Can Family History of Diabetes Be Tested? Risks and Prevention - Family Medicine

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Diabetes medical history


Hello, Doctor: I would like to ask if a history of diabetes can be identified.
Two weeks ago, my aunt told me that there is a family history of diabetes.
She mentioned that my father's grandmother or great-grandmother (I can't quite remember who) had several relatives with diabetes.
My aunt also recently found out that she has diabetes (she is around 50-60 years old) and advised me to be cautious, saying that there is a 90% chance that someone in our family will develop it.
I am very worried.
However, when I asked my father, he said he was unaware of any family history of diabetes.
I'm not sure if it's true that there is none, or if my father simply doesn't know, or if a few cases don't count as a family history.
I am confused and concerned, but as far as I know, only my aunt has it among my relatives.
So I would like to ask the doctor: Is this something that can be tested? Are there ways to prevent it? Is the likelihood of developing diabetes really that high? Thank you for your help!

Ke Ke, 20~29 year old female. Ask Date: 2021/02/02

Dr. Wu Zongying reply Family Medicine


Hello: The diabetes history of your aunt, grandmother, or maternal grandmother is considered part of your family medical history.
Having a family history of diabetes does increase the likelihood of developing the condition.
However, lifestyle management is actually more important than family history.
To prevent diabetes, it is essential to pay attention to diet and weight control.
Individuals who consume high-sugar and high-calorie foods are more likely to be overweight and develop diabetes.
It is advisable to reduce the intake of sugary foods such as cookies, beverages, sodas, ice cream, yogurt drinks, and bubble tea, as well as limit starchy foods like buns, eel heads, bread, cakes, and noodles that can raise blood sugar levels.
Additionally, controlling body weight is crucial, as individuals with higher body weight are at greater risk for diabetes; therefore, it is also advisable to avoid fried foods.

Reply Date: 2021/02/02

More Info


Family history of diabetes is indeed a significant factor when assessing an individual's risk for developing the disease. While there is no specific test to directly "check" for family history, it is crucial to gather information about relatives who may have had diabetes, as this can help in understanding your own risk. Diabetes, particularly Type 2 diabetes, has a genetic component, meaning that if close family members, such as parents or siblings, have diabetes, your risk of developing the condition increases.

In your case, your aunt's recent diagnosis and the potential history from your paternal grandmother or great-grandmother suggest that there may be a familial predisposition to diabetes. While your father may not be aware of any family history, it is possible that other relatives may have had diabetes without it being widely discussed. It is important to communicate with family members to gather as much information as possible regarding health conditions that may run in the family.

The risk of developing diabetes is influenced by both genetic and lifestyle factors. According to research, if one parent has Type 2 diabetes, the risk for their children is approximately 20%. If both parents have diabetes, that risk increases to 40-50%. However, lifestyle choices play a significant role in the development of the disease. Factors such as obesity, physical inactivity, poor diet, and high-stress levels can contribute to the onset of diabetes, often overshadowing genetic predisposition.

To prevent diabetes, it is essential to adopt a healthy lifestyle. Here are several strategies that can help reduce your risk:
1. Maintain a Healthy Weight: Being overweight is one of the most significant risk factors for Type 2 diabetes. If you are currently at a healthy weight, it is important to maintain it. If you are overweight, even a modest weight loss of 5-10% can significantly reduce your risk.

2. Healthy Eating: Focus on a balanced diet rich in whole grains, fruits, vegetables, lean proteins, and healthy fats. Limit your intake of sugary foods and beverages, as well as refined carbohydrates that can spike blood sugar levels.

3. Regular Physical Activity: Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, swimming, or cycling. Regular physical activity helps improve insulin sensitivity and can aid in weight management.

4. Monitor Blood Sugar Levels: If you have concerns about your risk for diabetes, consider discussing with your healthcare provider the possibility of regular blood sugar monitoring or screening tests, especially if you have risk factors.

5. Regular Health Check-ups: Regular visits to your healthcare provider can help monitor your overall health and catch any potential issues early. Discuss your family history and any concerns you may have about diabetes.

6. Manage Stress: Chronic stress can affect blood sugar levels and overall health. Incorporate stress-reducing activities into your routine, such as yoga, meditation, or hobbies that you enjoy.

7. Get Enough Sleep: Aim for 7-9 hours of quality sleep per night. Poor sleep can affect your body's ability to use insulin effectively.

In conclusion, while family history is an important factor in assessing your risk for diabetes, lifestyle choices play a crucial role in prevention. By adopting healthy habits, you can significantly reduce your risk of developing diabetes, regardless of your genetic predisposition. If you have further concerns or questions about your health, it is always best to consult with a healthcare professional who can provide personalized advice based on your individual circumstances.

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