Most healthy 25 year olds don’t stay up at night worrying whether they are going to develop diabetes in middle age. The disease is not on their radar, and middle age is a lifetime away. As it turns out, many should be concerned. Researchers at Northwestern University Feinberg School of Medicine have found that young adults (18 to 30 years old) with low aerobic fitness levels –as measured by a treadmill test — are two to three times more likely to develop diabetes in 20 years than those who are fit.

