Diabetes goes undetected in millions, according to global study

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Nearly half of adults worldwide who are living with diabetes don’t even know they have it, leaving millions vulnerable to dangerous complications.

A sweeping new study, published in the journal The Lancet Diabetes & Endocrinology, examined data from more than 200 countries between 2000 and 2023, tracking how well health systems identify, treat and control the condition.

Researchers analyzed how many people with diabetes are undiagnosed, untreated, receiving suboptimal care or achieving optimal blood sugar control, broken down by age, sex, location and year.

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The researchers found that about 44% of people aged 15 and older with diabetes remain undiagnosed.

“Many people would not have signs or symptoms until their diabetes is very advanced, and many people are not going to the doctor often or at all for lab work,” Tanya Freirich, a registered dietitian nutritionist in North Carolina, told Fox News Digital. (She was not involved in the study.)

Diabetes has been called a “silent epidemic,” as millions remain unaware that they have the potentially deadly condition. (iStock)

Most diagnosed patients, roughly 91%, receive medication, but less than half manage to get their blood sugar under control. That means only about one in five people worldwide are effectively managing their disease.

Young people are the most likely to go undiagnosed, despite facing serious long-term risks, such as heart disease, kidney failure, blindness and nerve damage, according to the study.

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Geography plays a powerful role in diagnosis rates. In wealthier countries like the United States and Canada, diagnosis rates are higher, though challenges remain in long-term management of the disease.

In lower-income regions, particularly in parts of sub-Saharan Africa, fewer than one in five people with diabetes are aware they have the condition.

Man at doctor getting medication for diabetes

1.3 billion people are expected to be living with diabetes by 2050, and experts say medication alone may not be enough. (iStock)

Lead author Lauryn Stafford, a researcher at the Institute for Health Metrics and Evaluation at the University of Washington, said these numbers should set off alarms for governments and health systems worldwide.

“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,” she said in a press release.

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The study also suggests that treatment itself often falls short. Prescriptions alone don’t control blood sugar, as researchers warn that health systems must also focus on monitoring, education and lifestyle support.

For some people with prediabetes, early treatment as well as moderate lifestyle changes can return blood glucose (blood sugar) levels to a normal range, effectively preventing or delaying type 2 diabetes, according to the American Diabetes Association.

Man with gray hair at home cooking at home

Previous research shows that lifestyle changes like the Mediterranean diet could help prevent diabetes. (iStock)

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It is difficult to be exact about the number of people who are undiagnosed, experts say.

“Those are data points that are unable to be confirmed until diagnosed,” Frierich said. “While I do not doubt the accuracy of the tool [used in the study], there may be unknown factors that are not included in the model.”

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The dietitian recommends that everyone has a semi-regular health check. 

She also noted that increasing fiber intake with whole, unprocessed, plant-based foods like vegetables and nuts — as well as staying consistently active — can reduce the risk of diabetes and help to regulate blood sugar.

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China urges U.S. to respect core interests in defense chiefs' call

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<img src='https://news.cgtn.com/news/2025-09-10/China-urges-U-S-to-respect-core-interests-in-defense-chiefs-call-1GyGfQ3t4Pe/img/4aba4170b298485d8cff36477916d1ec/4aba4170b298485d8cff36477916d1ec.png' alt='A file photo of national flags of China and the United States. /VCG'

Chinese Defense Minister Dong Jun stated on Tuesday that China and the United States should respect each other’s core interests during a video call with U.S. Secretary of Defense Pete Hegseth.

Dong told Hegseth during the call, which the latter requested, that both sides should adopt an open attitude, keep communication and engagement active, and develop a military-to-military relationship grounded in equality, respect, peaceful coexistence, and steady, positive growth.

Dong warned that any efforts to support “Taiwan independence” through force or to use the Taiwan question to contain China, as well as any interference, will be firmly thwarted.

China is committed to working with regional countries to safeguard peace and stability in the South China Sea and firmly opposes infringements and provocations by certain countries or deliberate attempts by external forces to stir up trouble, he said.

Dong said that China remains committed to its own development and strongly defends its legitimate rights and interests. “Containing, deterring, or interfering with China will absolutely lead nowhere.”

Knight Frank flags risks in Mumbai’s redevelopment boom amid market plateau

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While developers are offering high shares of floor space index (FSI) to societies, Knight Frank cautions that if free-sale revenues cannot cover costs, projects could become unviable
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The surge in redevelopment projects in Mumbai could be a cause for alarm if the current buoyancy in the real estate cycle subsides or fails to sustain in the medium term, according to property consultant Knight Frank, which released a comprehensive report on the segment on Wednesday.

The financial capital is currently reverberating to the sounds of intense construction activity as old and ageing housing societies are making way for new buildings, with upgraded amenities and better facilities.

Redevelopment is often necessary when buildings are over 30 years old and at risk of structural damage. The process involves demolishing existing buildings and constructing new ones. The developer is assured of extra space or a free sale portion in the same premises, which can be sold to new customers.

High FSI allocation may threaten project cash flows

The expectations of a rise in prices and consistent demand from customers are fuelling the redevelopment boom. Developers, in their desire to get hold of land in a city like Mumbai, often allocate a higher threshold of the total permissible floor space index to members, and this is where the danger lies if demand does not sustain, according to Gulam Zia, Senior Executive Director – Research, Advisory, Infrastructure and Valuation at KFI.

Developers often tend to allocate more than 50 per cent of the total area to the society, which has the potential to threaten cash flows. Anything from 30-35 per cent is a safe range.

“If revenues from free sale cannot cover the stack, the project is unviable,” the report notes. The free-sale portion of FSI carries the entire financial load of the project.

 900 plus societies signed deals, unlocking 327 acres since 2020

As per the report, over 900 housing societies have signed redevelopment agreements since 2020, unlocking nearly 327 acres of potential land area. By 2030, the current society redevelopment projects in the Mumbai region would add a total of 44,277 new homes with a value of over Rs 13000 crore, it said.

Typically, a redevelopment project timeline spans 8-10 years, beginning with the housing society’s initiation of the process.

Zia pointed out that so long as the current upswing in the real estate cycle continues, redevelopments can go as planned, with the developers involved in it able to generate profits and keep the projects viable.

However, the real estate sector is notoriously fickle and operates in cycles, with customer demand dependent on robust economic fundamentals, a sustained low-interest rate environment and the capacity to spend.

The current boom in the cycle dates from pandemic years, and while the numbers suggest that housing registrations are still going strong, there are signs of an incipient plateauing in sales.

“The economics of society redevelopment must be viewed through the lens of sustainability. With overheated market conditions and sharply rising prices, we are at a stage where excessive demand and aggressive offers threaten long-term viability,” said Zia.

Published on September 10, 2025

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