Published by the American Diabetes Association in 2015. The newly revised standards, based on scientific evidence, highlight a body mass index of 23 as a risk factor for diabetes among Asian Americans.
The American Diabetes Association is lowering the Body Mass Index (BMI) cut point at which it recommends screening Asian Americans for type 2 diabetes, aligning its guidelines with evidence that many Asian Americans develop the disease at lower BMI levels than the population at large, according to a position statement being published in the January issue of Diabetes Care
To our knowledge, our study provides the first estimates of the prevalence of total diabetes, undiagnosed diabetes, and prediabetes among Asian participants in the United States. More than half of non-Hispanic Asian participants had not been previously diagnosed and therefore were not aware of having diabetes.
[On October 21, 2015] the San Francisco Department of Health, the San Francisco Health Commission voted unanimously to support a campaign to unmask the hundreds of thousands of hidden cases of diabetes among Asian Americans. Organized by the National Council of Asian Pacific Islander Physicians (NCAPIP) in partnership with the Asian American, Native Hawaiian, and Pacific Islander Diabetes Coalition, the campaign’s goal is to screen Asian Americans with a body mass index of 23 for type 2 diabetes. The passing of the resolution makes San Francisco the first city and county to encourage the adoption of these appropriate screening guidelines throughout its citywide healthcare system.
12/16/05 in West Hawaii Today, Dr. Wilfred Fujimoto, a pioneer researcher in diabetes among Asian Americans and a founding member of the AANHPI Diabetes Coalition, wrote that while Hawaii was just ranked “the healthiest state in the US” – including low overall obesity rates – that assertion is based on obesity data that “may be wrong”, especially as applied to Asians who comprise over 50% of Hawaii’s population.
“Asians have the lowest prevalence of obesity yet have higher prevalence of diabetes than blacks, whites and Hispanics,” wrote Dr. Fujimoto. “Health care providers must be vigilant about undiagnosed diabetes when they are faced with an Asian patient and remember that they should “’Screen at 23.'”
On Saturday, November 14th 2015, Congresswoman Judy Chu, Dr. George King, and Dr. Ho Tran presented and gave remarks around the Screen at 23 campaign to members of Allied Pacific Independent Practitioners Association. “I urge the AAPI community to encourage family members, friends, and loved ones to get screened and be on alert for BMI number 23,” Representative Chu announced.
Hawaii became the first state to “Screen at 23″on March 22, 2016. The Hawaii State Legislature voted to pass Joint Resolution S.R. 23. In Hawaii, where close to half of the population is of Asian American descent, screening at 23 would reveal more than 10,000 additional cases of diabetes and more than 30,000 new cases of prediabetes and allow treatment to begin, interventions occur before damaging associated conditions develop or worsen, or make diabetes prevention possible. To view the Hawaii resolution click here.
California followed the San Francisco and Hawaii resolutions, passing it’s own Screen at 23 resolution, SCR 134 by State Senator Dr. Richard Pan, on September 9, 2016. Screening at 23 in California would reveal close to 70,000 additional cases of type 2 diabetes in Asian Americans, and many more cases of prediabetes. To view the resolution click here.
On January 25, 2018, the Commonwealth of Massachusetts passed a Joint Resolution to Screen at 23. Screening at 23 in Massachusetts would reveal over 6,000 additional cases of type 2 diabetes in Asian Americans. View the resolution here.
This guide for health providers seeing Asian American patients was reviewed by primary care physicians, researchers at Harvard’s Joslin Diabetes Center, and members of the American Diabetes Association and Centers for Disease Control.
The 4 Steps to Manage Your Diabetes for Life booklet helps people with diabetes understand, monitor, and manage their diabetes to help them stay healthy. This publication has been reviewed by the National Diabetes Education Program (NDEP) for plain language principles and is available in multiple languages.
This video collaboration between UCSD medical student Brian Nguyen and science YouTuber Armando Hasudungan, in partnership with the AANHPI Diabetes Coalition and the Screen at 23 campaign, breaks down the revised ADA Guidelines (and the science behind them) for screening Asian Americans for type 2 diabetes.
RISE (Reduce, Increase, Sleep, and Exercise) takes scientific evidence based recommendations from The Diabetes Reset written by Dr. George King of Harvard’s Joslin Diabetes Center and turns them into seven steps. These recommendations, about diet, exercise, stress reduction, and other actions, can be followed by anyone but are targeted towards Asian Americans.