A fascinating manuscript by Yajnik & Ganpule-Rao (2010) in the latest issue of the International Journal of Lower Extremity Wounds provides insights into the growing epidemic of diabetes in India. In an intriguing comparison, the authors discuss potential causes for the rising prevalence of diabetes and its possible links to obesity. The authors quote, “India is facing a twin burden of under-nutrition and over-nutrition”, which is absolutely true. The authors posit that the answer to higher susceptibility of Indians for diabetes, even at a younger age and relatively low BMI could lie in the epigenetics (fetal programming) and post natal growth of small children. This paper raises important questions about maternal/child health and nutrition, those that must be addressed to curtail this diabetic epidemic.