Type 2 Diabetes and Atherosclerotic Cardiovascular Disease in South Asians: a Unique Population with a Growing Challenge.

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  • Additional Information
    • Source:
      Publisher: Current Science Country of Publication: United States NLM ID: 101093791 Publication Model: Electronic Cited Medium: Internet ISSN: 1539-0829 (Electronic) Linking ISSN: 15344827 NLM ISO Abbreviation: Curr Diab Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: Philadelphia, PA : Current Science, c2001-
    • Subject Terms:
      Asian*; Atherosclerosis/*ethnology ; Diabetes Mellitus, Type 2/*ethnology; Asia, Western/ethnology ; Atherosclerosis/epidemiology ; Atherosclerosis/etiology ; Atherosclerosis/therapy ; Cardiovascular Diseases/ethnology ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/therapy ; Clinical Decision-Making ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/therapy ; Humans ; Prospective Studies ; Risk Assessment ; Risk Factors ; United States/epidemiology
    • Abstract:
      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.
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    • Contributed Indexing:
      Keywords: Asian Indian; Atherosclerotic cardiovascular disease; Diabetes mellitus; South Asian
    • Publication Date:
      Date Created: 20200201 Date Completed: 20200811 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      10.1007/s11892-020-1291-6
    • Accession Number:
      32002674