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Rapid response to:


Trends in incidence of total or type 2 diabetes: systematic review

BMJ 2019; 366 doi: (Published 11 September 2019) Cite this as: BMJ 2019;366:l5003
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Showing the turning point in diabetes incidence in 61 populations

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Trends in type 2 diabetes

Rapid Response:

Control of Diabetes in India

Magliano et al. highlighted a rise in diabetes incidence only in a fraction of the population and even a fall in some of the population. [1] Considering the efforts being deployed on the prevention and control of diabetes, this finding is encouraging.

As per the International Diabetes Federation (IDF), the estimated number of cases of diabetes in India in the age group of 20-70 years was 73 million in 2017. [2] In India, among the risk factors implicated in Disability Adjusted Life Years (DALY), high fasting plasma glucose is the fifth most common one, contributing 6.6% of DALY. [3]

The Government is implementing the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) with a focus on awareness generation, early diagnosis, treatment and follow up. Population Based Screening has been started for people above 30 years of age for diabetes and other NCDs. The suspected patients are referred to health centre and followed up if diagnosed with diabetes. This intervention is expected to yield early diagnosis of diabetes and prevent future complications. [4] Better management of diabetes may be ensured, once HbA1c is made available and accessible across the country. [5]

1. Magliano Dianna J, Islam Rakibul M, Barr Elizabeth L M, Gregg Edward W, Pavkov Meda E, Harding Jessica L et al. Trends in incidence of total or type 2 diabetes: systematic review. BMJ 2019; 366 :l5003.
2. International Diabetes Federation. India. (Available at, last accessed on 30th July, 2019)
3. Indian Council of Medical Research, Public Health Foundation of India, and Institute for Health Metrics and Evaluation. India: Health of the Nation's States - The India State-level Disease Burden Initiative. New Delhi, India: ICMR, PHFI, and IHME. 2017.
4. Press Information Bureau. Government of India. Ministry of Health and Family Welfare. Non-Communicable Diseases (NCDs) in India. (Available at, last accessed on 30th July, 2019)
5. Unnikrishnan R, Mohan V. Challenges in estimation of glycated hemoglobin in India. Diabetes Technol Ther. 2013;15(10):897–899.

Competing interests: No competing interests

12 September 2019
Manas P Roy
Public Health Specialist
New Delhi