11/22/2025
Dear Doctor Coyote,
Many members of my family have suffered from diabetes. I was just diagnosed with pre-diabetes. What more can you tell me about this dangerous disease and how I can improve my health? Signed, Trying to Change.
Dear Trying to Change,
According to the US Center for Disease Control (CDC) “American Indian and Alaska Native (AI/AN) adults are almost 3 times more likely to have type 2 diabetes compared to White adults.” Having diabetes comes with a number of health-related risks such as blindness, amputation due to poor circulation, doubling your risk of stroke, kidney failure, and dialysis. Statistically, the AI/AN population has among the highest rates of diabetes, and related health complications, of any group in the world. Experts believe this higher rate reflects how quickly our communities were forced to shift from traditional, active ways of living and eating to modern diets and lifestyles that don’t match how our bodies learned to thrive over centuries.
November has been proclaimed as National Diabetes Awareness Month and this is a good chance to learn more about this disease that impacts so many AI/AN people. Take this opportunity to find out facts about diabetes and what you can do to reduce its impact on your life. The theme for this year’s observance is “Take Charge of Tomorrow,” and it encourages all of us to make changes to improve our overall health and diet.
According to the Mayo clinic there are 5 things you can do to improve your health in the face of diabetes:
1. Be more physically active – even simple daily walking helps lower blood sugar and build strength.
2. Eat healthy, fiber-rich plant foods – think leafy greens, beans, berries, and root vegetables that grow well around us.
3. Choose healthy unsaturated fats – like salmon (rich in anti-inflammatory omega-3 fatty acids), avocados, nuts, and olive oil.
4. Avoid high-carbohydrate processed foods – especially those that come in boxes and packaging or have added sugars.
5. Skip fad diets – instead, focus on steady, sustainable changes that fit your life and culture.
6. These habits together can help you lose extra weight naturally, which in turn improves blood sugar and heart health.
For more complete information on these recommendations go to: https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639
Suffice it to say you have a lot of control in your own hands when it comes to diabetes. If you focus your efforts you can help turn around the things that have led to your diagnosis of pre-diabetes. Many Native people feel a sense of hopeless about diabetes, like it is inevitable because of your family and community history, but by making changes in your lifestyle you can fight back against this disease that has plagued American Indians and Alaska Natives. Our bodies remember the old ways — hunting, gathering, moving, fasting. It’s only modern snacks that confuse the wisdom in our genes.
Signed, Dr. Coyote-Who Will Take Any Reason To Eat More Salmon
For more information and resources please go to:
VIDEO: We Can Prevent Diabetes - Native Americans
https://www.youtube.com/watch?v=ZpDQrkOZUTk
VIDEO: Importance of Culturally Appropriate Care for Native Americans
https://www.youtube.com/watch?v=uCDXs0Rtqn8
Advancing Diabetes Prevention and Control in American Indians and Alaska Natives
https://pmc.ncbi.nlm.nih.gov/articles/PMC9924140/
Indian Health Service-Division of Diabetes Treatment and Prevention
https://www.ihs.gov/diabetes/
Improving Health in Indian Country-Diabetes
https://www.cdc.gov/diabetes/health-equity/health-american-indian.html
American Diabetes Association:
https://diabetes.org/
National Institute of Diabetes and Digestive and Kidney Diseases
https://www.niddk.nih.gov/health-information/diabetes