PMID- 23939919 OWN - NLM STAT- MEDLINE DCOM- 20131119 LR - 20221207 IS - 1479-683X (Electronic) IS - 0804-4643 (Linking) VI - 169 IP - 5 DP - 2013 Nov TI - Pathogenesis of type 2 diabetes in South Asians. PG - R99-R114 LID - 10.1530/EJE-13-0307 [doi] AB - The risk of developing type 2 diabetes mellitus (T2DM) is exceptionally high among both native and migrant South Asians. T2DM occurs more often and at a younger age and lower BMI, and the risk of coronary artery and cerebrovascular disease, and renal complications is higher for South Asians compared with people of White Caucasian descent. The high prevalence of T2DM and its related complications in South Asians, which comprise one-fifth of the total world's population, poses a major health and socioeconomic burden. The underlying cause of this excess risk, however, is still not completely understood. Therefore, gaining insight into the pathogenesis of T2DM in South Asians is of great importance. The predominant mechanism, in this ethnicity seems to be insulin resistance (IR) rather than an impaired beta-cell function. In this systematic review, we describe several possible mechanisms that may underlie or contribute to the increased IR observed in South Asians. FAU - Bakker, Leontine E H AU - Bakker LE AD - Department of General Internal Medicine and Endocrinology Walaeus Library, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands. FAU - Sleddering, Maria A AU - Sleddering MA FAU - Schoones, Jan W AU - Schoones JW FAU - Meinders, A Edo AU - Meinders AE FAU - Jazet, Ingrid M AU - Jazet IM LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20131001 PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 RN - 0 (Cholesterol, HDL) RN - 31C4KY9ESH (Nitric Oxide) SB - IM MH - Adipose Tissue/physiopathology MH - Asian People/*statistics & numerical data MH - Biological Evolution MH - Body Composition/physiology MH - Cholesterol, HDL/physiology MH - Diabetes Mellitus, Type 2/*etiology/genetics MH - Diet MH - Exercise MH - Humans MH - Life Style MH - Muscle, Skeletal/physiopathology MH - Nitric Oxide/metabolism MH - White People EDAT- 2013/08/14 06:00 MHDA- 2013/11/20 06:00 CRDT- 2013/08/14 06:00 PHST- 2013/08/14 06:00 [entrez] PHST- 2013/08/14 06:00 [pubmed] PHST- 2013/11/20 06:00 [medline] AID - EJE-13-0307 [pii] AID - 10.1530/EJE-13-0307 [doi] PST - epublish SO - Eur J Endocrinol. 2013 Oct 1;169(5):R99-R114. doi: 10.1530/EJE-13-0307. Print 2013 Nov.