According to a report, hundred million plus Indians have now diabetic, up 44% in 4 years while ICMR study says that the research brought out that while 11.4% of India’s population is diabetic, a larger proportion, 15.3% is pre-diabetic. India has now more than 101 million people living with diabetes, compared to 70 million in 2019. Part of the increase may be due to better awareness among the people leading to increased detection. Another factor may be better care and longevity of diabetics who pass on the genotype to their progenies increasing the diabetogenic gene pool.

Having said this, there are short term and long term challenges given the complex epidemiology of diabetes in our country. The epidemiology of diabetes in India is unique. The determinants are both “nature” and “nurture,” against the background of malnutrition at both ends of the life course; under-nutrition in the…