Abstract
Type 2 diabetes mellitus has a global distribution, yet its prevalence varies from country to country with the highest rates being reported in developed and developing countries [1–3]. Studies comparing rural vs. urban dwelling, as well as migration studies, indicate that change towards a “Westernized” lifestyle is associated with a dramatic increase in the prevalence rates for this disease [4]. This environmental impact has been documented in urbanized Pacific Island populations and migrant Asian Indians [5–9]. However, among individuals living in a similar environment, genetics has a clear influence on prevalence rates of type 2 diabetes. Different ethnic groups living within the same geographic region often have different prevalence rates of this disease [10]. For example, Latinos are the largest minority population in the United States and have a two to fourfold higher prevalence of diagnosed diabetes as compared to Caucasians [11, 12]. Rates of diabetes also differ between families, where siblings of affected individuals have an increased risk, which again suggests a familial component. Some of the strongest evidence for a genetic basis for type 2 diabetes comes from studies in twin pairs. Both monozygotic and dizygotic twin pairs share equally in a family environment, yet there is a higher concordance rate for type 2 diabetes among monozygotic twins who share 100% of their DNA as compared to dizygotic twins who share on average 50% of their DNA [13, 14].
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Baier, L.J. (2012). Prediabetes Genes in Pima and Amish. In: LeRoith, D. (eds) Prevention of Type 2 Diabetes. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3314-9_5
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