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Diabetes in South Asians: Phenotype, Clinical Presentation, and Natural History

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Purpose of ReviewSouth Asia is one of the epicenters of the global diabetes pandemic. Diabetes in south Asians has certain peculiar features with respect to its pathophysiology, clinical presentation, and… Click to show full abstract

Purpose of ReviewSouth Asia is one of the epicenters of the global diabetes pandemic. Diabetes in south Asians has certain peculiar features with respect to its pathophysiology, clinical presentation, and management. This review aims to summarize some of the recent evidence pertaining to the distinct diabetes phenotype in south Asians.Recent FindingsSouth Asia has high incidence and prevalence rates of diabetes. The progression from “pre-diabetes” to diabetes also occurs faster in this population. Pancreatic beta cell dysfunction seems to be as important as insulin resistance in the pathophysiology of diabetes in south Asians. Recent evidence suggests that the epidemic of diabetes in south Asia is spreading to rural areas and to less affluent sections of society.SummaryDiabetes in south Asians differs significantly from that in white Caucasians, with important implications for prevention, diagnosis, and management.

Keywords: south asians; phenotype clinical; clinical presentation; asians phenotype; diabetes south

Journal Title: Current Diabetes Reports
Year Published: 2018

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