If the cardiovascular diseases MI, CI, stroke, etc. are excluded as associated causes n=23, the underreporting would be of 31.4%, corresponding to 11 patients: 5 CRI, 4 with compromised lower limbs 1 amputation, 2 septic arthritis, 1 cellulitis, and 2 urinary infections with septicemia. Underreporting of DM as a cause of death on INEC's vital statistics: among the 101 deaths, 44 43.6% patients died because of events not directly related to DM. Among the other 57 patients, DM was stated as a basic cause of death for 24 cases, generating an underreporting of 57.9%.
El Plan de Acción para América Latina y el Caribe 2001-2006 de la Iniciativa de la Diabetes para las Américas mostró que existen diferencias sustanciales en la tasa de mortalidad por diabetes entre estos países; desde una tasa de mortalidad tan alta como de 89.0 por 100.000 en Trinidad Tobago, a la más baja que corresponde a nuestro país, Costa Rica con 7.9 por 100.000.