Epidemiology of type 2 diabetes: focus on ethnic minorities

Med Clin North Am. 2005 Sep;89(5):949-75, viii. doi: 10.1016/j.mcna.2005.03.004.


African Americans and other ethnic minority groups suffer disproportionately from type 2 diabetes and its complications than do white Americans. Genetic and environmental factors contribute to the ethnic disparities in diabetes and its complications. The key elements of a comprehensive diabetes management strategy include monitoring, education, dietary modification, exercise, and medications. The progressive nature of diabetes requires the use of more than one agent. Drug combinations should be selected for their therapeutic fire power and complementary mechanisms of action, and exogenous insulin need not be delayed unnecessarily if oral agents are ineffective.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • African Americans
  • Asian Continental Ancestry Group
  • Blood Glucose
  • Diabetes Complications / ethnology
  • Diabetes Complications / physiopathology
  • Diabetes Mellitus, Type 2 / economics
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes Mellitus, Type 2 / physiopathology
  • Genetic Predisposition to Disease / ethnology
  • Health Services Accessibility
  • Hispanic Americans
  • Humans
  • Hypoglycemic Agents / economics
  • Hypoglycemic Agents / therapeutic use
  • Indians, North American
  • Oceanic Ancestry Group
  • Patient Education as Topic
  • Socioeconomic Factors
  • United States / epidemiology


  • Blood Glucose
  • Hypoglycemic Agents