November is American Diabetes Month: Understanding Diabetes in marginalized Communities

Diabetes is one of the most common chronic health conditions in the United States — impacting over 34 million adults, many of whom don’t even know they have it. It occurs when the body doesn’t produce enough insulin or can’t use it properly, leading to elevated blood sugar levels. Unfortunately, diabetes disproportionately affects Black and Brown communities, where barriers such as limited access to quality healthcare, healthy food, and safe spaces for exercise make prevention and management more difficult.

As Dr. Kimbra A. Bell of Northwestern Medicine explains, “Access to care is a huge barrier within our Black and Brown communities. The inability to afford quality medical care and prescription medications can make conditions like diabetes much harder to manage.” In many neighborhoods, fast food restaurants and convenience stores outnumber grocery stores with fresh produce — and this lack of access contributes to poorer health outcomes and higher diabetes rates among Black adults.

There are three main types of diabetes: Type 1, an autoimmune condition typically diagnosed early in life; Type 2, which develops over time and is largely preventable through lifestyle changes; and Gestational diabetes, which can occur during pregnancy. Black adults are 60% more likely to be diagnosed with diabetes than white adults and twice as likely to die from it. These disparities are not just biological — they are tied to social and economic inequities that have existed for generations.

The good news? Prevention is possible. Regular exercise, such as a brisk 30–40 minute walk most days of the week, can make a major difference. Eating a balanced diet rich in fruits, vegetables, and whole grains while cutting back on fried and processed foods also supports long-term health. Dr. Bell recommends that adults begin screening for diabetes at age 40 — or earlier if they are in a high-risk category.

This American Diabetes Month, Fort Greene Council encourages all of our members and neighbors to take small, proactive steps toward better health. Together, we can raise awareness, advocate for equitable healthcare access, and continue fighting for a future where everyone — regardless of background — has the opportunity to live a healthy, full, and vibrant life.