- Using body mass index as an indicator for type 2 diabetes is now considered inaccurate, especially among Asians, who tend to develop the condition with normal BMIs.
- In 2019, compared to Whites, Blacks, and Hispanics, Asian Americans had the highest percentage of undiagnosed diabetes.
- The U.S. Department of Health and Human Services monitors the ABCs of prevention: A1C, blood pressure, cholesterol, and smoking.
By: Fidelindo Lim, DNP, CCRN, FAAN, and Ivan Huang, BSN, RN
Traditionally, a BMI greater than 30 kg/m2, an indicator of obesity, is considered a risk factor for type 2 diabetes. However, using the BMI as a primary indicator is now considered inaccurate, especially among Asians (including those with origins in East Asia, Southeast Asia, and South Asia), who tend to develop type 2 diabetes with normal BMIs. This may be because BMI fails to take into account fat and lean tissue proportions and distribution. In studies conducted throughout Asia and observations by U.S. clinicians, Asians with type 2 diabetes don’t meet the clinical criteria for the disease.
An understanding of the unique features of type 2 diabetes among Asian Americans can help nurses better care for patients by individualizing education and self-management recommendations.
https://www.myamericannurse.com/type-2-diabetes-in-asian-americans/