There are >150 million cases of type 2 diabetes worldwide and this is estimated to double by 2025. ** in canada, 1. 4 million cases in 2000 to about 2. 4 million in 2016. T2dm: this is insulin resistance; overproduction of insulin and blood glucose is still high. Blood insulin concentration falls as insulin producing pancreatic cells (beta cells) start to die off, we get less insulin production = type 3 diabetes. Environment is more likely because incidence is increasing in societies where: Diet is energy dense, high in sfa, and low in fiber ex) high in processed cho. Obesity and overweight (especially visceral fat) is common. Previously called adult onset diabetes but now is has escalated to all age groups including children. The age adjusted mortality rates are 1. 5-2. 5 times greater in diabetics than in other people! This is mainly due to: heart disease in caucasians, renal disease in asians and first nations/native americans.