Type 2 Diabetes Mellitus in Vietnam: Epidemiology, Risk Factors, Complications, Nursing Implications and Health-System Challenges – A Comprehensive Review

  • Home
  • Type 2 Diabetes Mellitus in Vietnam: Epidemiology, Risk Factors, Complications, Nursing Implications and Health-System Challenges – A Comprehensive Review

Type 2 Diabetes Mellitus in Vietnam: Epidemiology, Risk Factors, Complications, Nursing Implications and Health-System Challenges – A Comprehensive Review

1*Thi-Van Pham,1Thi-Cham Bui
1Phenikaa School of Medicine and Pharmacy, Phenikaa University, Hanoi, Vietnam.

ABSTRACT

Background : Type 2 diabetes mellitus (T2DM) is an expanding public health problem in Vietnam, driven by population ageing, urbanization, nutritional transition, physical inactivity, obesity, hypertension and limited early detection. Nurses play a central role in diabetes prevention, patient education, self-management support, screening for complications and continuity of care.
Methods: This comprehensive review synthesized evidence on T2DM in Vietnam from international databases and authoritative reports. PubMed, Scopus, Web of Science, Google Scholar, WHO, GBD, IDF, PLOS, BMC and Lancet-related sources were searched for Vietnam-specific studies and relevant global evidence published mainly from 2010 to 2026. Evidence was grouped into epidemiology, risk factors, complications, diabetes self-management, nursing care and health-system gaps.
Results: National data show a marked increase in diabetes and impaired fasting glycaemia in Vietnam. WHO/MOH STEPS 2021 reported raised blood glucose or current diabetes medication use in 7.1% of adults aged 18-69 years, with a higher rate among adults aged 50-69 years. However, only about one third of affected adults had been previously diagnosed and less than one fourth were being managed at a health facility. Vietnamese studies consistently identify older age, urban residence, obesity, abdominal adiposity, hypertension, dyslipidaemia, physical inactivity, unhealthy diet and family history as major risk factors. Complications such as retinopathy, nephropathy, neuropathy, cardiovascular disease, diabetic foot problems, psychological distress and impaired quality of life are increasingly reported.
Conclusions: T2DM in Vietnam represents a growing burden requiring integrated prevention, early detection, chronic disease management and nursing-led self-management support. Strengthening diabetes care at the primary health-care level and expanding nurse-led education may improve glycaemic control, complication prevention and quality of life.


kEYWORDS

Type 2 diabetes mellitus, Vietnam, nursing care, self-management, complications, noncommunicable diseases.


REFERENCES

1) International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: International Diabetes Federation; 2021.
2) International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2025.
3) World Health Organization. Global report on diabetes. Geneva: WHO; 2016.
4) World Health Organization. Diabetes fact sheet. Geneva: WHO; 2024.
5) Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates. Diabetes Res Clin Pract. 2019;157:107843.
6) Sun H, Saeedi P, Karuranga S, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates. Diabetes Res Clin Pract. 2022;183:109119.
7) NCD Risk Factor Collaboration. Worldwide trends in diabetes since 1980. Lancet. 2016;387:1513-1530.
8) GBD 2021 Diabetes Collaborators. Global, regional, and national burden of diabetes from 1990 to 2021. Lancet. 2023.
9) Ministry of Health Viet Nam. National Strategy for Prevention and Control of Noncommunicable Diseases 2015-2025. Hanoi; 2015.
10) Ministry of Health Viet Nam. Healthy Viet Nam Programme 2018-2030. Hanoi; 2018.
11) World Health Organization Regional Office for the Western Pacific. National survey on the risk factors of noncommunicable diseases in Viet Nam, 2021. Manila: WHO; 2025.
12) Ministry of Health Viet Nam. National survey on the risk factors of noncommunicable diseases: Viet Nam 2015. Hanoi; 2016.
13) Nguyen CT, Pham NM, Lee AH, Binns CW. Prevalence of and risk factors for type 2 diabetes mellitus in Vietnam: A systematic review. Asia Pac J Public Health. 2015;27(6):588-600.
14) WHO and Ministry of Health Viet Nam. National survey on the risk factors of noncommunicable diseases in Viet Nam, 2021. Manila: WHO; 2025.
15) American Diabetes Association. Standards of Care in Diabetes—2024. Diabetes Care. 2024;47(Suppl 1).
16) American Diabetes Association. Standards of Care in Diabetes—2025. Diabetes Care. 2025.
17) Davies MJ, D’Alessio DA, Fradkin J, et al. Management of hyperglycaemia in type 2 diabetes. Diabetologia. 2018;61:2461-2498.
18) Powers MA, Bardsley JK, Cypress M, et al. Diabetes self-management education and support in adults with type 2 diabetes. Diabetes Care. 2020;43:1636-1649.
19) Dao-Tran TH, Anderson D, Chang A, Seib C, Hurst C. Vietnamese version of Diabetes Self-Management Instrument. J Transcult Nurs. 2017.
20) Dao-Tran TH, Anderson D, Chang A, Seib C, Hurst C. Factors associated with self-management among Vietnamese adults with type 2 diabetes. Nurs Open. 2018.
21) Thi KHP, Tran NQ, Nguyen CT, et al. Diabetes self-management and its associated factors among patients with diabetes in Vietnam. J Multidiscip Healthc. 2022.
22) Huynh G, Tran TT, Do THT, et al. Diabetes-related distress among people with type 2 diabetes in Vietnam. Diabetes Metab Syndr Obes. 2021.
23) Pham NM, Eggleston K. Prevalence and determinants of diabetes and prediabetes among Vietnamese adults. Diabetes Res Clin Pract. 2016.
24) Ton TT, Tran ATN, Do IT, et al. Trends in prediabetes and diabetes prevalence and associated risk factors in Vietnam. BMC Public Health. 2020.
25) Le NTD, Dinh Pham L, Quang Vo T. Type 2 diabetes in Vietnam: A cross-sectional prevalence-based cost-of-illness study. Diabetes Metab Syndr Obes. 2017.
26) Biswas T, Haider MM, Das Gupta R, et al. Type 2 diabetes and hypertension in Vietnam: A systematic review and meta-analysis. BMJ Open. 2022;12:e052725.
27) Binh TQ, Phuong PT, Nhung BT, et al. Prevalence and correlates of hyperglycemia in a rural population in Vietnam. Asian Pac J Trop Dis. 2012.
28) Khan NC, Khoi HH. Double burden of malnutrition: The Vietnamese perspective. Asia Pac J Clin Nutr. 2008;17 Suppl 1:116-118.
29) Le NDS, Hanh TT, Kusama K, et al. Anthropometric characteristics, dietary patterns and risk of type 2 diabetes mellitus in Vietnam. J Am Coll Nutr. 2005;24:229-234.
30) Phan DH, Do VV, Khuong LQ, et al. Assessment of risk factors associated with type 2 diabetes among adults in Vietnam. PLoS One. 2022.
31) Chan JCN, Malik V, Jia W, et al. Diabetes in Asia: Epidemiology, risk factors, and pathophysiology. JAMA. 2009;301:2129-2140.
32) Bui HDT, Jing X, Lu R, et al. Prevalence of and factors related to microvascular complications in Vietnamese patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes. 2019.
33) Minh NN, et al. Lower extremity nerve conduction abnormalities in Vietnamese patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes. 2023.
34) Nguyen KT, Diep BTT, Nguyen VDK, et al. Diabetes management, control and complications in 1631 patients with type 2 diabetes mellitus in Vietnam. Int J Diabetes Dev Ctries. 2020.
35) Luk AO, et al. Quality of care in patients with diabetic kidney disease in Asia. Diabetes Res Clin Pract. 2016.
36) Dinh NTT, et al. Costs of major complications in people with and without diabetes. Diabet Med. 2022.
37) Pham TB, Nguyen TT, Truong HT, et al. Effects of diabetic complications on health-related quality of life impairment in Vietnamese patients. J Diabetes Res. 2020.
38) Nguyen HV, Tran TT, Nguyen CT, et al. Impact of comorbid chronic conditions on quality of life among elderly patients with type 2 diabetes in Vietnam. Int J Environ Res Public Health. 2019.
39) Kien NT, et al. Health-related quality of life among type 2 diabetes patients in Vietnam. Diabetes Metab Syndr. 2025.
40) Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12:14.
41) Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus. Patient Educ Couns. 2016;99:926-943.
42) Norris SL, Lau J, Smith SJ, et al. Self-management education for adults with type 2 diabetes. Diabetes Care. 2002;25:1159-1171.
43) Tshiananga JK, Kocher S, Weber C, et al. The effect of nurse-led diabetes self-management education. Cochrane-related review summary. 2012.
44) Nguyen PVN, et al. Effectiveness of a digital diabetes self-management education and support program in Vietnamese adults with type 2 diabetes. 2025.
45) Dang NAT, et al. Peer-based diabetes self-management support in rural Vietnam: A feasibility study. 2023.
46) Cangelosi G, et al. Nurse case manager lifestyle medicine in the management of type 2 diabetes. J Pers Med. 2022.
47) Beck J, Greenwood DA, Blanton L, et al. National standards for diabetes self-management education and support. Diabetes Care. 2017;40:1409-1419.
48) World Health Organization. Package of Essential Noncommunicable Disease Interventions for Primary Health Care. Geneva: WHO; 2020.
49) World Health Organization. HEARTS technical package for cardiovascular disease management in primary health care. Geneva: WHO; 2020.
50) World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Geneva: WHO; 2013.
51) Lim LL, Lau ESH, Kong APS, et al. Aspects of diabetes care in Asia. Lancet Diabetes Endocrinol. 2021.
52) Ma RCW, Chan JCN. Type 2 diabetes in East Asians: Similarities and differences with populations in Europe and the United States. Ann N Y Acad Sci. 2013;1281:64-91.
53) Ramachandran A, Snehalatha C, Ma RCW. Diabetes in South-East Asia: An update. Diabetes Res Clin Pract. 2014;103:231-237.
54) Hu FB. Globalization of diabetes: The role of diet, lifestyle, and genes. Diabetes Care. 2011;34:1249-1257.
55) Ley SH, Hamdy O, Mohan V, Hu FB. Prevention and management of type 2 diabetes: Dietary components and nutritional strategies. Lancet. 2014;383:1999-2007.
56) Schellenberg ES, Dryden DM, Vandermeer B, et al. Lifestyle interventions for patients with and at risk for type 2 diabetes. Ann Intern Med. 2013;159:543-551.
57) Willi C, Bodenmann P, Ghali WA, et al. Active smoking and risk of type 2 diabetes. JAMA. 2007;298:2654-2664.
58) Walicka M, Krysiński A, La Rosa GR, et al. Influence of quitting smoking on diabetes-related complications. Diabetes Metab Syndr. 2024;18:103044.
59) Whelton PK, Carey RM, Aronow WS, et al. Guideline for prevention, detection and management of high blood pressure. Hypertension. 2018;71:e13-e115.
60) Global Health and Population Project on Access to Care for Cardiometabolic Diseases Collaborators. Progress toward universal health coverage in Vietnam: Diabetes medication dispensing trends from 2015 to 2021. Diabetes Res Clin Pract. 2024.

 

Cite this article

Pham, T. V., & Bui, T. C. (2026). Type 2 Diabetes Mellitus in Vietnam: Epidemiology, Risk Factors, Complications, Nursing Implications and Health-System Challenges – A Comprehensive Review. INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH, 5(5), 442-450. https://doi.org/10.58806/ijhmr.2026.v5i5n16

  • Share

Leave a Reply

Your email address will not be published. Required fields are marked *