{"id":883,"date":"2019-10-03T22:45:43","date_gmt":"2019-10-04T03:45:43","guid":{"rendered":"https:\/\/www.charlesconklin.com\/4cambodia\/?p=883"},"modified":"2021-08-20T07:50:41","modified_gmt":"2021-08-20T12:50:41","slug":"why-do-so-many-cambodians-have-diabetes","status":"publish","type":"post","link":"https:\/\/www.charlesconklin.com\/4cambodia\/2019\/why-do-so-many-cambodians-have-diabetes\/","title":{"rendered":"Why do so many Cambodians have diabetes?"},"content":{"rendered":"\n<p><a rel=\"noreferrer noopener\" aria-label=\"Cambodians have surprisingly high rates of diabetes (opens in a new tab)\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28544429\" target=\"_blank\">Cambodians have surprisingly high rates of diabetes<\/a>. Why?<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Is it because they put a lot of sugar in their coffee?<\/h4>\n\n\n\n<p>This is what one expatriate told me when I mentioned that I was excited to have Cambodian coffee again. To paraphrase &#8220;Be careful, you&#8217;ll get diabetes.&#8221; I normally drink my coffee black so it&#8217;s a moot point but I wonder &#8211; do Cambodians really put more sugar in their coffee than <a rel=\"noreferrer noopener\" aria-label=\"the massive amount of sugar in North American soda (opens in a new tab)\" href=\"https:\/\/www.hsph.harvard.edu\/nutritionsource\/healthy-drinks\/sugary-drinks\/\" target=\"_blank\">the massive amount of sugar in North American soda<\/a>?<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Is it because they put a lot of MSG in their food?<\/h4>\n\n\n\n<p>This is what another expatriate told me when the subject of diabetes came up. I&#8217;m not a fan of MSG and there is research showing a link with diabetes&#8230; But why would Cambodians have higher rates of diabetes than other populations with high MSG consumption?<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/IMG_20190826_114256-1024x768.jpg\" alt=\"\" class=\"wp-image-886\" srcset=\"https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/IMG_20190826_114256-1024x768.jpg 1024w, https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/IMG_20190826_114256-300x225.jpg 300w, https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/IMG_20190826_114256-768x576.jpg 768w, https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/IMG_20190826_114256-400x300.jpg 400w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Is it because of epigenetic damage caused by the severe famines of the late 70s and early 80s?<\/h4>\n\n\n\n<p>Yes. This would explain why Cambodians have higher rates of diabetes than other populations with similar diets. The Daily Beast published a comprehensive article on this in 2017 &#8211; <a rel=\"noreferrer noopener\" aria-label=\"How Famines Make Future Generations Fat (opens in a new tab)\" href=\"https:\/\/www.thedailybeast.com\/how-famines-make-future-generations-fat?ref=scroll\" target=\"_blank\">How Famines Make Future Generations Fat<\/a> &#8211; that summarizes the research well.<\/p>\n\n\n\n<p>In short, while high sugar and MSG intakes may be contributing factors, severe famine causes epigenetic damage that leaves future generations predisposed to conditions like diabetes. This effect has been documented in other populations that underwent severe famine, including <a rel=\"noreferrer noopener\" href=\"https:\/\/care.diabetesjournals.org\/content\/29\/8\/1897\" target=\"_blank\">survivors of the &#8216;Hunger Winter&#8217; in the Netherlands<\/a>.  <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"527\" src=\"https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/TimeStarvationCambodia.jpg\" alt=\"\" class=\"wp-image-891\" srcset=\"https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/TimeStarvationCambodia.jpg 400w, https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/TimeStarvationCambodia-228x300.jpg 228w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption>Time Magazine cover &#8211; November 17, 1979<\/figcaption><\/figure><\/div>\n\n\n\n<p>The Khmer Rouge were overthrown 40 years ago but their legacy continues to cause harm across generations. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cambodians have surprisingly high rates of diabetes. Why? Is it because they put a lot of sugar in their coffee? This is what one expatriate told me when I mentioned that I was excited to have Cambodian coffee again. To paraphrase &#8220;Be careful, you&#8217;ll get diabetes.&#8221; I normally drink my coffee black so it&#8217;s a&#8230; <\/p>\n<div class=\"link-more\"><a href=\"https:\/\/www.charlesconklin.com\/4cambodia\/2019\/why-do-so-many-cambodians-have-diabetes\/\">Read More<\/a><\/div>\n","protected":false},"author":1,"featured_media":889,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[5],"tags":[109,108,77,79,44],"class_list":["post-883","post","type-post","status-publish","format-image","has-post-thumbnail","hentry","category-daily-life-in-cambodia","tag-famine","tag-food","tag-health","tag-healthcare","tag-khmer-rouge","post_format-post-format-image"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-content\/uploads\/2019\/10\/de.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paVixa-ef","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/posts\/883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/comments?post=883"}],"version-history":[{"count":6,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/posts\/883\/revisions"}],"predecessor-version":[{"id":2769,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/posts\/883\/revisions\/2769"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/media\/889"}],"wp:attachment":[{"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/media?parent=883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/categories?post=883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.charlesconklin.com\/4cambodia\/wp-json\/wp\/v2\/tags?post=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}