PMID- 32002674 OWN - NLM STAT- MEDLINE DCOM- 20200811 LR - 20221207 IS - 1539-0829 (Electronic) IS - 1534-4827 (Linking) VI - 20 IP - 1 DP - 2020 Jan 30 TI - Type 2 Diabetes and Atherosclerotic Cardiovascular Disease in South Asians: a Unique Population with a Growing Challenge. PG - 4 LID - 10.1007/s11892-020-1291-6 [doi] AB - PURPOSE OF REVIEW: The purpose of this review is to summarize our current knowledge of factors that influence clinical decision making and management of type 2 diabetes mellitus (T2DM) and atherosclerotic cardiovascular disease (ASCVD) among South Asians (SA). RECENT FINDINGS: ASCVD and T2DM in SAs have been examined in recent times. Pathophysiologic and genetic factors including the role of adiponectin, visceral adiposity, lower beta cell function, and psycho-social factors like sedentary lifestyle, poor adherence to medications, and carbohydrate dense meals play a role in early development and the high-risk presentation of both ASCVD and T2DM in SA. Recently, large population-based cohort studies have attempted to compare outcomes and interventions that can be translated to timely detection and targeted interventions in this high-risk group. SAs in the USA are more likely to be diagnosed with T2DM and ASCVD when compared to non-Hispanic whites, non-Hispanic Blacks, and Hispanic populations. The development of personalized ethnic risk assessment tools and better representation of SAs in prospective studies are essential to increasing our understanding and management of cardio-metabolic disease in SA living in the USA. FAU - Shariff, Afreen I AU - Shariff AI AD - Division of Endocrinology, Metabolism and Nutrition, Duke University School of Medicine, Durham, NC, USA. afreen.shariff@duke.edu. AD - DUMC, 3021, Durham, NC, 27710, USA. afreen.shariff@duke.edu. FAU - Kumar, Nitya AU - Kumar N AD - Division of Endocrinology, Metabolism and Nutrition, Duke University School of Medicine, Durham, NC, USA. FAU - Yancy, William S Jr AU - Yancy WS Jr AD - Duke Diet and Fitness Center, Duke University Health System, Durham, NC, USA. AD - Durham Veterans Affairs Medical Center, Durham, NC, USA. FAU - Corsino, Leonor AU - Corsino L AD - Division of Endocrinology, Metabolism and Nutrition, Duke University School of Medicine, Durham, NC, USA. LA - eng PT - Journal Article PT - Review DEP - 20200130 PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 SB - IM MH - Asia, Western/ethnology MH - *Asian MH - Atherosclerosis/epidemiology/*ethnology/etiology/therapy MH - Cardiovascular Diseases/ethnology/etiology/therapy MH - Clinical Decision-Making MH - Diabetes Mellitus, Type 2/complications/epidemiology/*ethnology/therapy MH - Humans MH - Prospective Studies MH - Risk Assessment MH - Risk Factors MH - United States/epidemiology OTO - NOTNLM OT - Asian Indian OT - Atherosclerotic cardiovascular disease OT - Diabetes mellitus OT - South Asian EDAT- 2020/02/01 06:00 MHDA- 2020/08/12 06:00 CRDT- 2020/02/01 06:00 PHST- 2020/02/01 06:00 [entrez] PHST- 2020/02/01 06:00 [pubmed] PHST- 2020/08/12 06:00 [medline] AID - 10.1007/s11892-020-1291-6 [pii] AID - 10.1007/s11892-020-1291-6 [doi] PST - epublish SO - Curr Diab Rep. 2020 Jan 30;20(1):4. doi: 10.1007/s11892-020-1291-6.