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Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis

Hales, C., Barker, D.·2013·International Journal of Epidemiology

Abstract

In this contribution we put forward a novel hypothesis concerning the aetiology of Type 2 (non-insulin dependent) diabetes mellitus. The concept underlying our hypothesis is that poor foetal and early post-natal nutrition imposes mechanisms of nutritional thrift upon the growing individual. We propose that one of the major long-term consequences of inadequate early nutrition is impaired development of the endocrine pancreas and a greatly increased susceptibility to the development of Type 2 diabetes. In the first section we outline our research which has led to this hypothesis. We will then review the relevant literature. Finally we show that the hypothesis suggests a reinterpretation of some findings and an explanation of others which are at present not easy to understand. The controversy concerning the relative roles of insulin deficiency and insulin resistance in Type 2 diabetes continues unresolved. Despite the early demonstration that obese people have elevated plasma insulin concentrations1 many studies over the years have failed to control adequately for the influence of obesity. Another difficulty with the interpretation of plasma insulin concentrations is that sustained hyperglycaemia could have detrimental effects on insulin secretion.

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Metadata

Authors
Hales, C., & Barker, D.
Venue
International Journal of Epidemiology
Published
2013-10-01
Volume
42
Issue
5
Pages
1215-1222
ISSN
  • 0300-5771 (ISSN-L)
  • 1464-3685
OpenAlex
W2267668114
Cited by
708
References
8
FWCI
56.19
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. https://app.cochat.ai/papers/10.1093/ije/dyt133
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Hales, C., & Barker, D. (2013). Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. International Journal of Epidemiology. https://doi.org/10.1093/ije/dyt133

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.