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Not disregarding the role of the bad genes, I am against any kind of intensive interventions for type 2 diabetes prevention or even treatment, because I do believe that this is mainly a long-term chronic life style disorder that will show up in most individuals after several years of unhealthy behaviour and increased BMI. And, as most modern NCDs, the poor people are more affected than the rich ones:
This original BMJ study showed after a mean follow-up of 14.2 years that unhealthy behaviors and obesity, added to a few treatable risk factors like systolic BP and dyslipidemia (altogether called in the article as “modifiable risk factors”) explained more than half of the difference in the incidence of type 2 diabetes between the poor and rich people, and that this effect was stronger than single treatment of risk factors.