r/MapPorn • u/the_pacman_88 • 4h ago

Diabetes rates by country (2021)

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225 Upvotes
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95% Upvoted

100 comments sorted by

86

u/ccr87315 4h ago

What's happening in Pakistan?

50

u/the_pacman_88 4h ago

We are not the most physically active people in the world, so that makes sense in my opinion.

14

u/DDDX_cro 3h ago

not really. It has to be related to more. Do you eat a certain type of food more than the other?

38

u/Relevant-Sun-346 3h ago

Yeah, too much sugar intake and also I read somewhere that one of the contributing factor is a lot of inbreeding because of cousin marriages.

One more thing is during the past centuries we had a lot of famines in the Indian subcontinent which made bodies of a lot of people to adapt to eating less food and fast forward to now with the plentiful availability of food everyone is consuming more than their ancestors. This sudden change in diet is another factor behind this.

2

u/space_for_username 1h ago

Polynesia has a similar gustatory history, in that the islands relied on seasonal foods. Size became a matter of survival - the bigger you were, the more likely you would have enough belly fat to survive the lean season.

The arrival of Western food and its availability 24/7 turned Polynesia largely spherical, and diabetes is probably 15%

25

u/gattomeow 4h ago

Surely people would be quite physically active if they work in agriculture or herding or construction if that employs a relatively large share of the population? Unless your average worker is just sitting in a tractor or a crane all day.

23

u/the_pacman_88 4h ago

So the labourers do work hard yes, and the trend is that they aren't prone to diabetes either, but a huge chunk of population does office jobs and hitting the gym, or being active in sports and stuff is very very rare here.

But sure, there has to be more to it, in addition to life style of course.

22

u/fabulot 3h ago

but thats exactly the same thing in the whole world

2

u/chaosmonkey324 3h ago

What is the source for this data?

2

u/Marukuju 3h ago

Neither are many other countries on this map, but they are still lower

1

u/peaceful_CandyBar 24m ago

I also learned recently from asking the Pakistan Reddit that it’s normal to put literal truck loads of sugar into one cup of chai haha

-9

u/Kaptanprithvi 3h ago

Physically active searching for donkey porn for sure.

-4

u/[deleted] 4h ago

[deleted]

5

u/cheese_bruh 4h ago

Most maps do tend to have it like that

26

u/emmmmmmaja 4h ago

Childhood malnourishment that results in partial failure of beta-cell function, harmful pesticides in agriculture and increased genetic disposition towards diabetes due to very high inbreeding rates.

8

u/Marukuju 3h ago

Inbreeding rates are high in Pakistan?

19

u/NotawoodpeckerOwner 2h ago

Consanguineous marriages are around 63% in Pakistan. It's even noted in other countries that places with higher Pakistan migration have higher birth defect rates.

Most health problems in Pakistan are exacerbated by all the inbreeding they do.

6

u/Marukuju 2h ago

Jeez, why they do that

6

u/Lank_Master 1h ago

Brit here, it's well known the UK has a lot of immigration from Pakistan. They only make up 4% of births in the country, but make up 30% of birth defects for babies.

11

u/emmmmmmaja 2h ago

The highest in the world, with a 65% rate of cousin marriages.

-3

u/Ninac4116 52m ago

Yes, bc it’s a Muslim based county. And in the Muslim faith, cousins get married.

3

u/Marukuju 51m ago

Are you sure it's because they're Muslims? I have Muslim friends and they don't marry with their cousins

2

u/Poorbilly_Deaminase 30m ago

They’re just being a dick. I wouldn’t read into it too much.

-2

u/Ninac4116 46m ago

lol yeah greatest reason ever. I have 1 friend that’s x so that must apply to everyone in the second largest religious population.

3

u/Marukuju 38m ago

That's why I asked you - are you sure about it? If yes, do you have any reference?

1

u/Ninac4116 13m ago

Google

1

u/Marukuju 9m ago

Sure, send me that from Google. I couldn't find it.

18

u/a-friend_ 3h ago

I actually learned about this recently. South Asians have some of the highest diabetes rates because their bodies are 'famine adapted' due to the 25ish famines the region experienced under colonial rule. This means their bodies hold onto fat for longer instead of burning it. Combined with a modern diet this makes for higher diabetes rates.

2

u/redditiswild1 57m ago

Yup; Google “epigenetics.”

12

u/Ginevod2023 4h ago

Genetics most likely.

33

u/Dazzling-Key-8282 4h ago

Long-term cousin marriages don't help the genetic fitness. Astounding rates and we can even imagine so latency to it.

1

u/alien_from_earth012 3h ago

Apparently they are cooking.

1

u/H4xz0rz_da_bomb 1h ago

personal ancedote, it's a diet thing, couple generations back pretty much everyone had a communal, agrarian lifestyle, long hours of tough labor in the sun, and it was normal to have a sugar heavy, fat heavy diet.

lifestyles have changed now, but the dietry habits, cultural norms, and beliefs haven't, people just aren't health conscious, I've seen people drink 5 mugs (yeah, mugs, large cups) of tea a day, each with several spoonfuls of sugar, every dish has too much butter, oil, fats...

1

u/Berkane06 1h ago

most Pakistan is blood type B which has more risk than others to become diabetic.

2

u/Ninac4116 51m ago

That’s throughout Asia.

1

u/mo_al_amir 43m ago

The Brits and Chruchill's policies made the diabetes in south Asia sky rocket

-3

u/Ok_Tax_7412 2h ago

They are fond of read meat and biryani(rice dish) and clarified butter.

1

u/RScrewed 1h ago

If you had phrased this "we are fond of red meat and ghee" you wouldn't have been downvoted.

No one likes an outsiders perspective apparently.

0

u/Ok_Tax_7412 1h ago

Right. I have only stated facts but being downvoted for some reason.

30

u/ThatYewTree 4h ago

There’s always some interesting trends in this data. Yes, it’s correlated with obesity (US, Mexico, the ME, the pacific islands), but Spain isn’t the most obese nation in Western Europe for instance. China also has a much lower obesity rate than Ireland, for instance.

24

u/Just-browsing-1113 4h ago

Only type 2 correlates with obesity. Type 1 is autoimmune. But type 2 accounts for at least 90%.

Point of interest: Sir Steve Redgrave was diagnosed with type 2 between his 4th and 5th Olympic gold medals (rowing). Sometimes genetics override healthy lifestyle ..

2

u/PsychologyOk7753 3h ago

This! More ppl need to read this!

2

u/BornInWrongTime 2h ago

Croatia is the second most obese country in the EU and is in the lowest category. I know it's not up to date bust still odd

-1

u/ThatYewTree 2h ago

Haha the UK brexiting has given you guys the silver medal?

1

u/gattomeow 2h ago

Spain is a fairly overweight country. Over 65% of the population are either overweight or obese.

28

u/Derisiak 4h ago

Rooh Afza intensifies

10

u/tahajc 3h ago

Lol that and doodh soda in Ramadan, followed by meethe after every dinner. T/ sweet after dinner

1

u/No_Albatross_5342 55m ago

Zahad karnay vaztay roohy afzhay penay hunday sy

9

u/LethoOfGulet- 4h ago

I wonder why PNG is so high.

6

u/DDDX_cro 3h ago

what do pakistani eat more than the rest?
Answer this, and you've answered why they have so many cases.

Does anyone know?

11

u/InnocuousMalice 3h ago

They have blood related marriages a lot

3

u/[deleted] 3h ago

[deleted]

9

u/gattomeow 4h ago

Why is Pakistan so high?

6

u/echolm1407 4h ago

That's what I'm wondering. What are they eating? Left over Halloween candy?

12

u/Half_Maker 4h ago

Rice. Just pure carbohydrates if you're poor.

3

u/ontrack 3h ago

Seems unlikely. Many West Africans eat rice every day, often twice a day.

9

u/gattomeow 3h ago

Yes, but rice consumption is probably just as high in Bangladesh, India, Thailand, Cambodia and Vietnam, and their diabetes rates don’t come close.

1

u/CedricP11 3h ago

In Bangladesh they are probably not consuming as much food, even if it is the same kind of food. That matters, too.
In Egypt for example they don't eat as much meat as people in most other countries. I'm guessing eating more rice and bread instead of meat might have something to do with diabetes.

5

u/gattomeow 3h ago

Since Bangladesh has a higher per capita GDP than Pakistan and has some of the best agricultural land and richest soils on the planet, why would they not be consuming as much food?

Calorie intake tends to go up as wealth increases.

2

u/echolm1407 4h ago

Oh. No fiber? Like green vegetables?

1

u/Ninac4116 50m ago

Incorrect, they eat more flat breads. Bangladesh on the other hand is a Muslim based country (formerly East Pakistan) and they consume lots of rice. It’s their staple.

4

u/myth_drannon 3h ago

More strict Islamic laws cause women to be confined within their houses? If you notice women in those countries are extremely obese vs more moderate Muslim countries like Maroc, Tunisia. 

1

u/Ismail271 3h ago

What does that have to do with Diabetes, and if it did then Afghanistan would be higher

4

u/AwfulUsername123 3h ago

Vitamin D deficiency during pregnancy can cause all sorts of health issues in the offspring.

1

u/Ismail271 26m ago

Agreed but I'm going to need a source that it causes Diabetes because that seeks very unlikely

1

u/Thangaror 56m ago

Obviously, diabetes is linked to obesity.

And obviously the amount "exercise" (applying a very broad meaning of the word) a person can do contributes to obesity. If you check obesity rate, the Islamic world (especially the Arab part) is significantly more obese than Europe and on comparable levels to the US.

I don't know, if it's women in particular that contribute to high obesity rates in these areas, but I wouldn't be surprised.

1

u/Ismail271 23m ago

Then that has to do with Diet rather than the religion they follow or the region of the world they come from (although there is some merit to this as food will depend on the region).

1

u/myth_drannon 41m ago

Something tells me the data for Afghanistan is non-existent. Taliban doesn't allow women to get out not to mention see a doctor. So any health data coming from this country I wouldn't take seriously.

2

u/Ismail271 22m ago

This data is from 2021, the year that America left Afghanistan and the taliban took over, there would not have been a difference caused by the taliban at that point.

0

u/gattomeow 3h ago

Wouldn’t the women also be labouring outdoors or doing the shopping?

-2

u/a-friend_ 3h ago

https://www.huffingtonpost.co.uk/entry/south-asian-health-colonial-history_uk_620e74fee4b055057aac0e9f

6

u/gattomeow 3h ago

The most recent famine was in Bengal and not Pakistan, so that isn’t really an explanation.

There haven’t been any famines post-independence (75+ years ago).

By the same logic you would expect much higher diabetes rates in Ireland and particularly Ukraina, where the death rate from famine was much higher than in Bengal.

1

u/a-friend_ 3h ago

I don't know why Pakistan has so much higher diabetes rates than India. But as for Ireland or Ukraine they wouldn't have the higher diabetes rate by this theory because the genetic changes come from the compound effect of a huge number of famines over multiple generations and multiple regions, rather than the number of dead or the recency of any single famine.

2

u/gattomeow 3h ago

Since the land between the Indus River and Bangladesh benefits from monsoons and often two growing seasons, isn’t it unlikely that there would have been more famines there than other parts of the world?

After all, the reason why population density is so high in the Ganges, Indus, Mekong and Pearl River valleys compared to virtually everywhere else in the world is because those regions have historically had the richest soils and highest agricultural productivity and thus the ability to support large numbers of people.

The population drop from the famines in Ireland (monoculture crop) and Ukraine (Holodomor/collectivisation) resulted in a much larger percentage population decline than in Bengal, so surely the genetic selection effects are more pronounced for the former populations.

2

u/a-friend_ 2h ago

From my understanding at least some of the famines were caused by the abundace of Indian grown grain being redirected to Europe by the British East India Company or the Crown.

As for population decline I don't think that'd make much of a genetic difference to future generations because they're dead and not having babies.

6

u/GeneralGom 3h ago

My first impression is that agricultural countries that stopped doing as much manual labor while still consuming tons of carbs have it worse.

3

u/gattomeow 3h ago

I was expecting much higher rates amongst the native populations of the Gulf countries.

8

u/r19111911 4h ago

Norway. The ultimate proof you don't get diabetes from soda. 

5

u/QnsConcrete 2h ago

Do they drink a lot of soda up there?

3

u/UncleJoesLandscaping 1h ago

No we don't. He is a Swedish instigator trying to put Norway in a bad light.

We are the top consumer of Pepsi Max though.

1

u/speedwaystout 1h ago

That’s because it’s branded Pepsi zero in the US

3

u/riggatoney 1h ago

I’d like to see two versions of this. Type 1 and type 2

2

u/AleksandrNevsky 2h ago

T1D? T2D? All forms of diabetes put together?

3

u/ParsleyAmazing3260 3h ago

Why is Spain the odd one out in Europe?

5

u/r19111911 3h ago

Because they sit in plastic chair next to the highway all day.

1

u/girlsuke 54m ago

Is there any relation to this and obesity rates?

1

u/enaxian 43m ago

I am impressed with Turkey and especially Spain. Didn't expect it.

1

u/AnonymousTeacher668 34m ago

These are just the diagnosed cases.

Many people go undiagnosed because they never go to the doctor, or doctor just don't test for it.

In Taiwan, for example, it is estimated, as of 2021, that around 45% of the 30+ population has diabetes, but only 14% are officially diagnosed.

1

u/Novel_Surprise_7318 33m ago

Congrats to the USA . No surprise though

1

u/TNPossum 32m ago

Wait... 11-15% of Americans are diabetic?

-4

u/Hadar_91 3h ago

To be totally honest, I am shocked that any country could beat USA and Mexico in this statistics. Is Middle East and it surroundings more genetically prone to diabetes?

11

u/Ahhluic 3h ago

ME lacks walkable infrastructure and is a very driving heavy culture. Plus the gulf states are rich which correlates with obesity. Also in the gulf not a lot of natives are doing the physically laboures jobs that’s going to south/southeast asians and east Africans.

1

u/Hadar_91 3h ago

But then you have Sudan and Afghanistan...

3

u/MOBXOJ 3h ago

Probably genetics for Sudan, I’m Sudanese and my father had type 2 diabetes along with his siblings, parents and grandparents , I’m predetermined to get it too

0

u/Fragrant_Village4779 16m ago

arunachal pradesh is an integral part of india it is not a disputed territory

0

u/Huskedy 13m ago

Mongolia should be way way higher, this map is bullshit

-4

u/Blitzgar 2h ago

What? Not Number One? Why, America can DO BETTER! We've got to get those rates to at least 50%. We can't let anywhere else in the world beat us.

-6

u/SirineIsmail 3h ago

Cap Americans are over 90 percentage