As the global diabetes rate soared over the past quarter-century, the affected population transformed: What was once predominantly a rich-country problem has become one that disproportionately affects poorer countries.

That’s one of the many conclusions of the World Health Organization’s first global report on the chronic disease. Worldwide, diabetes rates nearly doubled, from 4.7 percent in 1980 to 8.5 percent in 2014. Roughly one in 12 people living in the world today have the disease, which has spread dramatically.

“If we are to make any headway in halting the rise in diabetes, we need to rethink our daily lives: To eat healthily, be physically active, and avoid excessive weight gain,” Dr. Margaret Chan, WHO Director-General, said in a statement. “Even in the poorest settings, governments must ensure that people are able to make these healthy choices and that health systems are able to diagnose and treat people with diabetes.”