<![CDATA[Diabetes mellitus (DM) is a non-communicable disease with an increasing health burden. Differences in disease burden in Indonesia can be attributed to various factors. Therefore, a comparative analysis of disease burden based on Disability-Adjusted Life Years (DALY) is needed to understand the differences in the epidemiological characteristics of DM in Central Java and Yogyakarta. This study is a comparative descriptive study with a quantitative approach using secondary data. DALY and its components were analyzed to observe trends, calculate the Compound Annual Growth Rate (CAGR), and statistically tested using independent t-test to assess differences in DALY values between Central Java and Yogyakarta. The values showed an increasing trend in both provinces during the observation period. Yogyakarta had significantly higher DALY values than Central Java, with an average DALY rate of 1062.48 in Yogyakarta and a DALY rate of 807.01 in Central Java (p < 0.05). The increase in illness burden was greater in Yogyakarta (2.38%) compared to Central Java (2.21%). The ratio of Years of Life Lost (YLL) exceeded that of Years Lived with Disability (YLD), signifying that diabetes mellitus (DM) exerted a more significant influence on untimely mortality than on disability. These results emphasize the need for regional health policies that focus on preventing premature death and strengthening early detection of DM.]]>
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