Africa

Diabetes report 2000 — 2045

Estimates were made for 48 Sub-Saharan African countries and territories in the IDF Africa (AFR) Region. For this edition of the IDF Diabetes Atlas, a total of 25 data sources (from 20 countries) were selected. About half (58%) of the countries in the IDF AFR Region lack high-quality in-country data sources. Only one country (Zambia) had studies conducted within the past five years.

Despite the lowest prevalence estimate of 4.5% among IDF Regions, the expected increase in the number of people with diabetes by 2045 is the highest 129% reaching 55 million. The AFR Region is also predicted to have the highest increase of 107% in the number of people with impaired glucose tolerance by 2045 reaching 117 million. The proportion of undiagnosed diabetes is also highest in the AFR Region with 53.6%. Only 12.6 billion USD was spent on diabetes in AFR Region, representing 1.3% of the total spent worldwide, despite the region being home to 4.5% of people with diabetes worldwide.

Key Messages


An approximate 19 million adults aged 20–79 years are living with diabetes in the IDF Africa Region. This represents nearly 4% of the total regional population in this age group.

The number of people with diabetes is expected to increase 48% by 2030 and by 143% by 2045, the highest predicted increase of all IDF Regions.

Over half (60%) of adults aged 20–79 years with diabetes are undiagnosed, the highest proportion of undiagnosed diabetes of all IDF Regions.

The number of adults with impaired glucose tolerance is expected to increase by 48% by 2030 and 143% by 2045, the highest predicted increase of all IDF Regions.

Almost three-quarters of deaths due to diabetes each year occur in people under the age of 60 years – the highest proportion in this age group in the world.
At a glance 2000 2011 2021 2030 2045
Diabetes estimates (20-79 y)
People with diabetes, in 1,000s 2,532.9 14,700.0 23,633.9 33,446.0 55,254.4
Age-adjusted comparative prevalence of diabetes, % 1.2 4.5 5.3 5.5 5.6
People with undiagnosed diabetes, in 1,000s - - 12,658.6 - -
Proportion of people with undiagnosed diabetes, % - - 53.6 - -

International Diabetes Federation