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March 21, 2026BMJ Open Diabetes Research & Care2 citationsOpen Access

African immigrants with type 2 diabetes present with three physiologic subtypes: implications for screening, diagnosis and treatment

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EHEliza A HuefnerKNKauthrah NtabaddeGSGrace G Smith

Key Points

  • The study aims to identify the physiologic subtypes of type 2 diabetes in African immigrants and their implications for treatment.
  • Identified subtypes of type 2 diabetes across the BMI spectrum in African immigrants.
  • Analyzed weight gain patterns in relation to T2D development.
  • Emphasized the importance of information sharing about weight gain consequences.
  • All three subtypes were present across a range of BMI levels.
  • Weight gain was noted to be highest in those developing T2D, regardless of subtype.
  • The findings suggest that education on weight gain is critical for prevention and treatment.

Abstract

Spanning the BMI spectrum from normal to obese, African immigrants have three subtypes of T2D. Weight gain was greatest in immigrants who developed T2D but did not differ by subtype. As life in America promotes weight gain, sharing information about the consequences of weight gain with all Americans, both native and foreign-born, is key to T2D prevention and treatment.

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Cite This Study

Huefner et al. (2026) studied this question.

synapsesocial.com/papers/69be37dd6e48c4981c677ce7https://doi.org/10.1136/bmjdrc-2025-005504
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