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Patterns of diabetes mellitus in young Africans and Indians in Natal

M A Omar, A C Asmal

    Tropical and Geographical Medicine
    |June 1, 1984
    PubMed

    Insights

    This study examined diabetes mellitus patterns in young African and Indian patients. Indian patients showed a higher prevalence of non-insulin-dependent diabetes mellitus (NIDDM) and earlier onset of insulin-dependent diabetes mellitus (IDDM).

    Area of Science:

    • Endocrinology
    • Diabetology
    • Population Health

    Background:

    • Diabetes mellitus presents diverse etiological patterns across different ethnic groups.
    • Understanding these patterns is crucial for targeted public health interventions and clinical management.

    Purpose of the Study:

    • To investigate and compare the patterns of diabetes mellitus in young African and Indian patients.
    • To identify demographic and clinical characteristics associated with different diabetes types in these populations.

    Main Methods:

    • Retrospective analysis of 110 African and 101 Indian patients diagnosed with diabetes before age 35.
    • Categorization based on diabetes type: Insulin-Dependent Diabetes Mellitus (IDDM) and Non-Insulin-Dependent Diabetes Mellitus (NIDDM).
    • Evaluation of age of onset, seasonal variations, obesity, and family history.

    Main Results:

    • African patients: 86 IDDM, 18 NIDDM. Indian patients: 40 IDDM, 60 NIDDM.
    • IDDM onset was earlier in Indians (mean 17 years) vs. Africans (mean 23 years).
    • NIDDM showed female predominance (3:1) and obesity association; 80% of Indian and 39% of African NIDDM patients had a positive family history.

    Conclusions:

    • Significant differences exist in diabetes mellitus types and onset characteristics between young African and Indian populations.
    • NIDDM in these groups is linked to obesity, female sex, and a strong family history, particularly in Indians.
    • Tropical diabetes subtypes were infrequent in both studied groups.

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