In Chinese adults, diabetes was significantly associated with an increased risk for mortality from a range of cardiovascular and non-cardiovascular disease, study data show.  They evaluated data from a 7-year nationwide prospective study of 512,869 Chinese adults (mean age, 51.5 years; 5.9% with diabetes) recruited between June 2004 and July 2008. Follow-up was conducted until January 2014. According to researchers, this large prospective study of adults from rural and urban areas in China showed that diabetes was associated with significantly increased mortality from a wide range of diseases, with the greatest proportional excess mortality from diabetic ketoacidosis or coma and chronic kidney disease, followed by ischemic heart disease, stroke, other vascular, chronic liver disease, infection, certain cancers (mainly liver, pancreatic, female breast, and endometrial cancers), and external causes. Even though the prevalence of diabetes was higher in urban areas, diabetes was associated with greater excess mortality in rural areas.

Journal of the American Medical Association: Source Reference: Bragg F, et al “Association between diabetes and cause-specific mortality in rural and urban areas of China” JAMA 2017; DOI: 10.1001/jama.2016.19627.