The bidirectional interaction between climate change and type 2 diabetes burden

Abstract Nowadays, type 2 diabetes (T2D) and climate change are the most urgent issues that being the focus worldwide. Interestingly, T2D directly or indirectly affects climate change and vice versa, climate change also contributes to the increased risk and the mortality of various non-communicable diseases (NCD), including T2D. This review aims to synthesis and give the comprehensive understanding related to interaction between climate change and T2D burden, which still being a limited subject in the Indonesian healthcare sector. It also explores those mechanisms for considering the right strategies and policies addressing those issues, especially the proper strategies for the prevention and management of diabetes. This review was conducted by screening from Google Scholar, Science Direct and PubMed with keywords “diabetes AND climate change”, “diabetes AND extreme temperature”, “diabetes AND cold weather”. Various predisposing factors for the rapid growth of diabetes prevalence (urbanization, physical inactivity, unhealthy diets, and obesity) are also act as a risk vector that triggering climate change. While extreme temperature increases the susceptibility of the diabetic subjects to get life-threatening complications like dehydration and heatstroke. There is bidirectional interaction between climate change and T2D burden, which should be a priority for the government’s attention to achieve the Sustainable Developmental Goal (SDG), especially for NCD including type 2 diabetes.