Researchers aren’t
sure what exactly causes the insulin process to go awry in some
people. There are several risk factors, though, that make it more likely
that you’ll develop pre-diabetes.
Risk factors for diabetes depend on the type of diabetes.
ü Risk factors for type 1 diabetes
Although the exact cause of type 1 diabetes is unknown, factors that
may signal an increased risk include:
- Family history. Your risk increases if a parent or sibling has type 1 diabetes.
- Environmental factors. Circumstances such as exposure to a viral illness likely play some role in type 1 diabetes.
- The presence of damaging immune system cells (autoantibodies). Sometimes family members of people with type 1 diabetes are
tested for the presence of diabetes autoantibodies. If you have these
autoantibodies, you have an increased risk of developing type 1 diabetes.
But not everyone who has these autoantibodies develops diabetes.
- Dietary factors. These include low vitamin D consumption, early exposure to
cow's milk or cow's milk formula, and exposure to cereals before 4 months
of age. None of these factors has been shown to directly cause type 1
diabetes.
- Geography. Certain countries, such as Finland and Sweden, have higher
rates of type 1 diabetes.
ü Risk factors for prediabetes and type 2 diabetes
Researchers don't fully understand why some people develop prediabetes
and type 2 diabetes and others don't. It's clear that certain factors increase
the risk, however, including:
- Weight. The more fatty tissue you have, the more resistant your
cells become to insulin.
- Inactivity. The less active you are, the greater your risk. Physical
activity helps you control your weight, uses up glucose as energy and
makes your cells more sensitive to insulin.
- Family history. Your risk increases if a parent or sibling has type 2
diabetes.
- Race. Although
it's unclear why, people of certain races — including blacks, Hispanics,
American Indians and Asian-Americans — are at higher risk.
- Age. Your
risk increases as you get older. This may be because you tend to exercise
less, lose muscle mass and gain weight as you age. But type 2 diabetes is
also increasing dramatically among children, adolescents and younger
adults.
- Gestational diabetes. If you developed gestational diabetes when you were
pregnant, your risk of developing prediabetes and type 2 diabetes later
increases. If you gave birth to a baby weighing more than 9 pounds (4
kilograms), you're also at risk of type 2 diabetes.
- Polycystic ovary syndrome. For women, having polycystic ovary syndrome — a common
condition characterized by irregular menstrual periods, excess hair growth
and obesity — increases the risk of diabetes.
- High blood pressure. Having blood pressure over 140/90 millimeters of mercury
(mm Hg) is linked to an increased risk of type 2 diabetes.
- Abnormal cholesterol and triglyceride
levels. If you have low levels of high-density
lipoprotein (HDL), or "good," cholesterol, your risk of type 2
diabetes is higher. Triglycerides are another type of fat carried in the
blood. People with high levels of triglycerides have an increased risk of
type 2 diabetes. Your doctor can let you know what your cholesterol and
triglyceride levels are.
ü Risk factors for gestational diabetes
Any pregnant woman can develop gestational diabetes, but some women
are at greater risk than are others. Risk factors for gestational diabetes
include:
- Age. Women
older than age 25 are at increased risk.
- Family or personal history. Your risk increases if you have prediabetes — a precursor
to type 2 diabetes — or if a close family member, such as a parent or
sibling, has type 2 diabetes. You're also at greater risk if you had
gestational diabetes during a previous pregnancy, if you delivered a very
large baby or if you had an unexplained stillbirth.
- Weight. Being overweight before pregnancy increases your risk.
- Race. For
reasons that aren't clear, women who are black, Hispanic, American Indian
or Asian are more likely to develop gestational diabetes.
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