This site is intended for healthcare professionals only

Diabetes, smoking and LABAs

Written by: | Published:

Diabetes in ethnic minorities
Diabetes Care (2012) doi:10.2337/dc12-0544

Abdominal (truncal) obesity and insulin resistance account for the increased risk of type 2 diabetes mellitus (T2DM) among Indian-Asian and African-Caribbean women, according to the SABRE (Southall and Brent Revisited) study. The causes of the increased risk among men remain 'unclear"'

SABRE enrolled 1356 Europeans, 842 Indian Asians and 335 African Caribbeans aged 40 to 69 years. During the 20-year follow-up, 14 per cent of Europeans, 33 per cent of Indian Asians and 30 per cent of African Caribbeans developed T2DM. Diabetes was roughly twice as common in men and women of Indian-Asian (age-adjusted subhazard ratios [SHRs] 2.88 and 1.91 respectively) and African-Caribbean descent (2.23 and 2.51) compared to Europeans.

Baseline truncal skinfold was 0.6, 2.4 and 1.4 cm greater in European, Indian-Asian and African-Caribbean women respectively than men of the same ethnicity. Baseline differences in truncal obesity and insulin resistance accounted for the excess risk of diabetes associated with ethnic background among Indian-Asian and African-Caribbean women. In contrast, T2DM risk remained roughly doubled after adjusting for truncal obesity and insulin resistance among Indian-Asian (SHR 1.98) and African-Caribbean (SHR 2.05) men. So, the reason for the increased risk of diabetes in ethnic minority men 'remains unclear'.


Please login or register to read the rest of the article and to have access to downloads and comments.


What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.