Which of the following individuals has the highest risk for developing Type II diabetes?

• A. An elite marathon runner with a diet that is high in added sugars.  
• B. A normal-weight woman with a history of depression.  
• C. A normal-weight man with high blood pressure.  
• D. An individual with a BMI over 35.  

Answer: (C)

Verified step by step guidance

1. Understand the risk factors for Type II diabetes. These include obesity (especially a BMI over 30), high blood pressure, a sedentary lifestyle, poor dietary habits, and genetic predisposition.
2. Evaluate the first option: An elite marathon runner with a diet high in added sugars. While a high-sugar diet can contribute to diabetes risk, the individual's high level of physical activity significantly reduces their overall risk.
3. Evaluate the second option: A normal-weight woman with a history of depression. Depression can be a contributing factor to diabetes due to stress and potential lifestyle changes, but it is not as strong a risk factor as obesity or high blood pressure.
4. Evaluate the third option: A normal-weight man with high blood pressure. High blood pressure is a significant risk factor for Type II diabetes, but without additional factors like obesity, the risk is moderate.
5. Evaluate the fourth option: An individual with a BMI over 35. A BMI over 35 indicates severe obesity, which is one of the strongest risk factors for Type II diabetes. This individual has the highest risk among the options provided.