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Redefining type 2 diabetes: 'diabesity' or 'obesity dependent diabetes mellitus'?

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Affiliations

  • 1. Research Department of Human Nutrition, Royal Veterinary and Agricultural University, Denmark.
      Authors
    • Astrup A 1
    (1 author)

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity, 01 Oct 2000, 1(2):57-59
https://doi.org/10.1046/j.1467-789x.2000.00013.x PMID: 12119987 

Review

Abstract 

Type 2 diabetes is considered by diabetes physicians as a complex and heterogeneous disease with a poorly understood aetiology, apart from the fact that there is a strong genetic propensity that becomes overt when exposed to a typical Western lifestyle. Our clinical targets are now moving from controlling the disease to preventing it. Do we need to await more research on the aetiology and pathophysiology before establishing a preventive strategy? No, the pathophysiology may be poorly understood, but there is now solid evidence that type 2 diabetes is a disease of fatness. New, controlled, clinical trials show that as little as 5% weight loss is sufficient to prevent most obese subjects with impaired glucose tolerance developing type 2 diabetes. Since type 2 diabetes is obesity dependent, and obesity is the main aetiogical cause of type 2 diabetes, we propose the term 'diabesity' should be adopted.

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Read article at publisher's site: https://doi.org/10.1046/j.1467-789x.2000.00013.x

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