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Foot facts

Foot problems are one of the most common complications of diabetes, and the most feared.

Continent202120302045% Increase
North America & Caribbean (NACA)51 million57 million63 million24%
Europe61 million67 million69 million13%
Western Pacific (WP)206 million238 million260 million27%
South and Central America (SACA)32 million40 million49 million50%
Africa 24 million33 million55 million134%
Middle East & North Africa (MENA)73 million95 million136 million87%
South-East Asia (SEA)90 million113 million152 million68%
  • Type 2 diabetes is the most common type of diabetes, accounting for over 90% of all diabetes worldwide.
  • An estimated 537 million adults aged 20–79 years are currently living with diabetes. This represents 10.5% of the world’s population in this age group.
  • The total number is predicted to rise to 643 million (11.3%) by 2030 and to 783 million (12.2%) by 2045.
  • An estimated 240 million people are living with undiagnosed diabetes worldwide, meaning almost one-in-two adults with diabetes are unaware they have the condition. Almost 90% of people with undiagnosed diabetes live in low- and middle-income countries of Africa, South-East Asia, and Western Pacific.
  • Approximately 6.7 million adults (20–79) are estimated to have died as a result of diabetes, or its complications in 2021.
RegionsNumber of Deaths due to Diabetes (Before the age of 60 yearProportion of total Deaths due to Diabetes (Before the age of 60 years)
North America & Caribbean (NACA)199,90018.4%
Europe144,7007.7%
Western Pacific (WP)717,40015.0%
South and Central America (SACA)86,7008.0%
Africa 306,0008.9%
Middle East & North Africa (MENA)428,60024.5%
South-East Asia (SEA)301,2006.9%

Diabetes in Africa

  • 1 in 22 adults have diabetes — 24 million.
  • 1 in 5 (54%) of people living with diabetes in the Region are undiagnosed, the highest proportion of all IDF Regions.
  • Africa has the second lowest diabetes-related expenditure (USD 13 billion) associated with diabetes, 1% of global expenditure.
  • 1 in 8 live births are affected by hyperglycemia in pregnancy.

Diabetes in Europe

  • 1 in 11 adults have diabetes – 61 million.
  • 1 in 3 (36%) people living with diabetes are undiagnosed.
  • Diabetes-related expenditure in the Europe Region totals USD 189 billion – 19.6% of global expenditure.
  • 1 in 7 live births are affected by hyperglycemia in pregnancy.

Diabetes in MENA

  • 1 in 6 adults has diabetes – 73 million. The highest proportion of all IDF Regions.
  • 1 in 3 people living with diabetes in the Region are undiagnosed.
  • Diabetes-related expenditure in the Middle East and North Africa Region totals USD 33 billion in 2021.
  • 1 in 7 live births are affected by hyperglycemia in pregnancy.

Diabetes in NACA

  • 1 in 7 adults have diabetes – 51 million.
  • 1 in 4 people living with diabetes are undiagnosed.
  • The North America and Caribbean Region has the highest diabetes-related expenditure (USD 415 billion) associated with diabetes, 43% of global expenditure.
  • 1 in 6 live births are affected by hyperglycemia in pregnancy.

Diabetes in SACA

  • 1 in 11 adults have diabetes – 33 million.
  • 1 in 3 people living with diabetes (33%) are undiagnosed.
  • Diabetes-related expenditure totals USD 65 billion in 2021.
  • 1 in 6 live births are affected by hyperglycemia in pregnancy.

Diabetes in SEA

  • 1 in 11 adults have diabetes – 90 million.
  • India accounts for 1 in 7 of all adults living with diabetes worldwide.
  • Over 1 in 2 (51.2%) adults living with diabetes are undiagnosed.
  • Total diabetes-related expenditure in the Region amounts to USD 10 billion – the second lowest of all IDF Regions.
  • 1 in 4 live births are affected by hyperglycemia in pregnancy.

Diabetes in WP

  • 1 in 8 adults have diabetes – 206 million.
  • China accounts for 1 in 4 of all adults living with diabetes worldwide.
  • Over half (53%) of adults living with diabetes are undiagnosed.
  • Diabetes-related expenditure in 2021 totals USD 241 billion – 25% of global expenditure.
  • 1 in 7 live births are affected by hyperglycemia in pregnancy.

Average (case 1 & 2) Total Treatment Cost in the Different Countries

Diabetic foot:

  • With the increase in diabetes – parallel diabetic complications will also increase, and diabetic foot will be the most dreadful complication.
  • Every 20 seconds a limb is lost somewhere in the world.
  • 25% of all diabetics will be affected by a foot ulcer during their lifetime.
  • 70% recurrence rates in five-year seen in diabetics.
  • 85% of amputations in diabetics are preceded by a foot ulcer.
  • 50% of diabetics have the risk of developing a serious lesion in the second limb within 2 years.
  • 50% mortality rate in diabetics in the 5 years following the initial amputation.
  • 40–60% across the globe of all lower extremity nontraumatic amputations in diabetics.
  • Foot complications, especially serious ones like the septic limb, can be serious and costly.
  • 85% of all diabetic foot-related problems are preventable through education.