Type 2 & other diabetes

Ethnic differences in beta cell function and pancreatic fat in Black African and White European men across a spectrum of glucose tolerance

DiabetologiaPublished Cross-sectional study

Authors' conclusion

Ethnic differences were apparent as beta cell function was inversely associated with IPL in the WE, but not BA, men. However, in both ethnic groups, this relationship appears secondary to other factors, such as adiposity, in the pathogenesis of type 2 diabetes.

Study context

Population
Black African and White European men across a spectrum of glucose tolerance (normal, impaired glucose tolerance, T2D)
Participants
53 vs 51
Exposure
Black African vs White European men
  • Black African (BA)n = 53
  • White European (WE)n = 51reference
Outcome
Association between intrapancreatic lipid (IPL, Dixon MRI) and beta cell function, and whether it differs by ethnicity

Main finding

As reported in the abstract

Association of IPL with beta cell function
  • Intrapancreatic lipid (IPL) inversely associated with beta cell function in WE but not BA men; not significant after adjustment for confounders

Observational data: associations, not effects.

Further findings

IPL

P = 0.038

Total insulin secretion response, men with T2D · lower in BA; mixed-meal
P = 0.001
Total insulin secretion response, men with T2D · lower in BA; hyperglycaemic clamp
P = 0.002
  • IPL: lower in BA; after adjustment for waist circumference p=0.278

Disposition index within glucose tolerance groups

No ethnic differences in disposition index within glucose tolerance groups

Original publication

Ethnic differences in beta cell function and pancreatic fat in Black African and White European men across a spectrum of glucose tolerance. Diabetologia. Published 6 August 2025. doi:10.1007/s00125-025-06514-3

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