Diabetes in India

Shah, V N and Mohan, V (2015) Diabetes in India. Current Opinion in Endocrinology & Diabetes and Obesity, 22 (4). p. 283. ISSN 1752-296X



Purpose of review The purpose of this study was to review the epidemiology and pathogenesis of diabetes in Asian Indians with a particular focus on ‘Asian Indian type 2 diabetes phenotype’. Recent findings The prevalence of diabetes is rapidly increasing among Asian Indians, particularly in the past two decades. The diabetes rates in urban India now exceed that seen in Indians migrated to developed nations. Urbanization, changes from traditional healthier diets to high-refined carbohydrate intake, and sedentary lifestyle have contributed to this steep increase in the prevalence of diabetes in India. Type 2 diabetes among Asian Indians is characterized by onset at a younger age, greater abdominal obesity despite relatively lower BMI, greater insulin resistance, and early decline in beta cell function. Asian Indians are also at a higher risk for premature coronary artery disease. Summary The clinical profile of type 2 diabetes in Asian Indians differs from Caucasians with higher central obesity, increased inflammatory markers such as high sensitive C-reactive protein, greater insulin resistance, early loss of beta cell function, and a higher risk of coronary artery disease. Mechanistic studies are needed to characterize the pathophysiology of the Asian Indian phenotype.

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.1097/MED.0000000000000166
Uncontrolled Keywords:Asian Indian phenotype, Asian Indians, epidemiology, prevalence, south Asian phenotype, south Asians, type 2 diabetes
Subjects:Diabetes > Diabetes in India
Divisions:Department of Diabetology
ID Code:923
Deposited By:surendar radha
Deposited On:08 Jul 2015 11:47
Last Modified:08 Jul 2015 11:47

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