PMID- 37522116 OWN - NLM STAT- MEDLINE DCOM- 20230801 LR - 20230801 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 14 DP - 2023 TI - The global, regional and national burden of type 2 diabetes mellitus in the past, present and future: a systematic analysis of the Global Burden of Disease Study 2019. PG - 1192629 LID - 10.3389/fendo.2023.1192629 [doi] LID - 1192629 AB - AIM: To report the global, regional, and national burden of type 2 diabetes mellitus (T2DM) in 2019, assess its trends in the past, and forecast its trends in the future. METHODS: The main data source was the Global Burden of Disease 2019 database. We assessed the changes in T2DM burden from 1990 to 2019 with joinpoint regression analysis. Age-period-cohort analysis was used to forecast the T2DM incidence and mortality rate from 2020 to 2034. RESULTS: The burden of T2DM has increased from 1990 to 2019 generally. The low-middle socio-demographic index (SDI) region had the highest increase in age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR), age-standardized mortality rate (ASMR), and age-standardized disability-adjusted life years (ASDR) due to T2DM. Nationally, the increase in ASIR (r=0.151, p=0.046) and the decrease in ASMR (r=0.355, p<0.001) were positively correlated with SDIs. In 2019, the global ASIR, ASPR, ASMR, ASDR due to T2DM were 259.9 (95% UI 240.3-281.4), 5282.9 (95% UI 4853.6-5752.1), 18.5 (95% UI 17.2-19.7), and 801.5 (95% UI 55477000-79005200) per 100,000 population, respectively. Additionally, the ASIR (r=0.153, p=0.030) and ASPR (r=0.159, p=0.024) of T2DM were positively correlated with SDIs, while ASMR (r=-0.226, p=0.001) and ASDR (r=-0.171, p=0.015) due to T2DM were negatively correlated with SDIs. The ASIR was estimated to increase to 284.42, and ASMR was estimated to increase to 19.1 from 2030 to 2034, per 100,000 population. CONCLUSION: Globally, the burden of T2DM has increased in the past and was forecast to continue increasing. Greater investment in T2DM prevention is needed. CI - Copyright (c) 2023 Ye, Wu, Yang, Zhu, Chen, Chen, Ji and Hou. FAU - Ye, Junjun AU - Ye J AD - Department of Endocrine and Metabolic Diseases, The First Affiliated Hospital of Shantou University Medical College, Shantou, China. AD - Shantou University Medical College, Shantou, Guangdong, China. FAU - Wu, Yixi AU - Wu Y AD - Department of Endocrine and Metabolic Diseases, The First Affiliated Hospital of Shantou University Medical College, Shantou, China. AD - Shantou University Medical College, Shantou, Guangdong, China. FAU - Yang, Shuhui AU - Yang S AD - Department of Endocrine and Metabolic Diseases, Shantou Central Hospital, Shantou, Guangdong, China. FAU - Zhu, Dan AU - Zhu D AD - Department of Endocrine and Metabolic Diseases, Shantou Central Hospital, Shantou, Guangdong, China. FAU - Chen, Fengwu AU - Chen F AD - Department of Endocrine and Metabolic Diseases, Shantou Central Hospital, Shantou, Guangdong, China. FAU - Chen, Jingxian AU - Chen J AD - Shantou University Medical College, Shantou, Guangdong, China. AD - Department of Endocrine and Metabolic Diseases, Longhu Hospital, The First Affiliated Hospital of Shantou University Medical College, Shantou, China. FAU - Ji, Xiaoxia AU - Ji X AD - Department of Endocrine and Metabolic Diseases, Shantou Central Hospital, Shantou, Guangdong, China. FAU - Hou, Kaijian AU - Hou K AD - Department of Endocrine and Metabolic Diseases, Longhu Hospital, The First Affiliated Hospital of Shantou University Medical College, Shantou, China. AD - School of Public Health, Shantou University, Shantou, China. LA - eng PT - Journal Article DEP - 20230714 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/epidemiology MH - Global Burden of Disease MH - Disability-Adjusted Life Years MH - Systems Analysis PMC - PMC10376703 OTO - NOTNLM OT - epidemiology OT - forecast OT - global burden of disease OT - trend OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/07/31 06:42 MHDA- 2023/08/01 06:45 PMCR- 2023/01/01 CRDT- 2023/07/31 05:18 PHST- 2023/03/23 00:00 [received] PHST- 2023/06/26 00:00 [accepted] PHST- 2023/08/01 06:45 [medline] PHST- 2023/07/31 06:42 [pubmed] PHST- 2023/07/31 05:18 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2023.1192629 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Jul 14;14:1192629. doi: 10.3389/fendo.2023.1192629. eCollection 2023.