Diabetes-social and economic perspectives in the new Millenium

Prevalence of diabetes is increasing in pandemic proportions, particularly in developing countries like India. The recent reports from the World Health Organization rates India as the country with the largest number of diabetic subjects in the world. The Chennai Urban Population Study (CUPS), The Chennai Urban Rural Epidemiology Study (CURES) and the National Urban Diabetes Survey (NUDS) revealed rising prevalence of diabetes in India. Some of the significant risk factors associated with diabetes are similar worldwide, but their intensities vary between races, regions and countries. The reason for escalation of diabetes prevalence in India could be attributed to a combination of genetic factors and environmental factors due to urbanization and industrialization, which has led to sedentary lifestyle, physical inactivity, stress and obesity arising from energy and fat rich diets. The long-term complications of diabetes occurring during the most productive years of their lives create a devastating burden of morbidity and mortality, which poses an economic and social burden both at the individual and at the national level. Compared to non-diabetic individuals, diabetic individuals are more than twice as costly to treat, mainly due to the high costs related with management of associated complications. Prevention seems to be the need of the hour to tackle this epidemic. This article highlights the social and economic implications of diabetes in India and emphasis the measures required to prevent diabetes