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The Current and Future Burden of Diabetes in Malaysia

* * * Dr. Feisul Idzwan Mustapha, Disease Control Division, Ministry of Health Malaysia, Putrajaya, discusses the alarming rates at hand.

Data on the prevalence of Non-Communicable Diseases (NCDs) risk factors for Malaysia are obtained primarily through the National Health and Morbidity Surveys (NHMS), conducted by the Ministry of Health (MOH). This population-based survey was first conducted in 1986, and was then repeated every 10 years. However, to monitor the changing trends of NCD risk factors, 10 years was too infrequent. Therefore, starting in 2011, the implementation of NHMS was revised whereby for NCD risk factors, NHMS will be conducted every four years.
The results of the latest NHMS (in 2011) that covered NCD risk factors was published in March 2012, and the NHMS Conference was held on 13 June 2012 in Holiday Villa Hotel, Subang Jaya, Selangor.

PREVALENCE OF DIABETES IN MALAYSIA
NHMS 2011 has shown that the prevalence of diabetes in Malaysia has increased 31 per cent in the space of just five years, from 11.6 per cent in 2006 to the current 15.2 per cent. This means that there is currently about 2.6 million adults age 18 years and above living with diabetes. This increase was mostly contributed by the increased proportion of “undiagnosed diabetes”, from 4.5 to 8 per cent. As you can see on the graph (Figure 1), for every single individual diagnosed, another individual is undiagnosed. The prevalence of “impaired fasting glucose” has also risen, from 4.2 per cent in 2006 to 4.9 per cent in 2011.

Figure 2 shows the prevalence of diabetes by age groups. The graph shows a steep increase after age 30, and reaches a peak at the 60 to 64 years age group. In terms of relative proportions, you can see that the prevalence of undiagnosed exceeds that of diagnosed diabetes at lower

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