A conceptual framework for modernising and right-sizing global diabetes care

Diabetes has become a defining health challenge of the 21st century, now affecting one in seven adults worldwide. Diabetes complications—cardiorenal diseases, vision loss, neuropathy, depression, dementia, and limb amputations—diminish quality of life, shorten life expectancy, and strain health-care systems globally. Despite decades of high-quality evidence showing how to prevent or delay diabetes complications, global outcomes have remained poor and only 7–15 countries met each of WHOs Compact Targets in 2021: 80% of people with diabetes being diagnosed and achieving good blood glucose and blood pressure control, and 60% using statins.