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Brazil’s Diabetes Crisis Comes Into Focus on World Diabetes Day

Experts warn that silent vascular injury often predates diagnosis, prompting calls for routine fundoscopy plus broader access to modern metabolic drugs.

Overview

  • WHO estimates about 16.8 million Brazilians live with diabetes—roughly 1 in 13 people—with 111,000 deaths attributed to the disease in 2024.
  • Chronic hyperglycemia damages vessels and organs long before symptoms, doubling to quadrupling the risk of heart attack and stroke.
  • Fluctuating or “roller‑coaster” vision can signal diabetic retinopathy, and timely fundoscopy is emphasized to detect retinal damage and protect sight.
  • GLP‑1 agonists and SGLT2 inhibitors improve metabolic control and cut major cardiovascular events, though long‑term protection is still under study and public‑system access is limited.
  • Type 2 cases predominate, driven by obesity and sedentary lifestyles, while patient stories show that with insulin, monitoring and support, people with type 1 can sustain active, independent lives.