Many of the prevalence studies of diabetes in Asian populations are reviewed. When compared to Whites, Asians have an even greater predominance of non-insulin-dependent (NIDDM) over insulin-dependent diabetes (IDDM). Diabetes prevalence is higher among migrant Asians than in their homelands, and is often higher than in the majority population of their new homes. It is hypothesized that when a vulnerable population experiences environmental influences accompanying 'westernization', insulin resistance and eventually glucose intolerance develop. Asians are postulated to be a vulnerable ethnic group. Since many portions of Asia are also becoming westernized, it is postulated that insulin resistance and glucose intolerance will become more common in Asia. If this prediction is correct, then NIDDM will be a major health problem in Asia in the near future. © 1992.

Non-migrant Asian Migrant Asians Diabetes prevalence Westernization Epidemiology

Racial Stocks Diabetes Mellitus, Non-Insulin-Dependent non insulin dependent diabetes mellitus human Asia controlled study priority journal comparative study Aged United States migrant worker male female Review prevalence glucose intolerance Support, U.S. Gov't, P.H.S. major clinical study adult Transients and Migrants