1. Diabetes Mellitus Introduction to Diabetes Epidemiology Dr. Hamid Baradaran EDC, IUMS

3. Increasing mortality from diabetes mellitus J. Olefsky, JAMA 2001:285:628-632

6. Incidence of type 1 diabetes Age 0-14 years IDF Diabetes Atlas 2003

7. Type 1 diabetes Increase in incidence/year

9. 2 minutes

12. Prevalence of DM and IGT age 35-64 years

13. Diabetes in Denmark 1974-96 Drivsholm et al.Diabetic Medicine 201

14. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). 1990 1995 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%

15. World wide epidemic Zimmet, Nature 2001 India: 2000:32 mill 2020: 81 mill

16. 1995 2025 19 million 57 million DIABETES Top Three Countries in the world King et al, Diabetes Care, 1998

19. Age standardized prevalence of Type 2 DM (native and migrant Asian Indian populations)

20. Urban-Rural ratio

21. 2 minutes

24. Obesity (BMI>30) in USA 1960-2000 (males) Flegal & al, JAMA 2002, 288, 1723-7

25. Obesity children in USA 1960-2000 BMI >95-centile (boys) Ogden & al, JAMA 2002, 288, 1728-32

26. Obesity* Trends Among U.S. Adults BRFSS, 1991, 1995 and 2000 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: Mokdad A H, et al. JAMA 1999;282:16, 2001;286:10. No Data < 10% 10%-14% 15-19%  20% 1991 1995 2000

27. Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.

28. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). 1990 1995 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%

35. Prevalence of DM in 60 years old Men Decoda:Nakagami; Diabetologia 2003

36. Prevalence of DM in 60 years old Women Decoda:Nakagami; Diabetologia 2003