11 Silent Health Risks Common in South Asian Genetics

7. Early-Onset Type 2 Diabetes — What You Need to Know

Type 2 diabetes often appears earlier in South Asian families than in other groups. That means testing can start in the twenties or thirties when there is a family history or other risk signs. An HbA1c test gives a three-month average of blood sugar, while an oral glucose tolerance test can reveal early problems that fasting glucose misses. Detecting diabetes early allows for simpler diets and exercise plans to control sugar without heavy medication. Small, culturally realistic changes work: make the tiffin more fiber-forward with roti made from mixed flours, include raw or cooked vegetables, and choose unsweetened chai or use minimal sugar. Portion control at family meals is crucial; a smaller plate with more vegetables and pulses shifts the carbs-to-protein balance. If you’re on medication, medication adherence paired with culturally acceptable food advice improves outcomes for the whole family.