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Diabetes in Black California: Turning the Tide from Crisis to Control

OAKLAND POST – ALAMEDA — Crystal Lambert founded the We Fight Back Organization after her granddaughter was diagnosed with Diabetic Ketoacidosis (DKA) at age three. This mobile health and food access initiative serves underprivileged communities across California, inspired by Lambert’s personal experience with her granddaughter’s life-threatening blood sugar levels.

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Dr. Khadijah Lang is a family physician with a clinic in Los Angeles who specializes in several family medical practices, including prenatal care. Lang believes in family medicine. She says it is important to treat all members of a family. Thursday, June 5, 2026. Photo by Solomon O. Smith/California Black Media.

By Charlene Muhammad, California Black Media

Crystal Lambert knew something was terribly wrong with her three-year-old granddaughter as she sped down the street trying to get her to the hospital.

“I thought she got a hold of some poison,” Lambert recalled.

Doctors found Lambert’s granddaughter had a blood sugar level over 800, diagnosing her with Diabetic Ketoacidosis(DKA), a state in which the body, starved of insulin, begins to shut down.

Lambert said she was born with a pancreas that was not fully functioning — it lacked the specialized cells required to produce insulin.

Her granddaughter survived and is five years old today. Now, she gives herself insulin shots, asks endless questions about her condition, and runs like the spirited child she is. But the terror of that night transformed Lambert — and ultimately inspired her to launch the We Fight Back Organization, a mobile health and food access initiative serving underserved communities across California. Lambert is the executive director.

The Crisis by the Numbers

According to the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System data, nearly 17.9% of Black adults in California have been diagnosed with diabetes — above the national Black adult average of 16.8%, and nearly five points higher than California’s overall adult rate of 12.6% across all races. California ranks 24th out of 39 states with available data for Black adult diabetes rates.

Nationally, according to the U.S. Department of Health and Human Services, Black Americans were 24% more likely than the overall U.S. population to have diabetes in 2024. They also died from diabetes 78% more often than the general population in 2022. Black Americans are also more than twice as likely as the overall population to develop kidney failure caused by diabetes.

According to the California Health Care Foundation’s 2024 Health Disparities Almanac, Black Californians have the shortest life expectancy in the state at just 74.6 years — due in part to chronic conditions like diabetes and its devastating complications.

Leon Rock, co-founder of the African American Diabetes Association, believes statistics, though revealing, only tell part of the story.

“There are a whole bunch of Black folks that don’t tell you that they have diabetes — or don’t know,” he said.

And the disease itself, Rock is careful to note, is not what kills. “They die from the complications. That’s heart attack, that’s stroke, that’s amputations of legs, of feet. Going blind. All those complications are inherent in a system that has impacted Black folks with diabetes in California and across America.”

Crystal Lambert, creator and executive director of the We Fight Back Organization, started out of a need to learn more about diabetes on behalf of her granddaughter. Now she is looking to spread her organization to the valley, on Friday, June 6, 2026 Photo by Solomon O. Smith/ California Black Media

An Information Gap Fuels the Crisis

For Rock, part of the solution is diagnosis. He says the medical and public health systems are failing Black Californians by the absence of information designed for them.

“That is the bottom line. We need good information. Information that is culturally specific,” said Rock.

Telling people to eat healthy or exercise, he added, falls short when culturally specific alternatives are not provided, and when many residents of urban communities do not feel safe exercising in some neighborhoods – or outside at night.

Dr. Khadijah Lang, a family medicine physician and president of the Golden State Medical Association, agrees that the roots of the crisis run deeper than individual behavior — and blaming patients misses the point.

“We are not genetically predisposed to diabetes,” Lang said. “But the system under which we live increases the likelihood that we will develop it.”

What the Body Needs — What Communities Are Denied

Type 2 diabetes, which accounts for 90 to 95% of all diabetes cases, according to the CDC, develops when the body can no longer use insulin effectively to regulate blood sugar. Left unmanaged, it damages nerves, kidneys, eyes, and the cardiovascular system. The hemoglobin A1C test is a blood draw that reveals how the body has processed sugar over the previous three months — not just at the moment of the test. It is the standard tool for both diagnosis and ongoing monitoring.

That distinction matters, Lang emphasized, because patients cannot manipulate three months of blood sugar history the way they might fast for a day before a single blood draw.

“The pill is not meant to undo or control a sugar level that’s being constantly stressed,” Lang said. “It’s meant to work in conjunction with a low-carbohydrate diet and exercise.” She recommended at minimum 30 minutes of physical activity five days a week — breakable into 10-minute sessions for those who need it.

Lang stressed that education must be delivered in language people recognize and can relate to. The goal is to inform them of the choices that serve their health best, she said.

But for many Black Californians, even those informed choices remain out of reach, Lambert said.

“They need access to healthy foods and medication, too” she said.

California has made some critical policy advances. The state has expanded access to the Continuous Glucose Monitor (CGM), which has transformed diabetes care for state residents. Assembly Bill 365, introduced in 2024, proposed requiring Medi-Cal to cover the costs of CGM and other related medical equipment but it failed in the State Senate. Since then, the California Department of Health Care Services (DHCS) reports that the core Medi-Cal CGM benefit now available to eligible patients was solidified through previous budget actions and pharmacy policy updates.

These measures, while meaningful, have not closed the gap for the communities most at risk, according to advocates.

Control Through Community

Health care advocates conclude that the solution must be communal, culturally grounded, and sustained — not a fad, not a celebrity moment, not a single clinic visit. For example, observed Lang, lifestyle shaped by shared values and collective accountability can move the needle where individual prescriptions have not.

Rock is building infrastructure to match the urgency, establishing local chapters of the African American Diabetes Association across the country, with California next.

“We have to do for self, period,” he said. “Health is wealth. We have to eat to live.”

And Lambert, whose granddaughter unknowingly started all of this for her, keeps showing up.

“Diabetes advocacy is about dignity, education, prevention, and hope,” she said.

Video: Diabetes Disparity Exposed in California

This article is supported by the California Health Care Foundation

(CHCF). Visit www.chcf.org

The post Diabetes in Black California: Turning the Tide from Crisis to Control first appeared on Post News Group.

Based on reporting by Oakland Post – Alameda.



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Community

Mayor Barbara Lee Holds Special State of the City Address in Deep East Oakland

In partnership with Rise East and the 40×40 Council, Oakland Mayor Barbara Lee held a special 2026 State of the City East Oakland community conversation on Oct. 14. The purpose of bringing a State of the City address directly to the community was to celebrate East Oakland, highli

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Oakland Mayor Barbara Lee, left. moderated a community chat with (l.to r.) Selena Wilson, CEO of the East Oakland Youth Development Center; Carolyn “CJ” Johnson, CEO of the Black Cultural Zone; Dr. Noha Aboelata, CEO of Roots Health Center and Greg Hodge, CEO of the Brotherhood of Elders.

In partnership with Rise East and the 40×40 Council, Oakland Mayor Barbara Lee held a special 2026 State of the City East Oakland community conversation on Oct. 14.

The purpose of bringing a State of the City address directly to the community was to celebrate East Oakland, highlight the work underway, and look ahead to what neighbors, local businesses, youth, funders, community organizations, and partners can accomplish together.

Held at the Roots Community Health/Parker Elementary School Campus at 7929 Ney Ave., the event was emceed by special guest Mark Curry, Oakland native, comedian, and actor.

Lee shared how Rise East and the 40×40 Council have brought together the knowledge, relationships, and resources of people and organizations committed to East Oakland.

Residents bring lived experience, community organizations bring trusted relationships and philanthropy, and businesses bring resources and opportunity, she said, then turned to the government’s role: public investment, services and policy.

But, Lee intoned, City Hall has a responsibility to help connect those efforts.

“I am committed to listening to residents, working across departments and sectors, and helping open doors to opportunity. We must connect neighborhood priorities to the decisions we make about housing, economic development, safety, health and our young people.

City Hall “must be accountable for the results,” Lee said.  “The measure of success is what families experience: greater stability, more opportunity and a stronger sense that they belong and have a future here.

“Tonight is an opportunity to listen to the leaders doing this work, learn what is making a difference and identify where we can do more together,” the mayor said.

Lee went on to moderate a ‘fireside chat’ on the theme: Building Oakland’s Future Together — From Neighborhood Investment to Community Empowerment with:

  • Selena Wilson, CEO, East Oakland Youth Development Center
  • Greg Hodge, CEO, Brotherhood of Elders
  • Carolyn “CJ” Johnson, CEO,  Black Cultural Zone
  • Dr. Noha Aboelata, CEO, Roots Health Center

Mayor Barbara Lee’s media relations department provided this report.

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Black History

Practitioners of African Traditional Spirituality Offer Ancestral Reverence Ritual Oct. 31

The Council for Global Ancestral Reverence will host “Ancestral Souls Rising” from Oct. 31 to Nov. 2, featuring a three-day gathering of prayer and discussion. Led by elders and priests across the African diaspora, the seventh annual ritual honors those lost without traditional rites while addressing current social challenges. This year’s event connects ancestral wisdom with contemporary issues, including a two-day conversation inspired by Afro-Beat music focused on Black community solidarity and the sacred importance of voting. Read more for details on the ritual schedule and participants.

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Oakland native Nedra Williams writes sacred symbols on the ground in San Leandro. Courtesy photo.

The Council for Global Ancestral Reverence (C4GAR), a group of elders who practice African traditional spirituality, will lead a three-day gathering of prayer and discussion from Oct. 31-Nov. 2.

Called ‘Ancestral Souls Rising,’ the council members and 21 priests will lead the prayers from many parts of the African diaspora: Africa, Portugal, and across the U.S. from Maryland to the Bay Area.

Now in its seventh year, the annual ritual began during the 2020 pandemic when hundreds of thousands of people died alone and were buried in mass graves without rites and rituals according to loved ones’ traditions.

This prayer event was and is intended to give peace to the departed and comfort for the living who still mourn. Each year, we gather names of new ancestors from living elders to elevate them into the “Great Hall of the Titans.”

In ensuing years, C4GAR added themes to the prayer gathering that referenced current events. In 2024, before the consequential presidential election, C4GAR called on people to vote, invoking the memory of Civil Rights Movement heroes and heroines like John Lewis, who urged “Good Trouble,” and Fannie Lou Hamer, who famously declared that she was “sick and tired of being sick and tired.”

The day of global Prayer on Oct. 31 will be followed by a two-day conversation inspired by “The Blueprint,” an Afro-Beat song by UyiosaEl, to write our new blueprint that supports solidarity and action in the Black community.

 “Our elders have, for many generations, known the power of prayer, ritual and breath,” the council said in a statement.

It was and is their intention, then, to use the cultural wisdom, the gift of prayer “and the most sacred thing we have, our breath, to send energy into the world that invokes and honors our ancestors,” the council statement continued.

“Doing this creates a vibration that protects us and employs their ancient wisdom for the well-being of our communities,” the elders said.

The councilmembers, all over the age of 60, recognize that what is now history for so many was once their lived experience. And that history, those joys and sorrows, are now in their bodies.

To them, the uttered prayer and the sacred breath are oaths to an unfolding future that people can still shape.

The council members are Dr. Iyabeji Cathy Royal, Iyalocha Jennifer Dillard, Manbo Charlene Desir (Florida), Nana Sula Spirit (Louisiana), Baba Obafemi Feyemi, Ohen Nedra T. Williams, and Iyalocha Wanda Ravernell-Stewart Emeritus (Oakland).

This year, they also encourage everyone within their reach to VOTE because it is not only a secular and political act, but a sacred one. Remember, the ancestors were denied that right and died for it.

For tickets, go to:

https://www.eventbrite.com/e/council-for-global-ancestral-reverence-presents-ancestral-souls-rising-26-tickets-2003127345814?aff=oddtdtcreator

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Community

It’s Time to Lose Weight Before the Holidays

Licensed internist Dr. H. Geoffrey Watson has joined gastroenterologist Dr. Ralph Peterson at Oakland’s MacArthur GI to address the rising obesity epidemic. With U.S. obesity rates reaching 42.4%, the clinic offers supervised weight-loss programs and screenings for fatty liver disease. Treatments include dietary counseling and various medications, such as GLP-1 receptor agonists, which regulate digestion and appetite. As certain populations continue to be disproportionately affected by chronic health conditions, medical experts are highlighting new tools available to help patients reach their goals before the holiday season. Read more.

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Dr. H. Geoffrey Watson. File photo.

Dr. H. Geoffrey Watson, a licensed internist, has joined renowned gastroenterologist Dr. Ralph Peterson at MacArthur GI in Oakland to address obesity, provide supervised weight-loss programs including GLP-1 therapy, and screen for and treat fatty liver disease.

The Obesity Epidemic

Obesity is associated with numerous chronic health problems, including hypertension, diabetes, heart disease, sleep apnea, asthma, depression, joint disorders, fatty liver disease, and high cholesterol. Its causes include genetics, environment, stress, medication side effects, hormonal imbalances, and other factors.

Since 1999, the prevalence of obesity in the United States has risen from 30.5% to 42.4%. Childhood obesity rates are also climbing, with approximately 19.3% of children and adolescents now affected.

Measuring Obesity: Body Mass Index

Obesity is measured using a formula called the Body Mass Index (BMI). You can calculate your own BMI on most smartphones by searching “BMI calculator” and entering your height and weight. A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.

Populations Disproportionately Affected

Obesity affects certain populations at higher rates. Among U.S. adults, obesity prevalence is 49.9% in Black adults, 45.6% in Hispanic adults, 41.4% in White adults, and 16.1% in Asian adults.

Treatment Options

A variety of treatments are available for obesity, including dietary counseling, exercise programs, bariatric surgery, and anti-obesity medications.

Common oral medications include:

• Adipex (phentermine): A stimulant that works by suppressing appetite.

• Contrave (bupropion/naltrexone): A combination of an antidepressant and an anti-addiction medication that helps control appetite and cravings.

• Qsymia (phentermine/topiramate): A combination of a stimulant and an anti-seizure medication that reduces appetite and cravings.

GLP-1 Receptor Agonist Therapy

Glucagon-like peptide-1 (GLP-1) receptor agonists were originally approved to treat type 2 diabetes. GLP-1 is a hormone produced naturally by the body that regulates digestion, blood sugar, and appetite by communicating with GLP-1 receptor cells throughout the digestive tract. These medications reduce cravings, appetite, and food intake by influencing the hunger hormones ghrelin, which stimulates hunger, and leptin, which signals fullness.

What We Offer

Drs. Peterson and Watson provide FDA-approved tirzepatide injections, a GLP-1 receptor agonist medication indicated for weight management. Each patient receives a comprehensive history and physical examination to ensure the safety and appropriateness of the medication as part of an overall weight-loss protocol. Dr. Peterson also offers ultrasound screening for fatty liver disease.

We look forward to helping you reach your weight-loss goals and feel your best this holiday season.

H. Geoffrey Watson, M.D., runs the MacArthur GI Clinic at 10520 MacArthur Blvd., Oakland, CA. He can be reached at (510) 562-7467.

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