There is no country in the world that does not bear some burden from diabetes. The IDF Diabetes Atlas Update for 2012 confirms that cases are increasing everywhere and at an alarming pace. Today, there are an estimated 371 million adults living with diabetes. To put this number into perspective: if all the people with diabetes formed a country, it would be the third most populous country after China and India. Four out of five of the people live in low- and middle-income countries, where health systems are struggling to keep pace with the rising burden of non-communicable disease. IDF biostatistician, Leonor Guariguata, provides this update for Diabetes Voice.