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This study examined the out\u2010of\u2010pocket health expenditure (OOPE) and financial burden associated with DM care in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study used data from the latest round of the National Sample Survey on health, which covered 555,115 individuals from 113,823 households in India. In the present study, data of 1216 individuals who sought inpatient treatment and 6527 individuals who sought outpatient care for DM were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In India, 10.04 per 1000 persons reported having DM during the last 15 days before the survey date, varying from 6.94\/1000 in rural areas to 17.45\/1000 in urban areas. Nearly 38% of Indian households with diabetic members experienced catastrophic health expenditure (at the 10% threshold) and approximately 10% of DM\u2010affected households were pushed below the poverty line because of OOPE, irrespective of the type of care sought. 48.5% of households used distressed sources to finance the inpatient costs of DM. Medicines constituted one of the largest proportion of total health expenditure, regardless of the type of care sought or type of healthcare facility visited. The average monthly OOPE was over 4.5\u2010fold and 2.5\u2010fold higher for households who sought inpatient and outpatient care, respectively, from private health facilities, compared with those treated at public facilities. Notably, the financial burden was more severe for households residing in rural areas, those in lower economic quintiles, those belonging to marginalised social groups, and those using private health facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The burden of DM and its associated financial ramifications necessitate policy measures, such as prioritising health promotion and disease prevention strategies, strengthening public healthcare facilities, improved regulation of private healthcare providers, and bringing outpatient services under the purview of health insurance, to manage the diabetes epidemic and mitigate its financial impact.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hcs2.65","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T19:29:41Z","timestamp":1696534181000},"page":"291-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Financial burden of seeking diabetes mellitus care in India: Evidence from a Nationally Representative Sample Survey"],"prefix":"10.1002","volume":"2","author":[{"given":"Mehak","family":"Nanda","sequence":"first","affiliation":[{"name":"University School of Management and Entrepreneurship Delhi Technological University Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7468-1249","authenticated-orcid":false,"given":"Rajesh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Humanities and Social Sciences National Institute of Technology Kurukshetra  Kurukshetra Haryana India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"World Health Organization (WHO). 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