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Nearly half of those with diabetes may be unaware they have the disease

Only 42% of treated diabetes patients globally achieve optimal blood sugar control, highlighting significant gaps in diagnosis and management across regions and age groups.

  • On Monday, The Lancet Diabetes & Endocrinology reported that forty-four percent of people aged 15 and older with diabetes are undiagnosed, revealing a significant global care gap.
  • Researchers at IHME and collaborators found substantial regional diagnosis and treatment disparities in diabetes care across 204 countries and territories from 2000 to 2023, particularly in low- and middle-income countries.
  • Among people diagnosed with diabetes, 91% receive pharmacological treatment, but only 42% of treated patients achieve optimal blood sugar management, totaling 21% of all people with diabetes well managed.
  • Researchers urged investment in screening, medicines, and glucose-monitoring access, noting the World Health Organization's 2030 target to reach 80% diagnosis and that only 26% of young adults were diagnosed in 2023.
  • Stafford said that by 2050, 1.3 billion people are expected to be living with diabetes, and if nearly half don't know they have a serious and potentially deadly health condition, it could easily become a silent epidemic.
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Many millions of people worldwide live with diabetes without the disease being diagnosed with them. In Germany, too, the dark figure is high. Experts fear a "silent epidemic".

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Nearly half of people with diabetes don't know they have it, new study finds

Millions worldwide live with undiagnosed diabetes. Find out why early screening matters.

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Medical Xpress broke the news in on Monday, September 8, 2025.
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