1. Diabetes: The Epidemic of the 21 st Century Professor Jean Claude Mbanya, Professor Nigel Unwin, Dr David Whiting IDF Diabetes Atlas Launch Monday, October 19, 12:30 – 1:30 PM IDF World Diabetes Congress 2009 Montréal, Canada

3. The Diabetes Epidemic Epidemic out of control in spite of warnings Serious development issue impeding Millennium Development Goals Urgent need – for prevention programmes – to strengthen healthcare systems

6. Diabetes: Epidemic out of control Professor Nigel Unwin Chair of the IDF Diabetes Atlas Committee IDF Diabetes Atlas Launch Monday, October 19, 12:30 – 1:30 PM IDF World Diabetes Congress 2009 Montréal, Canada

9. Number of people with diabetes (20-79 years), 2010 and 2030

11. Over 4 million deaths in 2010 will be caused by diabetes

12. The diabetes epidemic is here Diabetes is a threat to social and economic development

13. Diabetes: taking action Dr David Whiting IDF Epidemiologist IDF Diabetes Atlas Launch Monday, October 19, 12:30 – 1:30 PM IDF World Diabetes Congress 2009 Montréal, Canada

14. Perception problems Good news LMC focus

15. Prevention Robust evidence Interventions Challenges

16. Coverage Good basic care IDF guidelines World Bank and WHO – Blood glucose control – Blood pressure control – Foot care

17. Integrated approach MACRO: policy; finance MESO: community; health care organizations MICRO: person with diabetes; family

18. e.g. Those requiring insulin Essential medicines

19. INTEGRATED HEALTH SYSTEMS, SUPPORTIVE POLICIES DIABETES CAN BE PREVENTED DIABETES CAN BE TREATED

21. Key findings 285 million people with diabetes 435 million within 20 years 4 million deaths each year Diabetes costs the world US$376 billion

22. Reducing the Diabetes Burden Ensure availability of essential medicines for people living with diabetes and other non-communicable diseases (NCDs) in low- and middle- income countries Immediately and substantially increase financing for NCDs Integrate NCD prevention into national health systems and the global development agenda Create a Special Envoy of the UN Secretary-General for NCDs Support a UN General Assembly Special Session on NCDs

24. Q&A