Diabetes mellitus is a disorder of carbohydrate metabolism marked by impaired ability to produce or respond to insulin and maintain blood glucose levels. Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Overview of diabetes , including: risk factors, prevention of type 2 diabetes , insulin and other treatments, diabetes diet, eating , and physical activity. Diabetes is one of the four major noncommunicable diseases (NCDs) and its global prevalence has been steadily increasing in recent years. In 2018, an estimated 131 million people in the Western Pacific were living with diabetes . In 2019, an estimated 262 000 people in the Region died due to diabetes .