Diabetes in American Indians: Reflections and future directions

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Abstract
The two goals of the next generation of diabetes research should be to reduce the incidence of diabetes mellitus and to decrease the risk of complications from the disease. The prevention of diabetes will require a better understanding of the interaction of genetic and host-environmental factors, especially energy balance, diet and exercise, and specific nutrients. The prevention of weight gain should probably be of highest priority. The prevention of complications needs to focus on hyperinsulinemia, hyperglycemia, blood pressure, smoking, and lipoproteins. Clinical trials are needed to evaluate objectively the benefits of specific interventions. Such trials should be closely linked to community health programs to maximize the health status of the population.

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