Diabetes Self-Management Blog

In response to my blog post on thin Type 2s, Robinhood wrote, “According to the Veteran’s Administration, [my type 2] was brought on by exposure to Agent Orange.” The VA could be right. Chemical pollution may be a major cause of both Type 1 and Type 2 diabetes.

We think of pollution as causing cancer, maybe, or birth defects. How could pollution of air or water cause diabetes? Isn’t that just about genes and weight if you’re Type 2, or about genes, viruses, and bad luck if you’re Type 1?

Apparently not. A 2006 study of children in Southern California found that those exposed to ozone, sulfates, or cigarette smoke in early childhood were two to three times more likely to develop Type 1 diabetes. Meanwhile, a reported published in July 2009 on Great Lakes fishermen found “consistent, dose-related associations of DDE” [a breakdown product of the pesticide DDT] with diabetes. The DDE is probably being consumed from fish caught in the Lakes’ polluted waters.

Writing in 2008 in the Lancet, one of the world’s leading medical journals, Oliver Jones, PhD, and Julian Griffin, PhD, called for more research into the link between persistent organic pollutants (POPs) and insulin resistance. POPs include Agent Orange, DDT, and other industrial and agricultural chemicals.

Pollution can get into our bodies from food, water, or the air we breathe. A 2002 study by Alan Lockwood, MD, at the University of Buffalo ranked the 50 American states by air pollution levels and diabetes levels. States with more pollution consistently have more diabetes. The government source for the pollution levels by states did not even include dioxins (a type of poisonous chemical), so the real correlation might be even stronger than Lockwood found.

Korean studies found a very strong association between POPs and diabetes. Interestingly, the Korean scientists found that the usual association between obesity and diabetes disappeared in people with low concentrations of POPs in their blood. Could it be that it’s the pollution, not the weight, that causes diabetes? Or could pollutants be causing both the weight AND the diabetes?

Sanjay Rajagopalan, MD, at Ohio State University found that mice who were exposed to polluted air developed inflammation, insulin resistance, and increased body fat. The effects were worse when combined with a poor diet.

“It’s interesting that the diabetic increases have been most notable in urbanized areas, where there’s been a high percentage of patients being exposed to bad air,” says Dr. Rajagopalan.

How could this be?
So here are all these strong associations between pollution and diabetes. You can also associate diabetes with high weight, low income, poor education, and many other factors. So what? Two things can be seen together; that doesn’t mean one causes the other. Before we can talk about pollution causing diabetes, we would have to have some idea how this could happen. Scientists have been looking into that, too.

A report from the National Academy of Sciences (NAS) in 2000 cited several reasons to think that chemicals like Agent Orange really do contribute to diabetes. These chemicals can disrupt fat metabolism, leading to lowered HDL (“good cholesterol”) levels. “Fatty acid metabolism, insulin resistance, and glucose metabolism are closely linked,” the report says. The NAS report found a variety of changes at the cellular level that could contribute to diabetes. However, it concluded that “family history, inactivity, and obesity” appear to be more important factors.

The most compelling studies find that pollution causes elevated levels of tumor necrosis factor (TNF). TNF is a powerful inflammatory chemical. Its function is to kill cancerous cells and other cellular bad guys. You don’t want it around healthy cells. If released into beta cells, it can lead to Type 1. It also increases insulin resistance, causing Type 2. So this could be a major way pollution of various kinds causes diabetes.

The last time I reported on this, I thought that stress was probably the biggest factor in causing diabetes. Pollution causes stress, which causes inflammation, which leads to insulin resistance. But it looks like pollution can cause inflammation directly, which makes sense when you think about your body trying to cope with dirty air and water. These “inflammatory cytokines,” like TNF, are part of our bodies’ response to polluted environments, just as they are to any other threat, like an infection. Building insulin resistance is part of what these cytokines do. Killing beta cells may be a side effect.

What can we do about it?
I’d like to ask readers what we can do about this pollution–diabetes connection. I guess we can move to less polluted environments. We can stop using so many chemicals in our households and eat more organic foods. But air pollution seems the biggest culprit. What can we do about that, or about any of it? How can we create a cleaner environment? Please let us know what you think.

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Comments
  1. hey, is this very accurate??
    i have to do a project…could this help me?

    Posted by anyonmus |
  2. i swear this is true. my son was diagnosed with type one three years’ ago next month. we lived in a house from the time of his birth until 1999. then we moved into an apartment in conshohocken until that was hit by lightning in 2001. after living in another spot for three months, we moved back to this complex in another building,as they were not done the construction of the lightning-strike building yet and i wanted him to be settled when school started. this was 9/11/01.

    we lived in that apartment until this past september, when we moved into a whole new complex.

    while living in this hole of a building, from 9/01 until 9/09, my son almost died of diabetes when he was stricken back in november 2006.

    the heat was always an issue at this building (01 to 09) and they never got it right once the pump in the boiler room failed and they got a new one. sometimes the smells from the pipes got to me (as i was in a basement with huge cracks under the rug).

    i SWEAR this place caused my son to get this dredded disease. i swear it. i always did.

    Posted by pattie bee |
  3. Hi Anonymous,

    I think the pollution/diabetes link is very strong, although not yet well understood. If you want to use this material, though, you should follow the links and see for yourself. I’m not an authority.

    Just today I learned of a new study on insecticide as a cause of autoimmune disease (which Type 1 definitely is, and Type 2 may partly be.) It’s at http://www.medpagetoday.com/MeetingCoverage/ACR/16572.

    As Pattie Bee writes, this stuff is real.

    David

    Posted by David Spero RN |
  4. I figured that industrial waste (and pollution) must cause diabetes, since people didn’t have it in the distant past. Maybe I will move back to Maine…

    Posted by Dan Beane |
  5. We also expose ourselves to many chemicals every day that we do not even think about such as antiperspirants, shampoos, perfumes, lotions, gas fumes, work related chemicals, etc. Our skin is our biggest organ and it absorbs all these chemicals repeatedly on a daily basis. Yes heredity, obesity have a lot to do with diabetes but to many people are getting it and are diagnosed when they have no factors that are pre-existing. All options need to be looked at more closely.

    Posted by Alice Turner |
  6. Thanks for quoting me and the follow up. This is a topic that does not seem to get much attention in the mainstream diabetic discussions.

    Robinhood16

    Posted by Robinhood16 |
  7. Interesting connection. Both my younger brother and I have diabetes, while my older sister does not. We moved to a new house shortly after I was born with some sketchy waste treatment plants in the area. There is no history of diabetes in the family. Exposure to pollutants as infants could definitely be a factor.

    Posted by E |
  8. It is interesting that someone talked about their type 2 being as a result of agent orange. I have a half-brother who has severe type 2 diabetes - with resulting two leg amputations, on dialysis three days/week, legally blind. He is a vet - was on a ship with the Navy during early Vietnam War. The Veterans Administration just last year (how many years ago is this now that it occurred?) that my brother’s disability is 100% related to his time in the Navy. They were right off the Vietnam coast and planes were flying over them all of the time (with agent orange-?). So, finally my brother is receiving needed financial benefits that he had not in the past. I thank you for your article. Good work.

    Jean Anderson

    Posted by Jean |

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