Type 2 & other diabetes

Greater Glycaemic Responses to Bodyweight Change in South Asians Than White Europeans at High Risk of Type 2 Diabetes

Diabetes Obes MetabPublished Secondary analysis of the PROPELS randomised trial

Authors' conclusion

Bodyweight changes have a greater adverse impact on glycaemic control in South Asian populations at high risk of type 2 diabetes, driven by stronger associations with post-challenge glucose

Study context

Population
Adults at high risk of T2D, UK PROPELS trial, with ≥2 bodyweight and oral glucose tolerance test (OGTT) observations
Participants
543 adults
Comparison
South Asian vs White European
  • South Asiann = 172
  • White Europeann = 371reference
Primary endpoint
Ethnicity interaction in the association between bodyweight change and change in HbA1c and OGTT-derived measures
Follow-up
Baseline, 1 and 4 years
Methodological detailscohort analysis, trial arms analysed as a single cohort, generalised estimating equation models
  • Cohort analysis
  • Trial arms analysed as a single cohort
  • Generalised estimating equation models

Primary result

As reported in the abstract

Change in HbA1c per 5 kg change in bodyweight

South Asian

1.5

CI 1.0–2.0 · mmol/mol

White European

0.9

CI 0.6–1.3 · mmol/mol

p for ethnicity interaction = 0.034

Further findings

mmol/L

OutcomeSouth AsianWhite EuropeanP value
Change in 2-h post-challenge glucose per 5 kg change in bodyweight0.90.4P = 0.003 for ethnicity interaction

Fasting glucose and insulin measures

No ethnicity interactions were observed for fasting glucose or insulin measures

Original publication

Greater Glycaemic Responses to Bodyweight Change in South Asians Than White Europeans at High Risk of Type 2 Diabetes. Diabetes Obes Metab. Published 1 June 2026. doi:10.1111/dom.70945

Composed by AI from the published abstract and checked against it. How Briefs are made →

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