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Peer-Reviewed Publication
Nutrients2026;18(12)June 18, 2026Journal Article

Narrative Review: Sugar and Rice and the Diabetes Epidemic in India-A Historical Context.

Shaminie J Athinarayanan1, Desmond D Mascarenhas2, Balaji Rajagopalan3, John W Fox4, Miguel A Lanaspa5, Richard J Johnson5
1Research Department, Virta Health, Denver, CO 80216, USA.
2Department of Research, Mayflower Organization for Research & Education, Sunnyvale, CA 94085, USA.
3Department of Civil, Environmental and Architectural Engineering, and CIRES, University of Colorado, Boulder, CO 80309, USA.
4Department of International Studies, American University of Sharjah, Sharjah P.O. Box 26666, United Arab Emirates.
5Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Abstract

South Asians appear to be particularly susceptible to diabetes. India hosts 18 percent of the world's population but more than 25 percent of the world's diabetics, and individuals of South Asian descent carry this presumed increased risk for diabetes when they emigrate to other parts of the world. One conundrum is that the epidemic of diabetes began around Calcutta (modern day Kolkata) in east Ind…

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