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Below 70? The 15-15 rule

All forDiabetes

Indians get diabetes earlier than Europeans

All for DiabetesPublished May 15, 20102 min read

Key points

  • Underscoring the importance of an individual’s genetic make-up in disease development, a new study has confirmed the association of eight gene variants with type 2 diabetes in Indians.
  • Chandak, senior scientist from Centre for Cellular and Molecular Biology, the onset of diabetes among Indians was a decade earlier than in Europeans and at a lower body mass index (BMI), probably because of excess fat around the abdomen.
  • With each of the variants having its own impact in developing the risk for diabetes, it was found that the effect was much higher in Indians.
  • The identified variants increased the risk of diabetes by 21 to 25 per cent.

Underscoring the importance of an individual’s genetic make-up in disease development, a new study has confirmed the association of eight gene variants with type 2 diabetes in Indians.

With Genome Wide Association studies worldwide revealing the likely link of about 20 loci with type 2 diabetes, scientists from Centre for Cellular and Molecular Biology (CCMB) and three other institutions in the country investigated the association of eight common and well-established genetic variants with type 2 diabetes in 5,148 Indians.

The study was recently published in ???Diabetes’, a journal brought out by the American Diabetes Association.

According to Giriraj R. Chandak, senior scientist from Centre for Cellular and Molecular Biology, the onset of diabetes among Indians was a decade earlier than in Europeans and at a lower body mass index (BMI), probably because of excess fat around the abdomen.

As a result, the other health problems associated with diabetes too get manifested earlier than in Europeans or others.

With each of the variants having its own impact in developing the risk for diabetes, it was found that the effect was much higher in Indians.

He said there could be more than the eight variants which were so far found to be associated with diabetes in Indians.

Increased risk

The identified variants increased the risk of diabetes by 21 to 25 per cent.

The risk of developing diabetes was found to be higher when an individual carried more than a single variant.

Stating that the study gave a clear idea of how genetics played an important role in development of diabetes, the senior scientist said, it however, remained to be seen how the gene variants interact with other lifestyle risk factors like diet and lack of exercise.

Early identification of such genetic variants could help in prediction of diabetes risk in individuals as also in developing targeted drug therapy.

The other institutes involved in the study are Institute of Genomics and Integrative Biology, Delhi, King Edward Memorial Hospital and Research Centre, Pune and Indian Statistical Institute, Kolkata.

—

Y. Mallikarjun

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.