Prof Dianna J Magliano PhD Baker Heart and Diabetes Institute Melbourne Australia

“War of Diabetes” – Mortality from Diabetes Drops especially in Asia Interview with:

Prof Dianna J Magliano PhD Baker Heart and Diabetes Institute Melbourne Australia

Prof. Magliano

Prof Dianna J Magliano PhD
Baker Heart and Diabetes Institute
Melbourne Australia What is the background for this study?

Response: Mortality among people with diabetes, and how it changes over time, is an important indicator of quality of and access to health care. However, population level trends in mortality among people with diabetes are inadequately described. The establishment of national diabetes registers, health insurance data and administrative data has allowed the examination of mortality among those with diabetes at a granular level which has been previously not possible. This has allowed us to examine whether global efforts in regards to diabetes care over the last couple of decades have been effective. What are the main findings?

Response: We have assembled 19 population-based datasets from around the world from diabetes which includes registry data, administrative data and health insurance data bases from the period of 1995-2016. The assembled data examined 21 million deaths in people with diagnosed diabetes in 16 high-income countries from 1995 to 2016. Many of these datasets are from the whole population with diabetes from the country or region examined.

We have shown that mortality among those with diabetes is falling in 17 of the 19 high income countries/jurisdictions examined. We also show that the mortality decline is larger in countries/ jurisdictions from South East Asia. Additionally, we observe that the mortality gap between diabetes and non-diabetes is narrowing in 50% of dataset examined What should readers take away from your report?

Response: It is encouraging to see that mortality among those with diabetes is declining in such a high proportion of jurisdictions (countries or large regions) examined. It suggests to us that what we are currently doing to manage diabetes may be having the desired effect and leading to people who have diabetes living longer. Interestingly, in the last decade several countries in Asia have implemented a whole of country diabetes management strategy called the ‘ War of Diabetes’. This is an example of an intensive, coordinated and multiple-pronged strategy to manage diabetes better. While it is difficult to say for sure that this has worked, our results certainly do suggest that these programs may be having some beneficial effect. What recommendations do you have for future research as a result of this work?

Response: Mortality rates are an important indicator of access to quality healthcare. One thing that we are missing with this analysis is data on mortality among those with diabetes in low and middle-income countries. It is really important to understand what is going on in terms of mortality among those with diabetes in these places in the world.

We also need to continue our efforts to prevent diabetes and or manage diabetes. The war on diabetes continues.

No disclosures 


Trends in all-cause mortality among people with diagnosed diabetes in high-income settings: a multicountry analysis of aggregate data
Magliano, Dianna J et al.
The Lancet Diabetes & Endocrinology, Volume 0, Issue 0

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Last Updated on January 12, 2022 by Marie Benz MD FAAD