02/07/2026
And it’s 4x riskier for South Asians…
Let’s continue the conversation about heart health! Heart disease and risk factors like diabetes/insulin resistance have personally affected me and my loved ones.
According to Masalastudy.org: “This ethnic group represents approximately 25% of the world’s population – and yet accounts for 60% of the world’s heart disease patients. South Asian Americans have a much greater chance of getting a heart attack before age 50, and have the highest prevalence of Type 2 diabetes, a leading cause of heart disease.”
So what can actually help lower risk?
First, we need to screen earlier and more aggressively. Many South Asian patients develop insulin resistance, diabetes, and abnormal cholesterol at lower weights and younger ages, so waiting for “classic” risk factors means we often miss the window for prevention. Looking at labs, waist circumference, family history, and metabolic markers, not just BMI, matters.
Lifestyle still plays a role, but it has to be realistic. Regular movement, especially strength training, adequate sleep, and stress management all improve insulin sensitivity and heart health, even without major weight loss. For some people, lifestyle changes alone aren’t enough, and evidence-based medications for diabetes, obesity, cholesterol, or blood pressure can significantly reduce long term cardiovascular risk.
Food matters too, and this isn’t about giving up cultural foods. Traditional South Asian diets can support heart health when portions, balance, and cooking methods are adjusted. More fiber, protein, and healthy fats and fewer refined carbs and added sugars. Small changes add up.
