Diabetes
What moves diabetes death odds
What moves diabetes death odds
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0 of 14 answered
Answer the 14 factors above to see which ones raise your own risk, which sit at the reference, and which the studies have no number for.
Relative risk versus each factor’s reference group; above the line is lower risk, below it higher.
Sources (17)Abdullah et al., Diabetes Res Clin Pract 2010 · Jayedi et al., BMJ 2022 · Grøntved & Hu, JAMA 2011 and 14 moreShow allHide
- [1]A. Abdullah et al. The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies. Diabetes Res Clin Pract, 89(3):309-19, 2010. doi:10.1016/j.diabres.2010.04.012 Evidence: High
- [2]J. M. Chan et al. Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care, 17(9):961-9, 1994. doi:10.2337/diacare.17.9.961 Evidence: Low
- [3]J. B. Meigs, L. A. Cupples, and P. W. Wilson. Parental transmission of type 2 diabetes: the Framingham Offspring Study. Diabetes, 49(12):2201-7, 2000. doi:10.2337/diabetes.49.12.2201 Evidence: Low
- [4]A. Jayedi et al. Anthropometric and adiposity indicators and risk of type 2 diabetes: systematic review and dose-response meta-analysis of cohort studies. BMJ, 376:e067516, 2022. doi:10.1136/bmj-2021-067516 Evidence: High
- [5]C. A. Emdin et al. Usual Blood Pressure and Risk of New-Onset Diabetes: Evidence From 4.1 Million Adults and a Meta-Analysis of Prospective Studies. J Am Coll Cardiol, 66(14):1552-1562, 2015. doi:10.1016/j.jacc.2015.07.059 Evidence: High
- [6]A. Grøntved and F. B. Hu. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA, 305(23):2448-55, 2011. doi:10.1001/jama.2011.812 Evidence: Moderate
- [7]B. Mezuk et al. Depression and type 2 diabetes over the lifespan: a meta-analysis. Diabetes Care, 31(12):2383-90, 2008. doi:10.2337/dc08-0985 Evidence: High
- [8]F. P. Cappuccio et al. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care, 33(2):414-20, 2010. doi:10.2337/dc09-1124 Evidence: High
- [9]R. Qie et al. Obstructive sleep apnea and risk of type 2 diabetes mellitus: A systematic review and dose-response meta-analysis of cohort studies. J Diabetes, 12(6):455-464, 2020. doi:10.1111/1753-0407.13017 Evidence: High
- [10]D. Aune et al. Whole grain and refined grain consumption and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. Eur J Epidemiol, 28(11):845-58, 2013. doi:10.1007/s10654-013-9852-5 Evidence: Moderate
- [11]C. Knott, S. Bell, and A. Britton. Alcohol Consumption and the Risk of Type 2 Diabetes: A Systematic Review and Dose-Response Meta-analysis of More Than 1.9 Million Individuals From 38 Observational Studies. Diabetes Care, 38(9):1804-12, 2015. doi:10.2337/dc15-0710 Evidence: Moderate
- [12]T. Chikritzhs et al. Has the leaning tower of presumed health benefits from 'moderate' alcohol use finally collapsed?. Addiction, 110(5):726-7, 2015. doi:10.1111/add.12828 Evidence: Not graded (review)
- [13]Y. Tian et al. Alcohol consumption and all-cause and cause-specific mortality among US adults: prospective cohort study. BMC Med, 21(1):208, 2023. doi:10.1186/s12916-023-02907-6 Evidence: Low
- [14]V. S. Malik et al. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care, 33(11):2477-83, 2010. doi:10.2337/dc10-1079 Evidence: High
- [15]L. de Koning et al. Sugar-sweetened and artificially sweetened beverage consumption and risk of type 2 diabetes in men. Am J Clin Nutr, 93(6):1321-7, 2011. doi:10.3945/ajcn.110.007922 Evidence: Low
- [16]A. Pan et al. Relation of active, passive, and quitting smoking with incident type 2 diabetes: a systematic review and meta-analysis. Lancet Diabetes Endocrinol, 3(12):958-67, 2015. doi:10.1016/S2213-8587(15)00316-2 Evidence: High
- [17]R. Micha, S. K. Wallace, and D. Mozaffarian. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis. Circulation, 121(21):2271-83, 2010. doi:10.1161/CIRCULATIONAHA.109.924977 Evidence: Moderate
Every factor, one by one
One quick question each. The charts above follow your answers, and so does every other What Matters page that asks the same question.
Across 18 prospective cohorts restricted to higher-quality studies, people who were overweight developed type 2 diabetes about three times as often as normal-weight adults, and people with obesity (BMI 30 and over, one pooled band) about seven times as often.
How would you describe your weight?
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#2Diabetes in the family[3]+510%
In the Framingham Offspring Study, having one parent with type 2 diabetes roughly tripled to quadrupled the odds of developing it, and having both parents raised it about sixfold.
Any parents or siblings with type 2 diabetes?
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#3Waistline[4]≈+61%
Across 78 cohorts, each 10 cm more waist circumference went with 61% more type 2 diabetes, a steeper gradient than BMI alone because it tracks the visceral fat around organs.
How’s your waistline?
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#4High blood pressure[5]+77%
Across 30 prospective studies and 285,000 people, each 20 mmHg of usual systolic pressure went with 77% more new type 2 diabetes, echoed in a separate 4.1-million-person cohort from the same paper.
What’s your blood pressure like?
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#5Sedentary time[6]≈+73%
Across 8 cohorts and 176,000 people, each extra 2 hours a day of television went with 20% more type 2 diabetes.
How many hours a day are you sitting?
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#6Depression[7]+60%
Across 13 prospective studies, people with depression developed type 2 diabetes 60% more often than people without it, after adjusting for the usual risk factors.
How often do you feel down or depressed?
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#7Sleep length[8]+48%
Across 13 cohorts and 108,000 people, short sleepers (around 5 to 6 hours or less) developed type 2 diabetes 28% more often than people sleeping about 7 hours, and long sleepers (around 8 to 9 hours or more) 48% more often.
How much sleep do you usually get?
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#8Sleep apnea[9]+40%
Across 16 cohorts and 339,000 people, obstructive sleep apnea went with 40% more type 2 diabetes than no apnea, rising further with how severe it was.
Do you snore loudly or wake up gasping?
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#9Little whole grain[10]−32%
Across 10 cohort studies, each 3 servings a day of whole grains went with 32% less type 2 diabetes, while refined grains showed no such benefit.
How much fiber do you eat (whole grains, beans, fruit, vegetables)?
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Across 38 studies and 1.9 million people, type 2 diabetes incidence traces a J shape against alcohol, lowest around 10–14 g a day and rising back up above 63 g/day [11].
How much alcohol do you drink?
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#12Secondhand smoke[16]+22%
In the same review, non-smokers regularly exposed to other people’s smoke developed type 2 diabetes 22% more often than unexposed non-smokers.
How often are you around other people’s smoke?
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#13Processed meat[17]+19%
Across 20 studies and 1.2 million people, each daily serving of processed meat (bacon, deli meat, sausage) went with 19% more type 2 diabetes, while unprocessed red meat carried no significant excess in the same review.
How often do you eat processed meat (bacon, deli, sausage)?
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#14Smoking[16]+14%
Across 88 studies and 5.9 million people, current smokers developed type 2 diabetes 37% more often than never smokers overall, and former smokers 14% more often, with the excess fading over time since quitting.
Do you smoke?
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