Global Economic Burden of Diabetes in Adults: Projections From 2015 to 2030

Christian Bommer, Vera Sagalova, Esther Heesemann, Jennifer Manne-Goehler, Rifat Atun, Till Bärnighausen, Justine Davies, Sebastian Vollmer

Research output: Contribution to journalArticlepeer-review

231 Citations (Scopus)


OBJECTIVE: Despite the importance of diabetes for global health, the future economic consequences of the disease remain opaque. We forecast the full global costs of diabetes in adults through the year 2030 and predict the economic consequences of diabetes if global targets under the Sustainable Development Goals (SDG) and World Health Organization Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020 are met.

RESEARCH DESIGN AND METHODS: We modeled the absolute and gross domestic product (GDP)-relative economic burden of diabetes in individuals aged 20-79 years using epidemiological and demographic data, as well as recent GDP forecasts for 180 countries. We assumed three scenarios: prevalence and mortality 1) increased only with urbanization and population aging (baseline scenario), 2) increased in line with previous trends (past trends scenario), and 3) achieved global targets (target scenario).

RESULTS: The absolute global economic burden will increase from U.S. $1.3 trillion (95% CI 1.3-1.4) in 2015 to $2.2 trillion (2.2-2.3) in the baseline, $2.5 trillion (2.4-2.6) in the past trends, and $2.1 trillion (2.1-2.2) in the target scenarios by 2030. This translates to an increase in costs as a share of global GDP from 1.8% (1.7-1.9) in 2015 to a maximum of 2.2% (2.1-2.2).

CONCLUSIONS: The global costs of diabetes and its consequences are large and will substantially increase by 2030. Even if countries meet international targets, the global economic burden will not decrease. Policy makers need to take urgent action to prepare health and social security systems to mitigate the effects of diabetes.

Original languageEnglish
Pages (from-to)963-970
Number of pages8
JournalDiabetes Care
Issue number5
Early online date23 Feb 2018
Publication statusPublished - May 2018


  • Adult
  • Aged
  • Costs and Cost Analysis
  • Diabetes Mellitus/economics
  • Female
  • Global Health/economics
  • Health Care Costs/statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Young Adult


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