The International Diabetes Federation (IDF) predicts a surge in diabetes cases worldwide. From 500 million adults with diabetes in 2024, the number is expected to climb to nearly 900 million by 2050. This update comes from the 11th edition of the IDF Diabetes Atlas, published in Lancet Diabetes Endocrinology. Currently, diabetes affects 11.11% of the global adult population, or just over 580 million people aged 20-79. By 2050, this is projected to increase to 12.96%, or more than 850 million adults. The study covers 210 countries and 5 territories and highlights urban and rural differences. In 2024, 400 million people with diabetes live in urban areas, while 189 million live in rural areas. This gap is expected to grow, with urban cases rising to 655 million by 2050, but rural numbers staying around 198 million. Middle-income countries currently have the highest diabetes rates, followed by high-income countries. Low-income countries have the least. Yet, over 95% of the increase in diabetes cases by 2050 will occur in low and middle-income countries due to population growth, aging, and urbanization. Dr. A. Ramachandran from the India Diabetes Research Foundation highlights the top countries with the highest diabetes burden. "China tops the list with about 148 million people, India is second with nearly 90 million, followed by the United States and Pakistan," he said. By 2050, Pakistan is expected to move up to third place on this list. The authors stress urgent, tailored strategies are needed worldwide to slow this growing diabetes epidemic.