Obesity, Family History of Diabetes, and Consanguineous Marriages are Risk Factors among Urban Population in South Indian City of Bengaluru

40 In 2017, approximately 424.9 million adults (age 2079 yrs) were affected by diabetes, with 4 million deaths. Global diabetes burden is estimated to increase up to 628.9 million people. Moreover, diabetes care costed approximately $727 billion in 2017. In addition to mortality and economic cost, diabetes exerts huge effect on a patient’s life. It affects the adults at their most productive years which may lead to less productivity, mobility, and considerable expenditure. Diabetes has become one of the leading causes of mortality and morbidity in India as well. According to international reports, over 73 million adults were affected with diabetes in India in 2017. The total economic burden was estimated at around $32 billion. Of note, India will be home to the world’s largest population with diabetes by 2045 with approximately 134.3 million patients suffering from type 2 diabetes mellitus (T2DM). Approximately, 1 million are attributable to diabetes. India also houses the second largest population of T2DM patients with undiagnosed disease at around 42.2 million. Furthermore, India also reports more 16,000 cases of type 1 diabetes every year in children and adolescents with 128,500 children and adolescents suffering from type 1 disease in 2017. India also have the third largest population of elderly with T2DM of about 11 million patients. Diabetes is also responsible for loss of billions of dollars in GDP in India as well as worldwide [1].