Type 2 & other diabetes

Temporal changes and genetic susceptibility to type 2 diabetes (1984–2019; HUNT): a longitudinal, population-based study

Lancet Diabetes EndocrinolPublished Longitudinal population-based study

Authors' conclusion

Our findings suggest an increasing gap in diabetes prevalence between the most and least genetically susceptible. This suggests that people with a high genetic susceptibility to type 2 diabetes could be especially affected by a diabetogenic environment and highlights the need for public health measures.

Study context

Population
Participants aged 20–79 years in the HUNT study, 1984–2019; 53.0% female198,312 observations
Participants
86,194 participants
Exposure
Top vs bottom decile of T2D polygenic score over time
Outcome
Diabetes prevalence (self-report) by polygenic score category over time
Follow-up
Mid-1980s to late 2010s
Methodological detailsfour HUNT surveys 1984–2019, generalised estimating equations, polygenic score >1 100 000 variants
  • Four HUNT surveys 1984–2019
  • Generalised estimating equations
  • Polygenic score >1 100 000 variants

Main finding

As reported in the abstract

Increase in diabetes prevalence

Observational data: associations, not effects.

Further findings

Hyperglycaemia incl. laboratory measurements

Findings similar when laboratory measurements added

Diabetes incidence, aged 20-39 years, top decile

Suggested increasing incidence

Diabetes survival · 1996-2006 to 2007-17

Improved diabetes survival

Original publication

Temporal changes and genetic susceptibility to type 2 diabetes (1984–2019; HUNT): a longitudinal, population-based study. Lancet Diabetes Endocrinol. Published 28 January 2026. doi:10.1016/s2213-8587(25)00322-5

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