Although the twins share the same DNA, differences in lifestyle, environmental factors, and gene expression can contribute to distinct health outcomes such as diabetes.
The existence of genetic identical twins with differing health outcomes, such as one having diabetes while the other does not, can be attributed to the interplay of genetic and environmental factors. While identical twins share nearly identical DNA, their individual health trajectories may diverge due to variations in lifestyle choices, environmental exposures, and gene expression.
Epigenetic factors, which influence how genes are activated or silenced, can contribute to differences in health outcomes between genetically identical individuals. Environmental factors like diet, physical activity, stress levels, and exposure to toxins can impact the expression of certain genes, influencing susceptibility to diseases like diabetes.
Moreover, random events during development and in cellular processes may contribute to differences in health. For instance, a chance mutation or an event during the prenatal or early postnatal period could influence an individual's predisposition to certain health conditions.