South and Central American region

The South and Central American Region encompasses 22 countries and territories, most of which are still developing economically. It is estimated that 16.2 million persons, or 6.0% of the adult population, had diabetes in 2007 (see Table 1). In the next 18 years, the number of people with diabetes is expected to rise dramatically to 32.7 million. 

At a glance

 

2007

2025

Total population (millions)

451

548

Adult population (age 20-79, millions)

272

364

 

 

 
Diabetes (20-79 age group)    
Regional prevalence (%)

6.0

9.0

Comparative prevalence (%)

6.3

9.3

Number of people with diabetes (millions)

16.2

32.7

     
Impaired Glucose Tolerance (IGT) (20- 79 age group)    
Regional prevalence (%)

7.3

7.6

Comparative prevalence (%)

7.5

7.9

Number of people with IGT (millions)

19.8

27.6

Diabetes and IGT prevalence
Considerable extrapolation was required in this region as 15 countries did not have any epidemiological data from which prevalence estimates could be derived. New studies in Mexico   1   2  were used to extrapolate prevalence estimates for several countries in the region. New studies were also used for Argentina   3 , Brazil   4  and Chile   5 , all of which were of specific regional populations.

South America and Central America have similar age distribution profiles. Currently about 17% of the population is older than 50 years, with this figure likely to increase to 25% by 2025. Thus the region has a markedly younger age distribution than most of North America. The likelihood is that diabetes will become a more major health priority for the region given the decreasing difference in age distribution between this region and North America, and with the continuing momentum for urbanization.


1.Aguilar-Salinas CA Velazquez Monroy O Gomez-Perez FJ Gonzalez Chavez A Esqueda AL Molina Cuevas V Rull-Rodrigo JA Tapia Conyer R Characteristics of patients with type 2 diabetes in Mexico: Results from a large population-based nationwide survey. Diabetes Care.2003; 26(7): 2021-2026
2.Sanchez-Castillo CP Velasquez-Monroy O Lara-Esqueda A Berber A Sepulveda J Tapia-Conyer R James WP Diabetes and hypertension increases in a society with abdominal obesity: results of the Mexican National Health Survey 2000. Public Health Nutr.2005; 8(1): 53-60
3.de Sereday MS Gonzalez C Giorgini D De Loredo L Braguinsky J Cobenas C Libman C Tesone C Prevalence of diabetes, obesity, hypertension and hyperlipidemia in the central area of Argentina. Diabetes Metab.2004; 30(4): 335-339
4.Torquato MT Montenegro Junior RM Viana LA de Souza RA Lanna CM Lucas JC Bidurin C Foss MC Prevalence of diabetes mellitus and impaired glucose tolerance in the urban population aged 30-69 years in Ribeirao Preto (Sao Paulo), Brazil. Sao Paulo Med J.2003; 121(6): 224-230
5.Baechler R Mujica V Aqueveque X Ramos L Soto A. Prevalence of diabetes mellitus in the Seventh Region of Chile. Rev Med Chil.2002; 130(11): 1257-1264