“…Earlier reports showed the association of mitochondrial DNA mutations like 1310C < T, 1382A < C, 1438G < A, 1201A < G, 3243A < G, 3252A < G, 3256A < T, 3264A < C, 3271A < C, 3290T < C, 3303C < T, 3316G < A, 3394T < C, 8296A < G, 8344A < G, 11778G < A, 12026A < G, 12258C < A, 14577T < C, 14709T < C and 16189T < C [ 16 – 20 ] with T2D development. Particularly, mutation in tRNA Leu gene at 3243 (A < G) position and in the subunits of NADH dehydrogenase 1 and 4 have been reported to have strong association with incidence of diabetes in different populations [ 18 , 19 , 21 , 22 ]. There was a significant correlation between the number of somatic mtDNA ATP6 mutations and the smoking and consuming betel-nut with paan (OR: 3.52; 95 % CI: 0.96–12.11) for the type 2 diabetes along with drinking alcohol (OR: 4.62; 95 % CI: 1.82–14.53).…”