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Diabetes disparity: Understanding Type 2 risks for Black Americans

Black Americans have a higher risk of getting diagnosed with type 2 diabetes (T2D) than White Americans. The disease is also more likely to be fatal in Black people than in White individuals. Indeed, Verywell Health says Black Americans are 60% more likely to get diagnosed with T2D. It also noted that Black (and Brown) people are twice […]

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Black Americans have a higher risk of getting diagnosed with type 2 diabetes (T2D) than White Americans. The disease is also more likely to be fatal in Black people than in White individuals.

Indeed, Verywell Health says Black Americans are 60% more likely to get diagnosed with T2D. It also noted that Black (and Brown) people are twice as likely to die from diabetes as White individuals.

Given those statistics, type 2 diabetes awareness has become more crucial than ever for Black American health. Proper knowledge can help empower individuals to adopt healthy lifestyle habits that can help cut their risks for this condition and navigate racial disparities in care. 

What Happens if You Are Type 2 Diabetic? 

If you have type 2 diabetes, it means your body has difficulty using insulin properly.

Insulin, a hormone that the pancreas produces, is vital to blood glucose (sugar) regulation. It helps cells take in glucose and use it for energy.

Because T2D leads to the improper use of insulin, it can make you experience the following:

  • Increased thirst and hunger
  • Weakness or extreme fatigue
  • Vision blurriness
  • Frequent urination
  • Cuts or bruises that heal slowly
  • Numbness, pain, or tingling in the hands and feet

Without adequate type 2 diabetes health management, you may experience long-term complications. It can damage the heart and blood vessels, feet, skin, eyes, and kidneys.

There’s also diabetic neuropathy (nerve damage). According to the American Diabetes Association, it affects half of individuals with diabetes

What Is the Main Cause of Type 2 Diabetes?

Insulin resistance is the primary cause of type 2 diabetes. It occurs when specific cells in the body (e.g., adipose tissue or fat, skeletal muscle, and liver cells) fail to respond to insulin as they should.

Due to this “failed” response, the pancreas gets forced to make more insulin. It does so to overcome the increasing levels of glucose in the bloodstream.

Various factors can lead or contribute to insulin resistance, such as:

  • Genetics
  • Physical inactivity
  • Excess body fat, particularly visceral fat (fat in the belly and around the organs)
  • Hormonal disorders
  • Excessive consumption of high-carbohydrate, highly processed foods and saturated fats
  • Chronic stress
  • A lack of good-quality sleep

What Are Black Americans’ Risks for Type 2 Diabetes? 

The higher risk of developing or dying from type 2 diabetes that Black Americans face is not just due to biological and genetic factors. It also stems from a complex combination of these variables and social and systemic factors. 

Biological and Genetic Factors

According to a 2022 study published by researchers from the University of Alabama at Birmingham, research indicates that specific genetic variations in people with higher African ancestry make them predisposed to diabetes.

Type 2 diabetes also tends to run in the family. If you have a close relative (e.g., a parent or sibling) with T2D, your odds of getting diagnosed with this condition are higher than in people who don’t have close relatives with T2D. 

Social and System Factors 

Social factors that make Black Americans more likely to get diagnosed with type 2 diabetes have roots in systemic inequalities. Poverty is one, and so is having limited access to affordable, healthy food. Black individuals also tend to have fewer safe spaces to exercise.

Exposure to discrimination is another social determinant that puts Black Americans at a higher risk for T2D. As the U.S. CDC explains, there’s an association between discrimination and increased T2D, hypertension (high blood pressure), depression, and death risk. 

How Do You Control Type 2 Diabetes? 

Given that Black Americans already face higher risks and health disparities in diabetes, knowing how to control it is even more crucial, as proper management can help reduce the odds of the disease’s progression. It can also help prevent life-threatening events and improve overall quality of life.

One of the key steps to control type 2 diabetes is to make healthy lifestyle modifications. Examples include:

  • Engaging in regular physical activity (i.e., 150 minutes of exercise per week)
  • Managing weight
  • Adopting a healthy diet that’s low in sugar and limits processed foods

Black Americans with T2D should also regularly monitor their blood sugar levels. Taking prescription medications (e.g., Metformin, Januvia, or Farxiga) as instructed is just as crucial. Never skip any dose, and ensure you take the proper dosage as directed.

If you want to save on your prescription diabetes medications, ask your doctor if you can switch to generic versions. Don’t forget to explore available discount coupons, such as when you order Metformin from a digital pharmacy or buy Farxiga online

Frequently Asked Questions

Can You Reverse Type 2 Diabetes? 

Yes, it’s possible to reverse type 2 diabetes, particularly if it’s still in the “prediabetes” stage. If you have prediabetes, it means your blood sugar level is higher (vs. normal) but not high enough for your doctor to diagnose you with T2D.

According to the U.S. CDC, prediabetes affects around 115 million adults. However, eight in ten aren’t aware they have it. The health organization also notes that it’s reversible at this stage, such as through healthy lifestyle changes. 

From being more physically active to making healthier dietary choices and losing even just a small amount of weight, these can all help you reverse prediabetes. 

Is Type 2 Diabetes Prevention Possible? 

Not all cases of type 2 diabetes are preventable, but a significant majority are. Even for people with genetic risks (including Black Americans), preventing T2D is possible through sustainable, healthy lifestyle choices. 

What Foods Should You Avoid if You Have T2D?

Whether you have type 2 diabetes, have a predisposition to it, or are generally healthy, you should avoid excess high-sugar drinks, such as sodas. Limit intake of refined carbohydrates, too, like white pasta, rice, and bread.

Steer clear of highly processed meats like bacon and sausages. Avoid fatty foods and fried options, too. 

Instead of such unhealthy choices, build your meals around whole foods, lean proteins, and fiber. 

Take Control of Type 2 Diabetes

While Black Americans face higher risks for type 2 diabetes, it doesn’t mean they can no longer prevent or manage it. With healthy lifestyle choices, from focusing on nutritious foods to exercising regularly and maintaining a healthy weight, Black folks can get T2D under control. 

Browse the rest of our news platform for the latest health guides and news headlines.  

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#NNPA BlackPress

IN MEMORIAM: Rest in Power — Minnesota Loses a True Warrior in Yusef Mgeni

MINNESOTA SPOKESMAN RECORDER — Yusef Mgeni, a brilliant historian, community organizer, former St. Paul educator and fierce advocate for Black people, died on April 7, 2026, leaving behind a legacy that will echo through generations of Black Minnesota history and community building.

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By MSR News Online

Minnesota and the world lost a powerful voice and a true warrior on April 7, 2026. Yusef Mgeni is gone, but his legacy will echo for generations.

Yusef was a brilliant historian, a community organizer, a former St. Paul educator, and a fierce advocate for Black people. He carried with him an extraordinary archive of speeches, books, articles, and photographs documenting the work of countless Black scholars and leaders. His knowledge was not just deep. It was generational. Talk to him about any subject concerning Black history, and he would give you a dissertation.

His roots in this community ran deeper than most people knew. Yusef was the grandnephew of Fredrick McGhee, the pioneering 20th-century civil rights activist and attorney who made his mark in St. Paul at the turn of the century. That lineage was not lost on Yusef. He carried it forward with pride and purpose, spending decades making sure the stories of Black Minnesotans were told, preserved, and passed on.

As a journalist, Yusef called NAACP leaders and community figures to identify the issues that mattered most to Black people and wrote about them in local newspapers. He was a contributor to the Minnesota Spokesman-Recorder, a platform he understood and respected deeply. As a former St. Paul NAACP vice president, he remained active and engaged well into his retirement, answering emails and voicemails for residents who were at their wits’ end, helping them navigate evictions, legal challenges, and systemic barriers.

“Generally, they contact us when they are at their wits’ end,” he once said. “They are going to get evicted; their car is getting repossessed. We assist in navigating the system.”

His work was always about access. Under his leadership and alongside other NAACP leaders, the St. Paul chapter helped establish a landmark covenant between the police and the St. Paul community in 2001, a model that contributed to dramatically lower excessive-force costs than in Minneapolis in the decade that followed.

Yusef was also a passionate champion of ethnic studies in Minnesota’s schools, understanding that education rooted in Black and Brown history was not a supplement to American history but central to it.

“Ethnic studies is also American history,” he said. “The fact that the legislature and the MDE have both endorsed ethnic studies requirements in schools is a real plus for giving people the opportunity to explore and learn more about American history, and more importantly, to see themselves reflected in that learning.”

In the 1970s and ’80s, Yusef worked alongside Mrs. Clarissa Walker at the Sabathani Community Center, where they poured their energy into uplifting and empowering the community. Their work helped shape the cultural and political landscape of South Minneapolis during a critical era. They were part of a generation that built institutions, nurtured young people, and fought for justice with unwavering commitment.

Yusef also played a key role in the early development of KMOJ Radio, helping to establish a platform that amplified Black voices long before it was common or convenient. His activism extended through education, the St. Paul NAACP, the Million Man March, and the Urban Coalition, always rooted in a deep and abiding love for his people.

He was also an interviewee in the Rondo neighborhood oral history project preserved by the Minnesota Historical Society, ensuring that the voices and stories of that community would never be lost.

Not long ago, a colleague was blessed to sit with Yusef at his home, where he reflected on his life and his legacy. He talked about his work in education, his activism, and his years of service to the community. But what stood out just as much was how he spoke about his family and his people, with warmth, with pride, and with purpose.

Today, we honor him not only for what he accomplished but for the spirit with which he did it.

A scholar. A builder. A warrior. A keeper of our stories.

Thank you, Yusef, for everything you gave and everything you sacrificed on behalf of Black people. Your legacy stands tall, and our community is better because of you.

Rest in Power, Yusef Mgeni.

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#NNPA BlackPress

Revolve Fund to Provide $20,000 to Support Food Access Efforts in Alabama Black Belt

THE AFRO — “Revolve Fund complements its core mission of improving capital access for entrepreneurs by partnering with leading organizations that are addressing critical community needs,” said James Wahls, founder and managing director of Revolve Fund. “Like BBCF, Revolve understands at the most fundamental level, everyone should have access to healthy food.” 

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By Revolve Fund | The AFRO

SELMA – As over 40 million Americans grappled with the reality of not being able to feed themselves or their families due to SNAP delays, Revolve Fund is seeking to help. Revolve Fund has announced a $20,000 community grant to the Black Belt Community Foundation as part of the duo’s continued partnership. The grant will increase the foundation’s capacity to execute programs and fundraise to support food access efforts in the Alabama Black Belt region.

“Revolve Fund complements its core mission of improving capital access for entrepreneurs by partnering with leading organizations that are addressing critical community needs,” said James Wahls, founder and managing director of Revolve Fund. “Like BBCF, Revolve understands at the most fundamental level, everyone should have access to healthy food.”

“BBCF is deeply grateful for the Revolve Fund’s grant to underwrite direct food support in the Black Belt during the current disruption of SNAP benefits, continuing high food costs and unprecedented strain on our local food banks,” said Christopher Spencer, president and CEO, Black Belt Community Foundation. “As BBCF mobilizes resources and community partners during this time, Revolve is one of the first philanthropic organizations to step forward to support our Food for Families in the Black Belt Campaign. We look ahead to our productive, continued partnership with them to positively impact and transform the Black Belt region of Alabama.”

“While our communities need and deserve so much more, we hope our contribution will support the foundation’s ability to work with other philanthropic partners, individual donors, charities, and public partners,” Wahls added.

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Mamdani Plans City Grocery Store in East Harlem 

NEW YORK CARIB NEWS — The store will be located at La Marqueta, a historic marketplace beneath the elevated Park Avenue tracks. The project is expected to cost approximately $30 million and is slated to open next year, utilizing currently vacant space within the city-owned facility. Operating rent-free, officials say the model is intended to lower overhead and pass savings on to consumers.

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New York Carib News

New York City Mayor Zohran Mamdani has announced plans to establish the city’s first municipally owned grocery store in East Harlem, a flagship initiative aimed at addressing rising food costs and improving access to affordable essentials.

The store will be located at La Marqueta, a historic marketplace beneath the elevated Park Avenue tracks. The project is expected to cost approximately $30 million and is slated to open next year, utilizing currently vacant space within the city-owned facility. Operating rent-free, officials say the model is intended to lower overhead and pass savings on to consumers.

Mamdani unveiled the plan during an event marking his first 100 days in office, reaffirming a campaign pledge to build a network of five city-owned grocery stores, one in each borough, by the end of his first term in 2029.

“During our campaign, we promised New Yorkers that we would create a network of five city-owned grocery stores,” Mamdani said. “Today, we make good on that promise.”

The mayor positioned the initiative as a direct response to surging grocery prices, noting that food costs in New York City rose by nearly 66% between 2013 and 2023, significantly outpacing the national average. He argued that the city-run stores would provide fair pricing, improve worker conditions, and ease the financial burden on low-income households.

“We’re going to make it easier for New Yorkers to put food on the table,” Mamdani said, adding that staples such as eggs and bread would be more affordable.

However, the proposal is already drawing scrutiny. The estimated cost of the East Harlem store would consume nearly half of the $70 million budget initially outlined for the entire five-store program. Despite this, Mamdani remains confident that the initiative will deliver long-term benefits and help reshape access to affordable groceries across the city.

The announcement also drew political attention, with U.S. Senator Bernie Sanders making a surprise appearance at the event in support of the mayor’s broader economic agenda.

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