Adapted from BMJ 15 June2024 Global burden of type 1 diabetes in adults aged 65 years and older. 1990-2019.
The number of people from 21 regions and 204 countries was collated in this study. The number of older adults with type one diabetes increased from 1.3 million in 1990 to 3.7 million in 2019.
This was due to a decrease in deaths from type one diabetes in young people, who therefore had the fortune to be able to grow old. There is also an increasing amount of type one diabetes occurring in the population both young and old. The older population of people with type one diabetes are also living longer and in better health. This is mainly a tribute to better diagnosis and treatment.
The prevalence (the total number of people counted who have the condition) increased from 400 to 514 per 100,000 people.
Mortality decreased from 4.74 to 3.54 per 100,000 people.
Disability life adjusted years (DALYs) decreased from 113 to 103 per 100,000 people.
Mortality rates fell 13 times faster in countries with a high sociodemographic index compared to low to middle index countries. The measures included education level, per capita income and lowest fertility rates.
The countries with the most older people with type one diabetes were in high income countries such as North America, Australasia, and Western Europe.
The highest disability rates were found in southern sub-Saharan Africa, Oceania and the Caribbean. A high fasting glucose level remained the highest risk factor for disability among older adults.
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