The majority of the 382 million people with diabetes are aged between 40 and 59, and 80% of them live in low- and middle-income countries. All types of diabetes are on the increase, type 2 diabetes in particular: the number of people with diabetes will increase by 55% by 2035. An additional 21 million cases of high blood glucose in pregnancy are estimated to contribute to the global burden of diabetes. That is equivalent to 17% of live births to women in 2013 that had some form of high blood glucose in pregnancy. In human as well as financial terms, the burden of diabetes is enormous, provoking 5.1 million deaths and taking up some USD 548 billion dollars in health spending (11% of the total spent worldwide) in 2013.