Evidence map›Paper›PMID 40666058›Full record

ArticleFrontiers in endocrinology2025

Global burden of diabetes mellitus 1990-2021: epidemiological trends, geospatial disparities, and risk factor dynamics.

Ciming Pan, Beiling Cao, Hui Fang, Yelu Liu, Shuhan Zhang, Wei Luo, Yuanjie Wu

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ciming PanHefei Xinzhuan High-tech Zone Huoshuiyuan Traditional Chinese Medicine Clinic, Outpatient Department, Hefei, Anhui, China.
Beiling CaoNanjing University of Chinese Medicine, First Clinical Medical College, Nanjing, Jiangsu, China.
Hui FangCollege of Traditional Chinese Medicine, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Yelu LiuDepartment of Traditional Chinese Acupuncture and Tuina, the Second People's Hospital of Anhui Province, Hefei, Anhui, China.
Shuhan ZhangPediatric Neurorehabilitation Center, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Wei LuoSchool of Basic Medical Sciences, Yunnan University of Traditional Chinese Medicine, Kunming, Yunnan, China.
Yuanjie WuCollege of Traditional Chinese Medicine, Anhui University of Chinese Medicine, Hefei, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus(DM) remains a significant global health challenge, characterized by high incidence and Disability-adjusted life years (DALYs) rates. A comprehensive understanding of the disease burden of DM is crucial for developing effective prevention and treatment strategies. This study analyzes the global burden of diabetes mellitus (DM) from 1990 to 2021 using data from the Global Burden of Disease Study. In 2021, DM caused 1.66 million deaths, with age-standardized mortality rising by 7.95% since 1990. While Type 1 diabetes (T1DM) mortality declined by 29.24%, Type 2 diabetes (T2DM) accounted for 97.1% of deaths, with a 9.75% mortality increase. Geospatial analysis revealed extreme disparities: Pacific Island nations exhibited incidence rates >800/100,000, contrasting with <3/100,000 in Costa Rica and China. T1DM burden predominated in high-latitude regions (e.g., Finland), whereas T2DM mirrored overall DM distribution. DALYs for T2DM surged by 42.32%, disproportionately affecting Low-SDI regions. Age-stratified analyses identified distinct patterns: T2DM incidence peaked at 59-69 years, while T1DM DALYs peaked in early-middle adulthood (40-44 years). Risk factor hierarchies highlighted metabolic risks (e.g., high BMI) for T2DM and ambient temperature effects for T1DM. Despite progress in T1DM management, rising T2DM burden underscores urgent need for targeted prevention strategies addressing obesity, dietary risks, and environmental determinants. Study limitations include potential GBD data inaccuracies and ecological design constraints. These findings emphasize the imperative for region-specific interventions to mitigate the evolving diabetes pandemic.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Global Burden of DiseaseAdolescentAdultAgedDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidenceMaleMiddle AgedRisk FactorsYoung Adultdiabetes mellitusdisability-adjusted life yearsgeospatial disparitiesglobal burden of diseaserisk factors

Identifiers

PMID40666058
PMCPMC12259457

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.