Familial inheritance and maternal influence on type 2 diabetes transmission in the Muslim people attending a diabetic centre
DOI:
https://doi.org/10.18203/2320-6012.ijrms20261675Keywords:
Familial clustering, Familial inheritance, Maternal influence, Horizontal transmission, Type 2 diabetes mellitus, Vertical transmission (parent-to-child)Abstract
Background: Diabetes mellitus is a complex metabolic disorder with strong genetic and familial components. Understanding patterns of family clustering and associated comorbidities provides valuable insights into disease onset and progression.
Methods: A dataset of 179 individuals was analysed, capturing family history across parents, siblings, children and extended relatives. Variables included age at diagnosis, duration of disease and presence of comorbidities. Descriptive statistics, correlation analyses, and frequency distributions were employed to identify familial aggregation and age-related trends.
Results: : Diabetes was more frequently reported in mothers (78 cases) than fathers (51 cases), with a weak correlation between parental diabetes (r≈0.11). Individuals with both parents affected demonstrated earlier onset and longer disease duration, highlighting additive genetic risk. Sibling clustering was also evident, reinforcing horizontal transmission patterns. Hypertension and gestational diabetes were common comorbidities, often overlapping with family clustering.
Conclusions: The findings highlight the significant role of family history in type 2 diabetes risk, with both vertical and horizontal familial clustering associated with earlier disease onset and longer duration. The coexistence of comorbidities suggests shared metabolic pathways within affected families. Although limited by its cross-sectional design and restricted population scope, this study provides important insights into familial aggregation and maternal influence in T2DM within a South Indian population, supporting the need for targeted screening and prevention strategies.
References
Nanditha A, Susairaj P, Satheesh K, Raghavan A, Snehalatha C, Ramachandran A. The rising prevalence of type 2 diabetes among the youth in southern India-An ancillary analysis of the Secular TRends in DiabEtes in India (STRiDE-I) study. J Diabetes. 2024;16(7):e13576.
Pradeepa R, Mohan V. Epidemiology of type 2 diabetes in India. Indian J Ophthalmol. 2021;69(11):2932-8.
Chauhan S, Khatib MN, Ballal S, Bansal P, Bhopte K, Gaidhane AM, et al. The rising burden of diabetes and state-wise variations in India: insights from the Global Burden of Disease Study 1990-2021 and projections to 2031. Front Endocrinol. 2025;16:1505143.
Shah A, Kanaya AM. Diabetes and associated complications in the South Asian population. Curr Cardiol Rep. 2014;16(5):476.
Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK, et al. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol. 2017;5(8):585-96.
Madhu SV, Mishra BK, Mannar V, Aslam M, Banerjee B, Agrawal V. TCF7L2 gene associated postprandial triglyceride dysmetabolism- a novel mechanism for diabetes risk among Asian Indians. Front Endocrinol. 2022;13:973718.
Chauhan G, Spurgeon CJ, Tabassum R, Tandon N, Agarwal DK, Hasan SF, et al. Impact of Common Variants of PPARG , KCNJ11 , TCF7L2 , SLC30A8 , HHEX , CDKN2A , IGF2BP2 , and CDKAL1 on the Risk of Type 2 Diabetes in 5,164 Indians. Diabetes. 2010;59(8):2068-74.
R L, Kumar RA, Shetty SB. Familial clustering and presence of maternal influence on the transmission of type 2 diabetes in South Indians. Int J Med Res Rev. 2018;6(6):301-7.
Deepa M, Pradeepa R, Rema M, Mohan A, Deepa R, Shanthirani S, et al. The Chennai Urban Rural Epidemiology Study (CURES)--study design and methodology (urban component) (CURES-I). J Assoc Physicians India. 2003;51:863-70.
Hodgson S, Williamson A, Bigossi M, Stow D, Jacobs BM, Samuel M, et al. Genetic basis of early onset and progression of type 2 diabetes in South Asians. Nat Med. 2025;31(1):323-31.
Alzahrani SH, Alzahrani NM, Al Jabir FS, Alsharef MK, Zaheer S, Hussein SH, et al. Consanguinity and diabetes in Saudi population: a case-control study. Cureus. 2021;13(12):e20836.
Jagadeesha A. Obesity, family history of diabetes, and consanguineous marriages are risk factors among urban population in South Indian city of Bengaluru. J Diabetes Clin Res. 2019;1(2):40-2.