Editing Chinese Americans (section)

=== Diabetes ===
The circumstance of the Asian American population is informative in a way that some knowledge about Chinese Americans can be inferred from it. The statistics of diabetes in Asian American population reveals that approximately 10% of the entire population are diabetic, and in which 90–95% are type 2 diabetes.<ref>{{Cite news|url=http://blogs.plos.org/publichealth/2012/11/27/overcoming-the-obstacles-of-diagnosing-diabetes-in-asian-americans/|title=Overcoming the obstacles of diagnosing diabetes in Asian Americans {{!}} Public Health|date=27 November 2012|newspaper=Public Health|access-date=4 December 2016|archive-date=20 December 2016|archive-url=https://web.archive.org/web/20161220055311/http://blogs.plos.org/publichealth/2012/11/27/overcoming-the-obstacles-of-diagnosing-diabetes-in-asian-americans/|url-status=live}}</ref> The current situation is that there are some challenges in diagnosing diabetes in many Asian Americans. The main obstacle is that many clinical features along with risks factors associated with diabetes are obtained from studies that focus on Caucasian populations, which might result in misdiagnoses between type 1 and type 2 diabetes for Asian Americans. In fact, the reason why classic features of type 1 and type 2 diabetes in America might not apply to Asian American population is about shared absence of common HLA DR-DQ genotype, low prevalence of positive anti-islet antibodies and low BMI in both types of diabetes.<ref>{{cite journal |last1=Hsu |first1=William C. |last2=Okeke |first2=Eyiuche |last3=Cheung |first3=Sophia |last4=Keenan |first4=Hillary |last5=Tsui |first5=Tracy |last6=Cheng |first6=Kyle |last7=King |first7=George L. |title=A Cross-Sectional Characterization of Insulin Resistance by Phenotype and Insulin Clamp in East Asian Americans with Type 1 and Type 2 Diabetes |journal=PLOS ONE |date=2 December 2011 |volume=6 |issue=12 |pages=e28311 |doi=10.1371/journal.pone.0028311 |pmid=22164267 |pmc=3229556 |bibcode=2011PLoSO...628311H |doi-access=free }}</ref>

Some other studies have pointed out that for people of Asian descent and without diabetes, their insulin resistance levels are higher than non-diabetic people of Caucasian descent. Thus, Asian Americans are relatively more predisposed to develop type 2 diabetes. This suggests that insulin resistance, rather than body mass index (BMI) should be targeted while making diagnoses. A potential biomarker to identify diabetes in young Asian-American population is adipocyte fatty acid binding protein that has a strong association with insulin resistance but is independent of adiposity. Nevertheless, more research studies should be carried out in order to confirm such finding. With further applying the above outcome on the population of Chinese Americans, it is rational that there is a higher tendency for type 2 diabetes among this group of people, who also face the challenge of correct diagnosis in America.{{Citation needed|date=February 2024}}