, Volume 13, Issue 2, pp 111–115 | Cite as

The high prevalence of diabetes mellitus on a Central Pacific island

  • P. Zimmet
  • P. Taft
  • A. Guinea
  • W. Guthrie
  • K. Thoma


A diabetes prevalence study on an isolated urbanized Central Pacific island has established a prevalence rate of 34.4% in individuals aged 15 years and over. Of these, 10.4% had previously known diabetes; in the others the diagnosis was made on the basis of a plasma glucose level of at least 160 mg/100 ml 2h after a 75 gm oral glucose load. A further 11.3% of the subjects had borderline diabetes as judged by a 2-h plasma glucose of between 140 and 159 mg/100 ml. Of the diabetics, 72% had a positive family history of diabetes. The high prevalence rate appears to be related to a number of factors including a diabetic genotype, urbanization, and obesity.

Key words

Diabetes borderline diabetics Micronesia Pacific prevalence urbanization obesity 


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Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • P. Zimmet
    • 1
    • 2
  • P. Taft
    • 1
    • 2
  • A. Guinea
    • 1
    • 2
  • W. Guthrie
    • 1
    • 2
  • K. Thoma
    • 1
    • 2
  1. 1.Dept. of Metabolic Medicine and EpidemiologySouthern Memorial HospitalAustralia
  2. 2.Ewen Downie Metabolic UnitAlfred HospitalMelbourneAustralia

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