Pakistan Tops the World’s Most Devastating List

Here’s something that’ll shock you – one in three adults in Pakistan has diabetes. Pakistan leads the world with an age-adjusted diabetes prevalence of 30.8%, a statistic that’s honestly hard to wrap your head around. The numbers are staggering, and they’re not getting better. By 2045, Pakistan’s diabetes prevalence is expected to reach 33.6%, meaning the situation is spiraling even further out of control. The reality on the ground is devastating – millions of people dealing with a chronic condition that’s completely preventable in many cases. The situation in Pakistan is currently not expected to improve in the near future, with the country estimated to have 62 million people suffering from diabetes by 2045 due to numerous reasons including malnutrition. What makes this even more heartbreaking is that many don’t even know they have it until serious complications set in.
French Polynesia’s Hidden Pacific Island Crisis

When you think of tropical paradise, diabetes probably isn’t the first thing that comes to mind. But French Polynesia has become ground zero for a diabetes epidemic that’s tearing through Pacific Island communities. French Polynesia has the second-highest diabetes prevalence globally at 25.2%, a rate that’s absolutely mind-blowing for such a small population. The traditional island lifestyle has been completely disrupted by modern processed foods and sedentary habits. This chronic disease has reached alarming levels in many Oceanic island countries and territories, including French Polynesia, with diabetic prevalence above 20% for reasons ranging from malnutrition to obesity. Imagine living in paradise but watching your community get ravaged by a disease that’s largely preventable. By 2045, French Polynesia’s diabetes prevalence is projected to reach 28.2%, making this crisis even more urgent.
Kuwait’s Oil-Rich Struggle With Blood Sugar

You’d think having all that oil money would buy better health outcomes, right? Wrong. Kuwait ranks third globally with a diabetes prevalence of 24.9%, proving that wealth doesn’t automatically translate to wellness. The rapid modernization and lifestyle changes that came with oil wealth have created a perfect storm for diabetes. Traditional diets gave way to fast food, walking was replaced by driving everywhere, and physical activity became almost nonexistent for many. Kuwait’s diabetes prevalence is expected to reach 29.8% by 2045, making it clear that current interventions aren’t working. The irony is painful – a country that can afford the best healthcare in the world is losing the battle against a largely preventable disease.
China’s Massive Numbers Tell a Scary Story

Here’s where raw numbers become absolutely terrifying. China has the largest number of adults with diabetes worldwide, with 140.9 million people affected, which is set to increase to 174.4 million by 2045. That’s more people than the entire population of most countries. While China’s prevalence rate isn’t the highest globally, the sheer scale is overwhelming. In China, diabetes was prevalent in 10.6% of the nation’s adult population in 2021, which is equivalent to roughly 140 million adults with diabetes because of the country’s large population. What’s even scarier? Experts estimate there are also 72.8 million people in China with undiagnosed diabetes. That means there’s a hidden epidemic of people walking around completely unaware they’re living with a ticking time bomb. China’s healthcare system, despite massive improvements, is facing an unprecedented challenge.
India’s Silent Epidemic Explodes Into View
India’s diabetes crisis is like watching a slow-motion disaster unfold. India has the second-largest number of adults with diabetes globally, and the numbers are staggering when you consider the population density. India’s 9.6% prevalence of diabetes equaled 77 million adults suffering from the disease in the country, more than double the number of Pakistan’s diabetic citizens. But here’s what’s really messed up – diabetes in India often goes hand-in-hand with poverty and malnutrition, creating a deadly combination. India is among the top 10 nations with the highest prevalence of diabetes in the world, and the rural-urban divide makes treatment access incredibly uneven. For millions of Indians, diabetes isn’t just a health condition – it’s a financial death sentence that can bankrupt entire families.
Brazil’s Growing Challenge Hits Close to Home

Brazil rounds out our top five, and the situation there hits different because it mirrors what’s happening across Latin America. Brazil is among the top 10 nations with the highest prevalence of diabetes in the world, dealing with the same modernization pressures we see everywhere else. The country’s massive socioeconomic inequalities mean that diabetes affects people very differently depending on where they live and how much money they have. Urban areas are seeing skyrocketing rates as traditional diets get replaced by processed foods and sedentary lifestyles become the norm. Rural communities often lack basic healthcare access, meaning diabetes goes undiagnosed and untreated until it’s too late. In low and middle-income countries like Brazil, the rate of increase in diabetes prevalence is much higher than in high-income countries, with most people with diabetes globally living in LMICs, which account for nearly 80% of the diabetic population.
Japan’s Puzzling Low Rates Despite Aging Population

Now here’s where things get interesting – Japan completely breaks the mold. Despite having one of the world’s oldest populations and facing rapid dietary westernization, Japan’s diabetes rates remain surprisingly manageable. Japan has an estimated 7.2 million people with diabetes, with diabetes affecting 7.6% of the population and projected to affect 8.7 million people by 2045. That might sound like a lot, but it’s actually way lower than you’d expect for a developed nation. Japan is among regions with the lowest mortality rates from diabetes, alongside Nordic countries and Canada, benefiting from strong healthcare systems and effective diabetes management programs. What’s Japan doing right? Their traditional diet is still heavily fish and vegetable-based, portion sizes remain reasonable, and walking is still a huge part of daily life. The aging population, shift to a Westernized diet, and genetic factors all contribute to Japan’s diabetes prevalence, but they’re managing the challenge much better than most.
South Korea Keeps Diabetes Under Control

South Korea is another Asian success story that’s flying under the radar. Among Korean adults aged 30 years and older, the diabetes prevalence is 15.5% during 2021-2022, with 74.7% aware of their condition and 70.9% receiving antidiabetic treatment. While that prevalence rate isn’t exactly low, what’s impressive is how well they’re managing it. Over the recent decade, there has been an increase in type 2 diabetes prevalence, awareness, treatment, and control in South Korea, with a steeper increase in awareness, treatment, and control observed during the pandemic. South Korea’s healthcare system is incredibly efficient, and they’ve invested heavily in preventive care and early detection. South Korea is among regions with the lowest mortality rates from diabetes, alongside Nordic countries and Canada. The country’s approach to healthcare technology and public health campaigns has created a culture where people actually get tested and treated before things spiral out of control.