Fig. 4

Changes in disability-adjusted life years and deaths from 1990 to 2021 for T2DM globally based on population-level determinants such as population growth, ageing, and epidemiological changes, and grouped by sex. Black dots represent the overall value of change due to all 3 factors. For each component, the magnitude of the positive value indicates a corresponding increase in the number of T2DM DALYs and deaths attributable to that component. A Number of DALYs. B Number of DEATH. SDI: sociodemographic index; DALYs: disability-adjusted life years