Diabetes vs BMI for Indians

Apple winepix
Sep 16 28 Comments

There was a poll on here recently that suggested 30% of Indians have type-2 diabetes (wtf). I am absolutely blown away by that number and want to understand how much of a role BMI could be playing. If you are not Indian, please choose the not Indian option. Note that by diabetic, I am only referring to folks with type 2 diabetes.

Here’s how to calculate BMI:

weight/height^2

weight is in kg, height is in meters

110 VOTES SELECT ONLY ONE ANSWER
VOTE VIEW RESULT

comments

Want to comment? LOG IN or SIGN UP
TOP 28 Comments
  • Microsoft midroc
    Maybe you should add pre diabetic option, which is what I am. Indian
    Sep 16 12
    • Intel D’s🥜
      “Family History” is code for:

      Your entire family has the same, bad diet.
      Sep 16
    • Apple winepix
      OP
      @Intel, I think genetic risk for diabetes can exist independent of the diet.
      Sep 16
    • Intel D’s🥜
      ^Well I’m glad we aren’t relying on scientific studies for our opinions. The science is out there, I recommend that you take a look at diabetes studies from John’s Hopkins, Harvard, and other reputable source.
      Sep 16
    • Apple winepix
      OP
      @Intel: I remember your replies to the previous poll I made on diabetes. You seem to be implying that diet is the only culprit behind diabetes risk. The studies that you referenced indeed show a link between certain types of diet and diabetes. Sure, I totally agree that diet plays an important role in diabetes. But it’s important to note that the studies you referenced never claim that diet is the *only* culprit.

      Genetics play an undeniable role. I am not making that claim without looking at scientific studies. I am reproducing below a previous reply I made which lists control studies that show Indians are genetically predisposed to diabetes independent of diet:

      “Actually, it turns out they did perform a control study: https://www.ncbi.nlm.nih.gov/m/pubmed/3519338/

      Check the papers that cite that paper. Gold mine of information.

      Here’s another nice paper that theorizes about the biological reasons behind why Asian Indians have messed up insulin mechanisms:

      https://diabetes.diabetesjournals.org/content/63/1/53.full-text.pdf

      TLDR is: Even after controlling for extraneous factors, Indians have a worse off metabolic profile 🤷‍♂️”
      Sep 16
    • Salesforce passalman
      Did someone just deny possibility of genetic disposition to diabetes? Smh
      Sep 19
  • Salesforce wackaplant
    There’s actually more going on here. One of the phenotypes common in India and east Asia is, for lack of a better term, “skinny fat”. If you’ve ever noticed some people from these regions have a really hard time putting on fat no matter how much they eat. The reality is that your body for whatever genetic reason doesn’t produce subcutaneous fat very well and instead the fat production goes to visceral fat (fat around organs). All people have visceral fat some degree of this but if you’re of the skinny fat type then you will have it much more. Visceral fat is much more dangerous and leads to metabolic disease. Combined with a culture that eats a carb heavy diet, it’s a combination which unfortunately will lead to a high occurrence of diabetes.

    Source: I listened to a doctor talk about this who sees thousands of metabolic disease patients a year and this is a trend he’s noticed. He practices in Silicon Valley and hence sees a lot of Asian patients.
    Sep 16 3
    • Apple winepix
      OP
      Interesting but isn’t the skinny fat look more of a subcutaneous thing? By definition, visceral fat wouldn’t show up on the body
      Sep 16
    • Salesforce wackaplant
      Ever see people with thin limbs but a round belly?
      Sep 16
    • Apple winepix
      OP
      Umm not really.. maybe I am imagining the skinny fat look wrong
      Sep 16
  • Keysight / Eng Maduro
    BMI is total BS. Go by body fat % to gauge health. I am 6’3” tall. I have 14% BF but my BMI is 30. I go to the gym daily so I am pretty muscular and fit. Even my Dr. says BMI is flawed and meaningless. I weigh 225 lbs so my BMI is around 30. Obese
    Sep 16 3
    • Apple rainyDayz
      BMI is not BS. Sure, It may not work for you because you work out daily and are pretty muscular and fit. But it works as a good indicator of health for the vast majority of people who are not as fit as you and have average profiles.

      Also, it can be calculated in a much more convenient and reliable way and can be comprehended by most age groups and socio-economic classes. This is why we have health organizations vouching for BMI rather than fat %.
      Sep 16
    • Salesforce wackaplant
      It’s pretty common knowledge now that BMI is not a good measure and also US health organizations are very behind in terms of keeping up with current science.

      It might be true that BMI *kinda* works but the number of people it is valid for is not enough of a majority to rely on it. This is especially the case when you see people with extremely low muscle mass and high body fat. BMI might be very normal but indication of health is poor. This example of person is really common and hence not much of an edge case.
      Sep 16
    • Keysight / Eng Maduro
      But someone can have a “healthy“ BMI and be skinny fat and still get type 2 diabetes. It is an outdated measure of health.

      Doing a Dexa scan to determine adapose sp? fat is much more reliable and cheap and easy to determine risk.
      Sep 16
  • New pagla
    That seems wrong. According to international diabetes federation the incidence rate for India is 10%. https://www.indexmundi.com/facts/indicators/sh.sta.diab.zs/rankings Technically it doesn’t say incidence rate for Indians but I doubt it’s that different. Even the countries with the highest incidence rate are below 30
    Sep 16 3
    • Salesforce wackaplant
      OP is referring to Indians on blind, so Indian likely in the US. Makes sense that it is higher than the country considering the average income for Indians in US is probably higher than average folks in India
      Sep 16
    • Apple winepix
      OP
      ^ adding to this, the folks on blind are in very sedentary roles and their only focus in life is TC.
      Sep 16
    • New pagla
      Any survey on blind suffers from self selection bias. Not to mention response bias. So I wouldn’t believe that either.
      Sep 16
  • Uber has7ydh
    How do people have 30+ bmi?
    Sep 16 1
    • Keysight / Eng Maduro
      I do, but I more fit than 95% of the population. 14% body fat. 6’3” 225lbs. Can almost see my 6 pack. BMI is bullshit.

      To get a target BMI of 22, I would have to drop 30 lbs. I can’t even lose that much fat and be alive, lol.
      Sep 16
  • Microsoft / Eng
    I'mIronMan

    Microsoft Eng

    PRE
    Facebook
    I'mIronManmore
    Its genetic, food habits and lack of exercise. Diabetes and Obesity related diseases are exploding in China as well. People used to eat less fast food and be more active now they eat more garbage and dont move.
    Sep 16 0