A new study reveals most deaths in India are from preventable diseases like heart disease and diabetes. Here’s how to protect yourself with smart lifestyle changes.
I wasn’t always the kind of person who thought about health
statistics. But the moment I saw the latest data from The Hindu this week, it
hit me like a punch to the gut—the biggest killers in India today aren’t
infections like malaria or TB. They’re lifestyle diseases we could actually
prevent. That’s right. The top causes of death in our country now are
cardiovascular diseases and diabetes—and they’re quietly taking more lives each
year.
It made me reflect on my own family. My uncle passed away
from a heart attack at 59. He never smoked, barely drank, but he was always
“too busy” to visit the doctor or manage his blood pressure. Turns out, his
story isn’t rare. It’s India’s reality in 2025. But the good news? We can
flip this script.
Let’s dive deep into what the data says—and more
importantly, what you and I can actually do about it.
The Shocking Numbers
Behind India’s Health Crisis
According to India’s Office of the Registrar General, here’s
what the cause-of-death statistics between 2004 and 2021 reveal:
- Cardiovascular
disease deaths among men rose from 21.5% to 32%. For women, it
increased from 17.8% to 27.7%.
- Diabetes-related
deaths nearly doubled, going from 1.5% to 3.3% in men
and 1.6% to 4.2% in women.
- Meanwhile,
deaths from communicable diseases like malaria, tuberculosis, diarrhoea,
and perinatal conditions have dropped drastically.
COVID-19 disrupted this trend briefly—but the shift from
infections to non-communicable diseases (NCDs) is firmly back on track.
Let that sink in. We’ve made progress in controlling
infections, but we’re losing the battle against sugar, salt, and stress.
What’s Really Causing
This Surge in NCDs?
You’d think advanced medicine and hospitals would reduce
deaths. But it turns out, technology can’t save us from our own habits.
Here’s what’s fueling the rise in preventable deaths:
- Sedentary
lifestyle: From IT professionals to homemakers, we’re moving less and
sitting more.
- Ultra-processed
food: Our diets are drowning in sugar, salt, and saturated fats.
- Stress
& sleeplessness: High-pressure jobs, digital distractions, and
anxiety are taking a toll.
- Ignoring
warning signs: Many don’t even know they’re hypertensive or
pre-diabetic until it’s too late.
- Poor
follow-up: Even after diagnosis, we skip medication, avoid checkups,
and pretend we’re fine.
The Silver Lining: Most of These Deaths Are
Preventable
Yes, you read that right. According to medical experts cited
in the article and physicians I’ve personally spoken with—up to 80% of heart
disease, stroke, and type 2 diabetes cases can be prevented through timely
lifestyle interventions.
Dr. Ramesh Sinha, a diabetologist in Mumbai, puts it
bluntly:
“If every Indian over 40 did a basic health checkup thrice a
year and made small diet and activity changes, we’d save lakhs of lives
annually.”
So, what does prevention actually look like? Let’s
break it down.
The 7-Step Action Plan to Beat the NCD Epidemic
Here’s a practical, real-world guide that I
follow—and so should you:
1. Know Your Numbers
Get these checked at least thrice a year:
- Blood
Pressure
- Blood
Sugar (fasting + HbA1c)
- Lipid
Profile (cholesterol + triglycerides)
- Waist-to-hip
ratio
“Where can I get a full body health checkup near me?”
2. Eat Like Your Grandma Told You
Stick to real, seasonal foods. Think:
- Millets,
dals, sabzis, homemade rotis
- Cut
back on fried snacks, packaged noodles, sugary drinks
- Watch
out for hidden sugars even in ‘healthy’ cereals and biscuits
3. Move Daily, Not Just at the Gym
You don’t need to run a marathon. Just:
- Walk
30–45 minutes daily
- Climb
stairs
- Dance,
stretch, play with kids—whatever gets you moving!
4. Monitor Your Mind
Stress is a silent killer. Try:
- Guided
meditation (Apps like Headspace or Sadhguru’s Inner Engineering)
- Journaling
- 7–8
hours of sleep
“Low-grade anxiety can raise cortisol and blood sugar. You
may not feel it now, but your arteries do.”
5. Quit Smoking. Go Easy on Alcohol.
- One
cigarette increases your heart attack risk for hours
- Daily
alcohol, even in ‘moderation,’ can mess with your blood pressure
6. Stick With Your Doctor
Once diagnosed, don’t ghost your doctor. You need:
- Regular
follow-ups (every 4 months)
- Medication
adjustments
- Eye,
kidney, and foot screenings if diabetic
7. Talk About It at Home
Make health a family affair. Encourage:
- Healthy
dinners
- Group
walks
- Normalizing
health checkups
Real Stories, Real Wake-Up Calls
Maya, 38, homemaker in Delhi: “I had constant
fatigue. Turns out, I had undiagnosed diabetes for 3 years. A basic test saved
my life.”
Ravi, 52, IT professional in Pune: “A minor heart
attack at work scared me straight. I now walk daily and haven't missed a
follow-up since.”
These aren't just stories. They're mirrors. Don’t wait for a close call.
Updated Causes of Death in India (2019–21 vs. 2023–24
Estimates)
Cause of Death |
2019–21 (SRS) |
2023–24 Estimate |
2025 Projection |
Trend & Insights |
Cardiovascular Diseases |
Men: 32% |
~28–30% overall |
Men: 33–35% |
Leading cause; rising due to lifestyle factors. |
Diabetes Mellitus |
Men: 3.3% |
~2–3% overall |
Men: 3.5–4% |
Increasing prevalence; significant undiagnosed cases. |
Cancer |
Men: 5.8–6.3% |
~7% overall |
6–7.5% overall |
Stable mortality; rising incidence. |
Tuberculosis (TB) |
2–3% overall |
~2–3% overall |
2–2.5% overall |
Declining due to interventions; drug-resistant TB remains
a concern. |
Diarrheal Diseases |
2–3% overall |
<3% overall |
1.5–2% overall |
Significant decline; sanitation improvements effective. |
Malaria |
~0.2% overall |
<0.5% overall |
~0.1–0.2% overall |
Low mortality; continued vigilance required. |
Perinatal Conditions |
1.9–2.1% overall |
~8.5% of child deaths |
1.5–2% overall |
Declining due to improved neonatal care. |
Fever of Unknown Origin |
Men: 5% |
~5–7% overall |
6–8% overall |
Diagnostic challenges persist; need for improved testing. |
Ill-Defined Causes |
~12–15% overall |
~12–15% overall |
~12–15% overall |
Stable; highlights need for better death certification. |
Broader Trends (2019–21 vs. 2023–24 Estimates)
- Non-Communicable
Diseases (NCDs): Increased from 57% to ~60–63% of total deaths;
projected to reach 65% by 2025 due to aging and lifestyle factors.
- Communicable
Diseases: Decreased to ~20–22% of total deaths; potential drop to
18–20% by 2025, barring new pandemics.
- Ill-Defined Causes: Remain stable at 12–15%; underscores the need for improved death registration and certification systems.

- Note: The data for 2025 are projections based on trends observed up to 2023–24. Actual figures may vary depending on various factors, including public health interventions and emerging health challenges.
Why It Matters for
India’s Future
If we don’t act, by 2030:
- India
will lose millions of productive years to premature death and
disability
- Healthcare
costs will soar, especially for middle-class families
- Quality
of life will decline even if life expectancy increases
But if we do act—we could add decades of vitality to our
lives.
✅ FAQs: Preventable Deaths &
NCDs in India
Q1. What are non-communicable diseases (NCDs)?
A: These are long-term diseases not passed from person to person—like heart
disease, diabetes, cancer, and chronic respiratory diseases.
Q2. Why are NCDs rising in India?
A: Due to poor diet, physical inactivity, rising stress, alcohol, tobacco use,
and lack of regular medical checkups.
Q3. How often should I visit my doctor if I’m diabetic or
hypertensive?
A: At least three times a year for monitoring and medication review.
Q4. Can lifestyle changes really reverse disease?
A: In many early-stage cases—yes! Controlled diet, regular exercise,
stress management, and medication adherence can normalize sugar and BP levels.
Q5. What are the early warning signs I shouldn’t ignore?
A: Constant fatigue, blurry vision, unexplained weight loss/gain, chest
discomfort, breathlessness—even if mild.
Q6. How can I convince my parents or spouse to take this
seriously?
A: Share real stories, schedule a checkup together, and show them stats like
those in this article. Sometimes, love is the best nudge.
This Is Your Wake-Up Call
India is changing—and so are our health threats. The rise in
NCD-related deaths is alarming, but we’re not powerless. We just need to stop
waiting for things to go wrong and start doing things right.
You don’t have to do it all at once. Start with one walk.
One test. One conversation. That’s all it takes to begin rewriting your
health story.
Because your life matters. And it's not just about avoiding
death—it’s about living fully, joyfully, and with strength.
Save this guide. Share it with someone you care about. Prevention isn’t sexy, but it’s life-saving. And you deserve nothing less.
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