Table 1 Changes in global age-standardized mortality and disability-adjusted life-year rates for type 2 diabetes mellitus due to high body mass index, 1990 and 2021

Global

238,136 (98,915,358,326)

10,434,885 (4,873,204,15,314,308)

723,719 (306,923,1,075,367)

39,309,214 (19,146,834,56,417,300)

6.32 (2.55,9.64)

251.52 (115.51,372.35)

8.46 (3.55,12.62)

0.85 (0.77 to 0.93)

452.55 (220.36,650.49)

1.82 (1.78 to 1.87)

High SDI

64,892 (26,078,96,994)

2,590,434 (1,223,249,3,801,967)

105,187 (43,536,156,231)

7,325,086 (3,546,218,10,628,651)

5.85 (2.37,8.72)

241.5 (115.62,352.58)

4.83 (2.11,7.01)

−1.07 (−1.39 to −0.76)

408.78 (205.11,583.64)

1.49

(1.22 to 1.77)

High-middle SDI

48,776 (20,203,72,482)

2,275,753 (1,071,495,3,347,580)

119,391 (49,936,178,277)

7,045,408 (3,498,419,10,187,003)

5.23 (2.11,7.87)

223.41 (103.93,331.47)

6.05 (2.52,9.06)

0.35 (0.28 to 0.43)

370.56 (186.07,536.24)

1.52

(1.47 to 1.57)

Low SDI

18,380 (7550,29,231)

716,441 (305,458,1,113,908)

56,027 (23,261,87,132)

2,710,493 (1,233,859,3,995,715)

8.24 (3.26,13.44)

278.03 (115.15,442.28)

11.54 (4.44,18.5)

1.01 (0.92 to 1.09)

454.43 (195.05,684.38)

1.5

(1.42 to 1.59)

Low-middle SDI

37,680 (15,654,59,014)

1,605,713 (712,728,2,428,041)

174,265 (72,963,261,401)

8,372,423 (3,895,470,12,252,945)

6.46 (2.56,10.37)

235.85 (101.24,362.55)

12.71 (5.14,19.56)

2.37 (2.16 to 2.59)

536.85 (242.02,788.25)

2.8

(2.62 to 2.97)

Middle SDI

67,939 (29,021,101,362)

3,226,820 (1,513,647,4,718,810)

267,860 (118,285,394,674)

13,805,912 (6,741,593,19,638,166)

6.99 (2.83,10.74)

279.98 (127.15,417.5)

10.23 (4.37,15.24)

1.22 (1.02 to 1.41)

493.11 (239.09,700.68)

1.74

(1.61 to 1.87)

East Asia

22,304 (9421,35,069)

1,479,828 (662,910,2,261,376)

42,924 (16,498,69,811)

6,192,821 (2,922,801,9,327,285)

2.7 (1.09,4.36)

149.77 (65.43,232.92)

3.75 (1.45,6.01)

0.97

(0.76 to 1.19)

296.17 (138.85,443.31)

2.09 (1.97 to 2.2)

Southeast Asia

16,841 (6926,27,302)

714,244 (312,109,1,113,665)

70,590 (28,086,110,330)

3,328,763 (1,455,105,4,989,791)

6.42 (2.56,10.61)

243.64 (103.68,387.91)

10.79 (4.08,17.3)

1.69

(1.4 to 1.98)

467.11 (199.39,713.96)

2 (1.78 to 2.21)

Oceania

1322 (627,2041)

50,711 (26,107,74,463)

4062 (1959,5859)

181,077 (94,338,248,177)

44.25 (19.6,69.68)

1430.32 (696.83,2148.85)

54.05 (24.06,79.82)

0.63

(0.54 to 0.72)

1982.78 (980.17,2768.45)

1.04 (0.95 to 1.12)

Central Asia

2364 (1088,3300)

120,143 (61,180,168,179)

8098 (3963,11,336)

480,857 (246,896,672,959)

5 (2.25,7.04)

208.51 (100.2,299.36)

9.73 (4.53,13.73)

1.81

(1.56 to 2.07)

527.83 (264.06,744.8)

2.31 (2.13 to 2.49)

Central Europe

9796 (4258,14,115)

479,885 (225,980,684,412)

17,654 (7531,26,320)

919,917 (443,112,1,325,371)

6.55 (2.82,9.49)

316.37 (149.02,452.7)

7.6 (3.33,11.24)

0.66

(0.48 to 0.84)

412.33 (207.89,578.42)

1.17 (1.03 to 1.32)

Eastern Europe

5856 (2645,8255)

1,003,061 (482,768,1,437,909)

25,155 (10,817,35,348)

1,195,660 (594,288,1,665,284)

2.06 (0.92,2.91)

143.77 (69.83,205.24)

6.96 (3.02,9.76)

2.84

(2.04 to 3.65)

352.51 (178.19,487.29)

2.48 (2.26 to 2.7)

High-income Asia Pacific

5565 (2211,8798)

357,775 (162,218,546,302)

45,649 (20,351,63,549)

958,542 (408,514,1,532,779)

2.81 (1.1,4.48)

173.53 (78.67,265.39)

1.42 (0.54,2.23)

−2.46

(−2.89 to −2.03)

286.8 (128.72,443.13)

1.47 (1.11 to 1.83)

Australasia

1207 (492,1800)

45,599 (20,501,66,370)

2643 (1060,3910)

132,470 (62,762,193,461)

5.21 (2.12,7.79)

196.89 (89.44,285.48)

4.55 (1.9,6.6)

−0.95

(−1.36 to −0.53)

268.49 (130.96,387.16)

0.77 (0.48 to 1.06)

Western Europe

36,850 (13,766,56,890)

1,177,117 (523,722,1,743,972)

42,741 (15,593,66,602)

2,182,373 (1,027,446,3,242,189)

6.15 (2.32,9.44)

212.45 (96.88,313.75)

3.87 (1.49,5.87)

−1.57

(−1.84 to −1.31)

281.56 (138.26,409.66)

0.78 (0.52 to 1.03)

Southern Latin America

4804 (2074,6949)

167,303 (79,270,236,348)

7422 (3222,10,639)

396,128 (195,733,561,376)

10.55 (4.5,15.38)

357.29 (168.92,505.51)

8.33 (3.67,11.87)

−0.91

(−1.2 to −0.61)

466.8 (232.98,658.3)

0.71 (0.54 to 0.89)

High-income North America

26,581 (11,102,38,644)

1,057,241 (517,649,1,497,722)

45,649 (20,351,63,549)

3,384,028 (1,677,241,4,812,739)

7.52 (3.23,10.83)

317.99 (158.67,446.06)

6.91 (3.19,9.48)

−1.03

(−1.43 to −0.63)

569.5 (291.44,801.78)

1.58 (1.29 to 1.88)

Caribbean

4625 (1983,6829)

181,761 (84,543,263,246)

9689 (4337,14,784)

501,760 (239,521,724,500)

18.28 (7.72,27.2)

679.87 (312.98,987.9)

17.89 (8.03,27.25)

−0.17

(−0.47 to 0.13)

938.44 (449.48,1352.56)

0.98 (0.72 to 1.24)

Andean Latin America

1855 (803,2741)

75,683 (37,333,106,649)

7620 (3585,11,544)

353,939 (178,500,498,182)

9.2 (3.87,13.76)

343.83 (164.56,490.44)

13.05 (6.05,19.88)

1.04

(0.81 to 1.27)

582.78 (289.82,826.57)

1.63 (1.49 to 1.76)

Central Latin America

19,604 (8972,27,685)

838,218 (423,138,1,147,961)

70,287 (35,125,97,647)

3,059,746 (1,656,920,4,123,354)

24.16 (10.63,34.84)

911.75 (445.37,1269.44)

28.24 (13.86,39.54)

0.27

(0.08 to 0.47)

1179.35 (633.32,1599.42)

0.58 (0.45 to 0.72)

Tropical Latin America

12,868 (5562,18,565)

552,268 (268,325,772,970)

36,553 (15,819,52,543)

1,656,755 (828,268,2,313,462)

14.55 (6.02,21.48)

553.15 (260.68,790.17)

14.42 (6.16,20.88)

0.04

(−0.15 to 0.22)

633.16 (314.94,886.38)

0.41 (0.31 to 0.52)

North Africa and Middle East

17,690 (7929,25,715)

750,989 (367,282,1,047,806)

70,424 (34,831,98,732)

4,270,997 (2,273,605,5,829,839)

11.6 (4.83,17.24)

414.77 (194.58,589.64)

17.16 (8.02,24.37)

1.65

(1.45 to 1.85)

854.36 (431.82,1180.23)

2.55 (2.41 to 2.69)

South Asia

23,166 (8672,38,201)

1,092,237 (437,304,1,747,028)

132,941 (48,869,209,748)

6,665,104 (2,838,298,10,061,732)

4.23 (1.5,7.19)

164.4 (62.95,268.33)

9.49 (3.37,15.28)

2.73

(2.6 to 2.85)

413.84 (172.35,626.04)

3.1 (3 to 3.19)

Central Sub-Saharan Africa

2990 (1241,4824)

110,199 (48,633,175,662)

10,727 (4226,17,076)

484,509 (214,931,723,566)

13.6 (5.4,22.18)

425.13 (178.68,689.16)

20.74 (7.66,34.37)

1.3

(1.05 to 1.54)

733.02 (304.09,1127.04)

1.71 (1.46 to 1.95)

Eastern Sub-Saharan Africa

8188 (3370,12,886)

289,453 (123,487,448,780)

21,577 (8957,34,684)

865,946 (379,671,1,289,084)

11 (4.31,17.6)

336.49 (137.55,531.48)

13.31 (5.21,22.16)

0.38

(0.23 to 0.53)

433.79 (181.06,669.31)

0.5 (0.46 to 0.7)

Southern Sub-Saharan Africa

5291 (2237,7792)

180,540 (85,619,251,447)

23,383 (10,627,32,803)

787,110 (396,716,1,066,168)

20.48 (8.35,30.81)

626.45 (286.62,888.38)

43.92 (19.11,63.24)

2.88

(2.53 to 3.22)

1308.02 (636.33,1799.12)

2.73 (2.43 to 3.03)

Western Sub-Saharan Africa

8366 (3239,13,275)

310,658 (133,190,483,557)

29,652 (11,727,45,278)

1,310,713 (622,641,1,925,358)

10.21 (3.8,16.65)

324.64 (133.2,514.14)

16.81 (6.17,26.45)

1.61

(1.55 to 1.68)

581.74 (256.55,873.87)

1.87 (1.8 to 1.93)