- The document discusses projections for the global diabetes epidemic from 2000 to 2030. It projects that the number of people with diabetes worldwide will more than double from 171 million in 2000 to 366 million in 2030. - It also summarizes that based on current trends and rates, the proportion of the diabetic population with complications like end-stage renal disease will increase due to the growing epidemic. This will result in a greater relative increase in complications compared to the increase in diabetes prevalence alone. - The incidence of end-stage renal disease due to diabetes will continue to rise for at least the next 20 years as serious complications typically develop 15-20 years after diabetes onset.