Since type 2 diabetes is caused by both genetics and lifestyle factors, I would assume that the increase in Western-style sugar and fat consumption by the Chinese middle class, combined with a less physically-demanding lifestyle has some thing to do with this.
NVO held its Investor Day webcast yesterday—lots of interesting slides on the diabetes market, especially as it pertains to The Global Demographic Tailwind:
10% of adults in China are diabetic (#msg-48221898), so there’s a really big upside here for somebody.
Did NVO discuss the ultra-fast acting insulins, either their own candidates or buzz about any desire to in-license such a candidate? I'm now long BIOD and they could sure use a big pharma partner in the diabetes space.
10% of adults in China are diabetic (#msg-48221898), so there’s a really big upside here for somebody.
Ok, that is astounding (given that they still have a ways to go to catch up to the purchasing power of the US and diabetes is a "lagging index".). In comparison the US has 'only' 8.3%.
But this made me look at the US data and although I knew we had a diabetes problem I was absolutely stunned at the actual numbers.
All told more than 100M in the US have either diabetes, undiagnosed diabetes or pre-diabetes. Almost 1/2 of the adult US population. And multiple studies have shown that a very high percentage of pre-diabetics progress to diabetes on the time scale of a decade. (warning: not everyone uses the same definitions of 'pre-diabetes' - but I think in general the trend is likely to be astoundingly bad).
What is especially odd about this is that no one seems to do much about it. It reminds me of friend who lived in the Appalachias. Several of her neighbors had children and young adults who considered it a rite of passage into adulthood to have all their teeth pulled. Soon we'll consider it a symbol of maturity to get T2D?
China: One Child Policy, rising obesity, Type2 diabetes
This may have been mentioned already, but do rising rates of Type 2 diabetes in China reflect the increase in childhood obesity ("little emperors") that resulted from the "one child policy"?
i.e., If a family only has one child, the family tends to indulge them (as well as having more spending money available per child.)
China's child obesity problem 'ballooning' (AFP) – May 21, 2008 GENEVA (AFP) — Child obesity is ballooning into a big problem in China as 'little emperors' are increasingly getting an appetite for the Western couch-potato way of life, according to a study presented in Geneva.
Almost one in five children under seven is overweight and more than seven percent are obese, according to a study of the Chinese National Task Force on Childhood Obesity, presented at the sidelines of the annual meeting of the World Health Organisation.
"These numbers are higher than in European countries, while the gross domestic product in China is much lower," said Ding Zongyi, who led the study.
"Only the United States have higher rates," he added...
What tipped the scales were social changes that came along with the [economic] transformation of the country since it opened up economically at the end of the 1970s.
"When a poor person gets richer, the first thing he does is to get better food. That's a big driver of obesity," said Ding.
With large swathes of population in the country still poor and many increasingly getting richer, the problem would not reach its full-blown extent until the years to come, he warned...
The one-child policy which has been implemented in the last 30 years further complicates the issue in a country which considers being fat as a sign of good health and prosperity...
"The one-child policy led parents to overprotect their children. The behaviour of grandparents are of special concern -- they tend to overfeed their grandchildren because they think that being fat is a sign of [a healthy baby and] the family's wealth," said Ding...