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Risk Assessment of Future Type 2 Diabetes and Implication for Prevention

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Ethnic Diversities, Hypertension and Global Cardiovascular Risk

Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

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Abstract

Nutrition and lifestyle transition seem to play a role in disclosing the predisposition for the development of type 2 diabetes in different populations with special regard to Asian and African countries. Great interest is now shown toward the possibility to intervene with lifestyle intervention on at-risk populations. The main question is: Who is to be considered at high risk? Subjects originating from South Asia, China, and Africa develop T2DM at a higher rate, at an earlier age, and at lower ranges of BMI than their European counterparts. Risk assessment of future type 2 diabetes is usually based on blood glucose levels, and prevention strategies are focused on high-risk subjects. However, when considering ethnic minorities which are known to have high prevalence of type 2 diabetes, limitations in the high-risk approach may be represented by low compliance at screening and follow-up and by the problematic contact with undocumented migrants. A new perspective for an approach specifically involving the whole communities can be considered. Health promotion, usually based on assumptions of a self-investment, should leave the approach to individuals when the aim is to involve societies with a collectivist history.

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Author information

Authors and Affiliations

  1. Department of Clinical and Experimental Medicine, University of Florence, Firenze, Italy

    Pietro Amedeo Modesti & Giorgio Galanti

  2. Diabetology Unit, Hospital “Misericordia e Dolce”, Azienda USL Toscana Centro, Prato, Italy

    Maria Calabrese

Authors
  1. Pietro Amedeo Modesti
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  2. Maria Calabrese
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  3. Giorgio Galanti
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Correspondence to Pietro Amedeo Modesti .

Editor information

Editors and Affiliations

  1. Department of Clinical and Experimental Medicine, University of Florence, Firenze, Italy

    Pietro Amedeo Modesti

  2. University of Warwick, Warwick Medical School, and University, Hospitals Coventry and Warwickshire, NHS Trust, Coventry, UK

    Francesco P. Cappuccio

  3. Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy

    Gianfranco Parati

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Modesti, P.A., Calabrese, M., Galanti, G. (2018). Risk Assessment of Future Type 2 Diabetes and Implication for Prevention. In: Modesti, P., Cappuccio, F., Parati, G. (eds) Ethnic Diversities, Hypertension and Global Cardiovascular Risk. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-319-93148-7_17

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  • DOI: https://doi.org/10.1007/978-3-319-93148-7_17

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