new delhi, Nov. 11 -- Around 38.6 million adults in India are living with undiagnosed diabetes, which is 43% of the 89.8 million adults living with the condition, according to a new survey commissioned by the International Diabetes Federation. Yet, the survey results showed that many adults in India who are at increased risk of type 2 diabetes underestimate the risk of their condition and are unsure how to access testing services. Released ahead of World Diabetes Day on November 14, the research by the International Diabetes Federation surveyed 502 adults, aged between 25-64, in India as part of a six-country study. It reveals a clear gap between belief in checks and personal risk. While 84% agreed that a diabetes risk check is worthwhile even when they feel healthy, only 14% believed they were likely to develop type 2 diabetes, even though almost every respondent reported at least two known risk factors. Three in four (75%) incorrectly believed that people with pre-diabetes - when blood glucose levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes - usually experience noticeable symptoms, the highest misconception from all six countries. Nearly half (48%) of the total 502 people said they would not feel confident arranging a diabetes risk check, highest share of six countries surveyed. Fear of what the results might show (35%) was the most cited barrier, followed by not thinking they were at risk (25%) and difficulty getting a clinic appointment (22%). Practical and emotional barriers sit side by side: 18% cited embarrassment about discussing a check with a clinician and 12% language or communication difficulties. "India cannot close a diagnosis gap of this size by waiting for people to come forward. For many people at risk, a check means facing their fear of the result and, for some, an uncomfortable conversation with a doctor...," said Dr Banshi Saboo, chair of the IDF South-East Asia Region....