 Diabetes is a major public health concern in sub-Saharan Africa, with type 2 diabetes accounting for more than 90% of cases. Prevalence ranges from 1% in rural Uganda to 12% in urban Kenya. Gestational diabetes is also common, with rates ranging from 0% in Tanzania to 9% in Ethiopia. Diabetes is associated with increased risks of various infections, such as tuberculosis, pneumonia, and sepsis, as well as higher mortality rates. Additionally, diabetes can lead to chronic complications, such as retinopathy, nephropathy, and microalbuminuria, which are often untreated due to limited access to diagnosis and treatment. Furthermore, diabetes is associated with high costs of care, estimated at 0.03 billion annually. This article was authored by Henriksen Ole, Thompson Ray Mardew, Hall Victoria, and others.