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- July 4, 2008 |
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CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"The Indian diabetic diaspora: a cardiovascular time bomb"Dr. Soji Swaraj (biography)
English - 2007-11-16 - 21 minutes
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Summary :
In this presentation Dr. Swaraj discusses possible reasons for the high diabetes disease burden among people of East Indian origin, and prevention and treatment strategies.
Among countries, India has the highest number of people with diabetes. Among the Indian diaspora or Indians living outside of India, diabetes is more prevalent compared to their caucasian counterparts (1); they also develop diabetes at younger ages and at lower adiposity levels, and have high rates of acute myocardial infarction at younger ages.
Indians may be genetically predisposed to insulin resistance favoring energy storage in the form of adipose tissue, which in the hunter-gatherer times would have made sense, though not in today's obesogenic environments and with sedentary lifestyles. The unprecedented economic growth in India has underpinned a change to more adipogenic and sedentary lifestyles. Other factors such as a lack of physical activity due to cultural norms, the typical Indian high-starch diet, and a possible higher glycaemic response to all foods in Indians (2) may play a role as well.
Indians develop diabetes and cardiovascular complications earlier and suffer worse outcomes. Prevention and screening efforts could then be targeted at those Indians with a family history, low physical activity and central adiposity. Dr. Swaraj also discusses some standard and culture-specific measures that could be taken with diabetic patients of Indian origin.
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Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Factors contributing to the high diabetes disease burden in people of East Indian origin
- Possible strategies to address this issue
Bibliographic references :
1. Raj Bhopal et al. Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi, and European origin populations: cross sectional study BMJ 1999;319:215-220.
2. C. J. K. Henry et al. Glycaemic index of common foods tested in the UK and India British Journal of Nutrition 2007.
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