Conclusion: T2DM incidence was 2% per year in adults in rural Pondicherry,
India, with the rate increasing twice as fast in men. Increasing age, obesity, alcohol
use and a family history of T2DM independently predicted the development of
diabetes. As half of T2DM incidence was attributed to overweight/obesity and
alcohol use, health promotion interventions focusing on maintaining an optimal
weight and decreasing alcohol consumption may be effective in reducing the rise
in T2DM cases.