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An autoregressive integrated moving average model was applied to forecast trends for 2022\u20132036.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In 2021, there were 9,179,347 (95% uncertainty interval (UI), 7,905,452\u201310,626,325) T2DM cases among those aged 55\u2009years and above. From 1990 to 2021, global incidence increased from 409.06 (95% UI, 349.86\u2013477.48) to 617.73 (95% UI, 532.00\u2013715.10) per 100,000 population; diabetes-related mortality rose from 81.55 (95% UI, 76.57\u201385.44) to 96.19 (95% UI, 88.62\u2013102.11) per 100,000, and DALYs climbed from 2562.71 (95% UI, 2293.81\u20132926.77) to 3552.41 (95% UI, 3041.94\u20134200.97) per 100,000. The highest mortality increase was in low-middle sociodemographic index (SDI) regions, while high SDI regions saw declines. Eastern Europe reported the highest incidence rate among 21 regions, at 1218.43\u2009per 100,000 (95% UI, 1083.02\u20131370.82). Environmental, occupational, and behavioral risks were major contributors to diabetes-related mortality in this age group. Projections estimate T2DM cases will rise from 9.3\u2009million in 2022 to 12.3\u2009million by 2036.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The global burden of diabetes in adults aged \u2a7e55\u2009years has risen substantially from 1990 to 2021. As the population continues to age, urgent action is needed to address this growing disease burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20420188251362011","type":"journal-article","created":{"date-parts":[[2025,8,10]],"date-time":"2025-08-10T17:53:28Z","timestamp":1754848408000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Global epidemiology and burden of type 2 diabetes in adults aged 55 and older: insights from 1990 to 2021"],"prefix":"10.1177","volume":"16","author":[{"given":"Xiao","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Laboratory of Endocrinology and Metabolic Diseases, Affiliated Hospital of Shandong Second Medical University, Weifang, China"},{"name":"Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, 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