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Asia and the Western Pacific are facing a diabetes epidemic, which is taking an unprecedented human and economic toll, writes the BBC's Zoe Murphy.
In human and financial terms, the burden is huge and it is hitting the poor especially hard.
Often thought of as a disease of the rich, experts say the unabating rise may be fuelled as much by food scarcity and insecurity as it is by excess.
Changing lifestyles, rapid urbanisation and cheap calories in the form of processed foods are putting more and more people at risk of developing Type-2 diabetes.
There are now 382 million people worldwide living with diabetes,according to new figures from the International Diabetes Federation (IDF).
More than half are in Asia and the Western Pacific, where 90-95% of cases are classed as Type-2.
"It is typically an ageing disease, but the data shows that the young and middle-aged are most vulnerable. It is prevalent in obese people but emerging data suggests that for lean people with diabetes the outcome can be worse."
"One of the greatest challenges is that the system is not conducive to preventative care. We need to go out and find those at risk otherwise you miss the critical moment to prevent the disease," she says.
Governments are waking up to the problem, according to Leonor Guariguata, a biostatistician at IDF.
Australia Network News reports that a paper examining the changes in health in the Pacific says heart disease and diabetes are replacing diseases like measles and malaria as the leading cause of death.
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