocket expenses. International funding for global action on non-communicable diseases remains very low; in the developing world it is virtually non-existent. Diabetes is one of the world’s most important causes of health-care expenditure, mortality, morbidity and lost economic growth with profound societal and economic implications.
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