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The results of genetic testing for Type 2
diabetes are not significantly better than an assessment based on traditional
risk factors for the disease, a new study published today in the New England Journal of Medicine has
found. Many risk factors for Type 2 diabetes are well known, including weight,
blood pressure and blood sugar levels.
For the study, Dr. James Meigs, an
assistant professor at Harvard Medical School
and Massachusetts General Hospital, Boston,
and his colleagues examined 18 gene mutations associated with type 2 diabetes
in 2,377 people participating in the Framingham Offspring Study. These
participants were followed for 28 years, during which time 255 developed type 2
diabetes. The researchers compared the patients’ genotype score to their family
history and other risk factors, such as obesity, age, blood pressure, cholesterol,
fasting glucose and tryglyceride level. They found a difference of only 4%
between the old fashioned methods of predicting risk and genetic testing.
In a separate study, published in the New
England Journal of Medicine, researchers from Sweden’s
Lund University and colleagues looked at 16 gene
variants associated with type 2 diabetes in 16,061 Swedish and 2,770 Finnish
individuals. The results were similar: genetic screening performed only slightly
better than traditional methods of predicting who would get the disease.
Genetic testing identifies changes in
chromosomes, genes, or proteins. The human genome is believed to contain around
20,000-25,000 genes. It includes biochemical tests for the possible presence of
genetic diseases, or mutant form of the genes associated with an increased risk
of developing genetic disorders. When interpreting test results, healthcare
professionals consider a person’s medical history, family history, and the type
of genetic test that was done.
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