By: Anna Almendrala – Huffington Post

Asian Americans officially have more reason to be extra-vigilant about their weight when it comes to diabetes risk.

As a group, Asian Americans are more at risk for developing type 2 diabetes at a lower body mass index (a weight-to-height ratio) when compared to the general population. In light of this fact, the American Diabetes Association now recommends screening Asian Americans for the disease at a BMI of 23, which is technically a “healthy” BMI level. The recommendation was published online Tuesday in a new position paper, and will appear in the January issue of the journal Diabetes Care.

“Clinicians have known this intuitively for quite some time,” said lead author William C. Hsu, M.D., of the Joslin Diabetes Center and Harvard Medical School. “They can see that Asian Americans are being diagnosed with diabetes when they do not appear to be overweight or obese according to general standards.”

The general population should be screened for diabetes at age 45 or older, with a BMI of 25 (the point at which one is classified as “overweight”). But this standard meant many at-risk Asian Americans were flying under the radar of diabetes screening, explained Hsu.

Hsu’s position paper discusses a few possible explanations for Asian Americans’ increased diabetes risk. For one, Asian Americans tend to store body fat in their trunk, as opposed to their hips and legs. Fat around the abdomen is more metabolically active than fat stored elsewhere and is strongly linked to insulin resistance, which can lead to diabetes.

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