Disease burden is the severity and impact of a disease (1) which is measured by mortality, morbidity, clinical conditions, quality of life, disability, years of life lost, and monetary cost (2). In 2015 monetary cost of diabetes was estimated to be US$1.31 trillion which equals 1.8% cost of the global GDP (Gross Domestic Product) (3). Boomer and colleagues (2017), WHO (2016), Amon & Aikins (2017) classified costs differently. Considering all of the cost classification, author has created a combined classification of costs associated with diabetes (Figure 1).
Financial cost is one dimension of disease burden. Disease complication is another dimension of disease burden which requires attention. Diabetes complications include the risk of developing cardiovascular disease, retinopathy, end-stage renal disease (4), and others (5-8).
However, considering the above discussion, it is evident, diabetes is associated with huge disease burden which has negative impact on the attainment of sustainable development goals (SDGs) (Figure 2). Sustainable development is the way of satisfying existing need without destroying the ability of the future generations to satisfy their own needs (9).
Achieving sustainable development requires good health and well-being. Due to its immense disease burden and negative impact on health and well-being, diabetes is given priority by the world leaders as a part of achieving SDGs (4, 10).
Psychosocial Impact of Diabetes
Psychosocial impact is defined as the effect caused by environmental and/or biological factors on individual’s social and/or psychological aspects (11). Several studies found, diabetes has negative impact on a patient’s psychological aspects like mental health, quality of life, and social life (12, 13). Based on the literature review, author constructed a summarized figure of psychosocial impact of diabetes in Figure 3.
Figure 3: Psychosocial impact of diabetes (Source: Author’s construct)
To conclude this chapter, it is evident; diabetes is on the rise and present everywhere. The complication and associated disease burden of diabetes is huge. At this point question comes, what are the determining factors of the diabetes development. Next blog will answer this question.
Next blog will discuss on the determining factors of diabetes.
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8. International Diabetes Federation. IDF Diabetes Atlas 8th Edition. International Diabetes Federation; 2017.
9. United Nations. The Sustainable Development Agenda 2016 [Available from: https://www.un.org/sustainabledevelopment/development-agenda/.
10. United Nations. Progress of Goal 3 in 2017 2017 [Available from: https://sustainabledevelopment.un.org/sdg3.
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12. Ashraff S, Siddiqui MA, Carline TE. The Psychosocial Impact of Diabetes in Adolescents: A Review. Oman Medical Journal. 2013;28(3):159-62.
13. Feng X, Astell-Burt T. Impact of a type 2 diabetes diagnosis on mental health, quality of life, and social contacts: a longitudinal study. BMJ Open Diabetes Research & Care. 2017;5(1).