Although we cannot rule out the role of poor nutrition and other socioeconomics factors, increased prevalence of T2D in refugees in our study, measurements of inflammatory markers (SAA and CRP) and the results from the trauma and anxiety and/depression questionnaires provide confirmatory evidence of relationships between the psychological stress and T2D risk51 and suggest their potential impact in the development of T2D in the study population. This evidence concerns the gene CRP and Anxiety.