Diabetes mellitus type 2 risk factors: Difference between revisions

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There are many risk factors associated with the development of diabetes mellitus type 2. These include:  
There are many risk factors associated with the development of diabetes mellitus type 2. These include:  
*[[Family history]]: <ref name="pmid23052052">{{cite journal |vauthors=Scott RA, Langenberg C, Sharp SJ, Franks PW, Rolandsson O, Drogan D, van der Schouw YT, Ekelund U, Kerrison ND, Ardanaz E, Arriola L, Balkau B, Barricarte A, Barroso I, Bendinelli B, Beulens JW, Boeing H, de Lauzon-Guillain B, Deloukas P, Fagherazzi G, Gonzalez C, Griffin SJ, Groop LC, Halkjaer J, Huerta JM, Kaaks R, Khaw KT, Krogh V, Nilsson PM, Norat T, Overvad K, Panico S, Rodriguez-Suarez L, Romaguera D, Romieu I, Sacerdote C, Sánchez MJ, Spijkerman AM, Teucher B, Tjonneland A, Tumino R, van der A DL, Wark PA, McCarthy MI, Riboli E, Wareham NJ |title=The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study |journal=Diabetologia |volume=56 |issue=1 |pages=60–9 |year=2013 |pmid=23052052 |pmc=4038917 |doi=10.1007/s00125-012-2715-x |url=}}</ref><ref name="pmid11118026">{{cite journal |vauthors=Meigs JB, Cupples LA, Wilson PW |title=Parental transmission of type 2 diabetes: the Framingham Offspring Study |journal=Diabetes |volume=49 |issue=12 |pages=2201–7 |year=2000 |pmid=11118026 |doi= |url=}}</ref>
*[[Family history]]: <ref name="pmid23052052">{{cite journal |vauthors=Scott RA, Langenberg C, Sharp SJ, Franks PW, Rolandsson O, Drogan D, van der Schouw YT, Ekelund U, Kerrison ND, Ardanaz E, Arriola L, Balkau B, Barricarte A, Barroso I, Bendinelli B, Beulens JW, Boeing H, de Lauzon-Guillain B, Deloukas P, Fagherazzi G, Gonzalez C, Griffin SJ, Groop LC, Halkjaer J, Huerta JM, Kaaks R, Khaw KT, Krogh V, Nilsson PM, Norat T, Overvad K, Panico S, Rodriguez-Suarez L, Romaguera D, Romieu I, Sacerdote C, Sánchez MJ, Spijkerman AM, Teucher B, Tjonneland A, Tumino R, van der A DL, Wark PA, McCarthy MI, Riboli E, Wareham NJ |title=The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study |journal=Diabetologia |volume=56 |issue=1 |pages=60–9 |year=2013 |pmid=23052052 |pmc=4038917 |doi=10.1007/s00125-012-2715-x |url=}}</ref><ref name="pmid11118026">{{cite journal |vauthors=Meigs JB, Cupples LA, Wilson PW |title=Parental transmission of type 2 diabetes: the Framingham Offspring Study |journal=Diabetes |volume=49 |issue=12 |pages=2201–7 |year=2000 |pmid=11118026 |doi= |url=}}</ref>
**People with a first degree relative with [[diabetes mellitus type 2]] have a 2-3 fold increased risk of developing diabetes mellitus type 2.  
**People with a first degree relative with [[diabetes mellitus type 2]] have a 2-3 fold increased risk of developing diabetes mellitus type 2.
**Positive family history of diabetes mellitus type 2 in parents increases the risk by 5-6 folds.
**Positive family history of diabetes mellitus type 2 in parents increases the risk by 5-6 folds.
*[[Ageing|Aging]] and high age at [[menarche]] are also considered as risk factors of type 2 diabetes.<ref name="NerurkarBellou201811">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*[[Ageing|Aging]] and high age at [[menarche]] are also considered as risk factors of type 2 diabetes.<ref name="NerurkarBellou201811">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*[[Ethnicity and health|Ethnicity]]: the prevalence of diabetes mellitus type 2 is highest among the American Indians and Alaska natives, followed by non-Hispanic blacks and Mexican Americans<ref name="pmid24733192">{{cite journal |vauthors=Selvin E, Parrinello CM, Sacks DB, Coresh J |title=Trends in prevalence and control of diabetes in the United States, 1988-1994 and 1999-2010 |journal=Ann. Intern. Med. |volume=160 |issue=8 |pages=517–25 |year=2014 |pmid=24733192 |pmc=4442608 |doi=10.7326/M13-2411 |url=}}</ref>.
*[[Ethnicity and health|Ethnicity]]: the prevalence of diabetes mellitus type 2 is highest among the American Indians and Alaska natives, followed by non-Hispanic blacks and Mexican Americans<ref name="pmid24733192">{{cite journal |vauthors=Selvin E, Parrinello CM, Sacks DB, Coresh J |title=Trends in prevalence and control of diabetes in the United States, 1988-1994 and 1999-2010 |journal=Ann. Intern. Med. |volume=160 |issue=8 |pages=517–25 |year=2014 |pmid=24733192 |pmc=4442608 |doi=10.7326/M13-2411 |url=}}</ref>.
*[[Obesity]] and [[fat]] distribution:<ref name="pmid12503980">{{cite journal |vauthors=Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS |title=Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001 |journal=JAMA |volume=289 |issue=1 |pages=76–9 |year=2003 |pmid=12503980 |doi= |url=}}</ref><ref name="pmid21128002">{{cite journal |vauthors=Nguyen NT, Nguyen XM, Lane J, Wang P |title=Relationship between obesity and diabetes in a US adult population: findings from the National Health and Nutrition Examination Survey, 1999-2006 |journal=Obes Surg |volume=21 |issue=3 |pages=351–5 |year=2011 |pmid=21128002 |pmc=3040808 |doi=10.1007/s11695-010-0335-4 |url=}}</ref><ref name="pmid1737857">{{cite journal |vauthors=Friedman JE, Dohm GL, Leggett-Frazier N, Elton CW, Tapscott EB, Pories WP, Caro JF |title=Restoration of insulin responsiveness in skeletal muscle of morbidly obese patients after weight loss. Effect on muscle glucose transport and glucose transporter GLUT4 |journal=J. Clin. Invest. |volume=89 |issue=2 |pages=701–5 |year=1992 |pmid=1737857 |pmc=442905 |doi=10.1172/JCI115638 |url=}}</ref><ref name="pmid7988316">{{cite journal |vauthors=Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC |title=Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men |journal=Diabetes Care |volume=17 |issue=9 |pages=961–9 |year=1994 |pmid=7988316 |doi= |url=}}</ref><ref name="HuttunenSyrjänen2012">{{cite journal|last1=Huttunen|first1=R|last2=Syrjänen|first2=J|title=Obesity and the risk and outcome of infection|journal=International Journal of Obesity|volume=37|issue=3|year=2012|pages=333–340|issn=0307-0565|doi=10.1038/ijo.2012.62}}</ref><ref name="NerurkarBellou20185">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*[[Obesity]] and [[fat]] distribution:<ref name="pmid12503980">{{cite journal |vauthors=Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS |title=Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001 |journal=JAMA |volume=289 |issue=1 |pages=76–9 |year=2003 |pmid=12503980 |doi= |url=}}</ref><ref name="pmid21128002">{{cite journal |vauthors=Nguyen NT, Nguyen XM, Lane J, Wang P |title=Relationship between obesity and diabetes in a US adult population: findings from the National Health and Nutrition Examination Survey, 1999-2006 |journal=Obes Surg |volume=21 |issue=3 |pages=351–5 |year=2011 |pmid=21128002 |pmc=3040808 |doi=10.1007/s11695-010-0335-4 |url=}}</ref><ref name="pmid1737857">{{cite journal |vauthors=Friedman JE, Dohm GL, Leggett-Frazier N, Elton CW, Tapscott EB, Pories WP, Caro JF |title=Restoration of insulin responsiveness in skeletal muscle of morbidly obese patients after weight loss. Effect on muscle glucose transport and glucose transporter GLUT4 |journal=J. Clin. Invest. |volume=89 |issue=2 |pages=701–5 |year=1992 |pmid=1737857 |pmc=442905 |doi=10.1172/JCI115638 |url=}}</ref><ref name="pmid7988316">{{cite journal |vauthors=Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC |title=Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men |journal=Diabetes Care |volume=17 |issue=9 |pages=961–9 |year=1994 |pmid=7988316 |doi= |url=}}</ref><ref name="HuttunenSyrjänen2012">{{cite journal|last1=Huttunen|first1=R|last2=Syrjänen|first2=J|title=Obesity and the risk and outcome of infection|journal=International Journal of Obesity|volume=37|issue=3|year=2012|pages=333–340|issn=0307-0565|doi=10.1038/ijo.2012.62}}</ref><ref name="NerurkarBellou20185">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
**Increased body [[weight]] and a higher [[BMI]] is associated with an increased [[incidence]] of [[impaired glucose tolerance]] and [[diabetes mellitus type 2]].  
**Increased body [[weight]] and a higher [[BMI]] is associated with an increased [[incidence]] of [[impaired glucose tolerance]] and [[diabetes mellitus type 2]].
**[[Central obesity|Central]] or [[abdominal obesity]], as measured by an increased waist circumference or an increased waist-to-hip ratio increases the risk of [[diabetes mellitus type 2]].  
**[[Central obesity|Central]] or [[abdominal obesity]], as measured by an increased waist circumference or an increased waist-to-hip ratio increases the risk of [[diabetes mellitus type 2]].  
**Decreased hip circumference is related to higher chance of [[Diabetes mellitus type 2|diabetes type 2]] development.  
**Decreased hip circumference is related to higher chance of [[Diabetes mellitus type 2|diabetes type 2]] development.  
**A [[cohort study]] done on [[male]] [[Diabetes mellitus|diabetic]] patients, proved [[obesity]] as a [[risk factor]] for [[urinary tract infection]] ([[Urinary tract infection|UTI]]).
**A [[cohort study]] done on [[male]] [[Diabetes mellitus|diabetic]] patients, proved [[obesity]] as a [[risk factor]] for [[urinary tract infection]] ([[Urinary tract infection|UTI]]).
*[[Smoking]]: <ref name="pmid11063954">{{cite journal |vauthors=Manson JE, Ajani UA, Liu S, Nathan DM, Hennekens CH |title=A prospective study of cigarette smoking and the incidence of diabetes mellitus among US male physicians |journal=Am. J. Med. |volume=109 |issue=7 |pages=538–42 |year=2000 |pmid=11063954 |doi= |url=}}</ref><ref name="pmid2589303">{{cite journal |vauthors=Feskens EJ, Kromhout D |title=Cardiovascular risk factors and the 25-year incidence of diabetes mellitus in middle-aged men. The Zutphen Study |journal=Am. J. Epidemiol. |volume=130 |issue=6 |pages=1101–8 |year=1989 |pmid=2589303 |doi= |url=}}</ref><ref name="pmid7888928">{{cite journal |vauthors=Rimm EB, Chan J, Stampfer MJ, Colditz GA, Willett WC |title=Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men |journal=BMJ |volume=310 |issue=6979 |pages=555–9 |year=1995 |pmid=7888928 |pmc=2548937 |doi= |url=}}</ref><ref name="pmid16186287">{{cite journal |vauthors=Foy CG, Bell RA, Farmer DF, Goff DC, Wagenknecht LE |title=Smoking and incidence of diabetes among U.S. adults: findings from the Insulin Resistance Atherosclerosis Study |journal=Diabetes Care |volume=28 |issue=10 |pages=2501–7 |year=2005 |pmid=16186287 |doi= |url=}}</ref><ref name="CichoszJensen2020">{{cite journal|last1=Cichosz|first1=Simon Lebech|last2=Jensen|first2=Morten Hasselstrøm|last3=Hejlesen|first3=Ole|title=Associations between smoking, glucose metabolism and lipid levels: A cross-sectional study|journal=Journal of Diabetes and its Complications|year=2020|pages=107649|issn=10568727|doi=10.1016/j.jdiacomp.2020.107649}}</ref>
*[[Smoking]]: <ref name="pmid11063954">{{cite journal |vauthors=Manson JE, Ajani UA, Liu S, Nathan DM, Hennekens CH |title=A prospective study of cigarette smoking and the incidence of diabetes mellitus among US male physicians |journal=Am. J. Med. |volume=109 |issue=7 |pages=538–42 |year=2000 |pmid=11063954 |doi= |url=}}</ref><ref name="pmid2589303">{{cite journal |vauthors=Feskens EJ, Kromhout D |title=Cardiovascular risk factors and the 25-year incidence of diabetes mellitus in middle-aged men. The Zutphen Study |journal=Am. J. Epidemiol. |volume=130 |issue=6 |pages=1101–8 |year=1989 |pmid=2589303 |doi= |url=}}</ref><ref name="pmid7888928">{{cite journal |vauthors=Rimm EB, Chan J, Stampfer MJ, Colditz GA, Willett WC |title=Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men |journal=BMJ |volume=310 |issue=6979 |pages=555–9 |year=1995 |pmid=7888928 |pmc=2548937 |doi= |url=}}</ref><ref name="pmid16186287">{{cite journal |vauthors=Foy CG, Bell RA, Farmer DF, Goff DC, Wagenknecht LE |title=Smoking and incidence of diabetes among U.S. adults: findings from the Insulin Resistance Atherosclerosis Study |journal=Diabetes Care |volume=28 |issue=10 |pages=2501–7 |year=2005 |pmid=16186287 |doi= |url=}}</ref><ref name="CichoszJensen2020">{{cite journal|last1=Cichosz|first1=Simon Lebech|last2=Jensen|first2=Morten Hasselstrøm|last3=Hejlesen|first3=Ole|title=Associations between smoking, glucose metabolism and lipid levels: A cross-sectional study|journal=Journal of Diabetes and its Complications|year=2020|pages=107649|issn=10568727|doi=10.1016/j.jdiacomp.2020.107649}}</ref>
**[[Smoking]] may impair [[insulin]] sensitivity and has been found to increase blood [[glucose]] levels following an [[oral glucose tolerance test]] ([[OGTT]]).  
**[[Smoking]] may impair [[insulin]] sensitivity and has been found to increase blood [[glucose]] levels following an [[oral glucose tolerance test]] ([[OGTT]]).
**Result of a [[cross-sectional study]] using data from [[National Health and Nutrition Examination Survey]], from 2005 to 2014, showed opposing data, demonstrated lower [[oral glucose tolerance test]] ([[OGTT]]) in smokers. Furthermore this study showed higher level of [[triglyceride]] and [[Low density lipoprotein|LDL-cholesterol]] and lower level of [[High density lipoprotein|HDL]] in smokers.
**Result of a [[cross-sectional study]] using data from [[National Health and Nutrition Examination Survey]], from 2005 to 2014, showed opposing data, demonstrated lower [[oral glucose tolerance test]] ([[OGTT]]) in smokers. Furthermore this study showed higher level of [[triglyceride]] and [[Low density lipoprotein|LDL-cholesterol]] and lower level of [[High density lipoprotein|HDL]] in smokers.
*Lack of exercise: <ref name="pmid26954518">{{cite journal |vauthors=Crump C, Sundquist J, Winkleby MA, Sieh W, Sundquist K |title=Physical Fitness Among Swedish Military Conscripts and Long-Term Risk for Type 2 Diabetes Mellitus: A Cohort Study |journal=Ann. Intern. Med. |volume=164 |issue=9 |pages=577–84 |year=2016 |pmid=26954518 |pmc=4861045 |doi=10.7326/M15-2002 |url=}}</ref><ref name="NerurkarBellou20189">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*Lack of exercise: <ref name="pmid26954518">{{cite journal |vauthors=Crump C, Sundquist J, Winkleby MA, Sieh W, Sundquist K |title=Physical Fitness Among Swedish Military Conscripts and Long-Term Risk for Type 2 Diabetes Mellitus: A Cohort Study |journal=Ann. Intern. Med. |volume=164 |issue=9 |pages=577–84 |year=2016 |pmid=26954518 |pmc=4861045 |doi=10.7326/M15-2002 |url=}}</ref><ref name="NerurkarBellou20189">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
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*Medical conditions: [[Gestational diabetes]], High [[systolic blood pressure]], [[Metabolic syndrome]] and [[Premature birth|Preterm birth]].<ref name="NerurkarBellou20188">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*Medical conditions: [[Gestational diabetes]], High [[systolic blood pressure]], [[Metabolic syndrome]] and [[Premature birth|Preterm birth]].<ref name="NerurkarBellou20188">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*[[Air pollution]] and PM10<ref name="NerurkarBellou201810">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*[[Air pollution]] and PM10<ref name="NerurkarBellou201810">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>
*A follow-up study in a population from the U.K. showed that class III homozygosity was related to higher risk for [[Diabetes mellitus type 2|type 2 diabetes]] in women, but not in men.<ref name="pmid15562019">{{cite journal| author=Meigs JB, Dupuis J, Herbert AG, Liu C, Wilson PW, Cupples LA| title=The insulin gene variable number tandem repeat and risk of type 2 diabetes in a population-based sample of families and unrelated men and women. | journal=J Clin Endocrinol Metab | year= 2005 | volume= 90 | issue= 2 | pages= 1137-43 | pmid=15562019 | doi=10.1210/jc.2004-1212 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15562019  }}</ref>
*Biomarkers:  
*Biomarkers:  
**Elevation in the following biomarkers are related to higher chance of diabetes type 2: <ref name="NerurkarBellou20186">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>  
**Elevation in the following biomarkers are related to higher chance of diabetes type 2: <ref name="NerurkarBellou20186">{{cite journal|last1=Nerurkar|first1=Pratibha V.|last2=Bellou|first2=Vanesa|last3=Belbasis|first3=Lazaros|last4=Tzoulaki|first4=Ioanna|last5=Evangelou|first5=Evangelos|title=Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses|journal=PLOS ONE|volume=13|issue=3|year=2018|pages=e0194127|issn=1932-6203|doi=10.1371/journal.pone.0194127}}</ref>  
***[[Alanine transaminase]] ([[Alanine transaminase|ALT]])  
***[[Alanine transaminase]] ([[Alanine transaminase|ALT]])
***[[Gamma-glutamyl transferase]] ([[Gamma-glutamyl transferase|GGT]])
***[[Gamma-glutamyl transferase]] ([[Gamma-glutamyl transferase|GGT]])
***[[Uric acid]]
***[[Uric acid]]

Revision as of 20:00, 1 August 2020

Diabetes mellitus main page

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2],Seyedmahdi Pahlavani, M.D. [3]

Overview

Common risk factors associated with the development of type 2 diabetes include: positive family history, certain ethnicity, obesity, smoking, physical inactivity, poor dietary habits, certain drugs (.eg. glucocorticoids) and certain medical conditions that may result in weight gain and inactivity.

Risk Factors

There are many risk factors associated with the development of diabetes mellitus type 2. These include:

Risk Factors for Type 2 Diabetes in Children

  • Overweight (BMI>85th percentile for age and sex, weight for height> 85th percentile, or weight >120% of ideal for height)
  • Family history of type 2 diabetes in first or second degree relative
  • Ethnicity: Native American, African American, Latino, Asian American, Pacific Islander
  • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational age birth weight)
  • Maternal history of diabetes or GDM during the child’s gestation[36]

HbA1c

  • A systematic review of HbA1c levels with future risk of developing diabetes by Zhang et al.[37] showed that the risk of diabetes increased steeply in patients with HbA1c levels across the range between 5 and 6.5%. It seems to be a better predictor of diabetes and cardiovascular outcomes than the fasting blood glucose test.
  • The results of this study is tabulated below:
HbA1c 5 year DM incidence rate
≤ 5% Around 0.1%
5.5 to 6% Between 9 to 25%
6 to 6.5% 25 to 50%
  • Also, the patients with HbA1c's more than 6% had a relative risk 20 times higher compared to those in lower HbA1c group (≤5%). Hence, the patients with HbA1c levels in the prediabetic range should be counselled about lifestyle modifications and weight reduction strategies in order to lower their risk. This should be followed with vigilant follow up visits and close scrutiny, particularly in high risk individuals.

Genetic Syndromes

Various hereditary conditions may feature diabetes, for example myotonic dystrophy and Friedreich's ataxia. Wolfram's syndrome is an autosomal recessive neurodegenerative disorder that first becomes evident in childhood. It consists of diabetes insipidus, diabetes mellitus, optic atrophy, and deafness, hence the acronym DIDMOAD.[38]

References

  1. Scott RA, Langenberg C, Sharp SJ, Franks PW, Rolandsson O, Drogan D, van der Schouw YT, Ekelund U, Kerrison ND, Ardanaz E, Arriola L, Balkau B, Barricarte A, Barroso I, Bendinelli B, Beulens JW, Boeing H, de Lauzon-Guillain B, Deloukas P, Fagherazzi G, Gonzalez C, Griffin SJ, Groop LC, Halkjaer J, Huerta JM, Kaaks R, Khaw KT, Krogh V, Nilsson PM, Norat T, Overvad K, Panico S, Rodriguez-Suarez L, Romaguera D, Romieu I, Sacerdote C, Sánchez MJ, Spijkerman AM, Teucher B, Tjonneland A, Tumino R, van der A DL, Wark PA, McCarthy MI, Riboli E, Wareham NJ (2013). "The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study". Diabetologia. 56 (1): 60–9. doi:10.1007/s00125-012-2715-x. PMC 4038917. PMID 23052052.
  2. Meigs JB, Cupples LA, Wilson PW (2000). "Parental transmission of type 2 diabetes: the Framingham Offspring Study". Diabetes. 49 (12): 2201–7. PMID 11118026.
  3. Nerurkar, Pratibha V.; Bellou, Vanesa; Belbasis, Lazaros; Tzoulaki, Ioanna; Evangelou, Evangelos (2018). "Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses". PLOS ONE. 13 (3): e0194127. doi:10.1371/journal.pone.0194127. ISSN 1932-6203.
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