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Objective: Diabetes mellitus is a major burden in the Kingdom of Saudi Arabia (KSA). We estimated the direct cost of diabetes in KSA and the future cost accounting for currently undiagnosed and borderline diabetics. Methods: We used a bottom-up approach to determine the direct cost of diabetes mellitus in KSA at the population level using Saudi Ministry of Health (MOH) cost data for medications, health visits, laboratories, and hospitals. We used Saudi Health Interview Survey (SHIS) nationaldoi:10.4172/2155-6156.1000575 fatcat:wgxl3qyexrhzdbp4jeyndqjvfq