In 2016, it was no surprise to many that Hawaii was ranked the healthiest state in the nation. However, just as many people are fully aware that much is still left to be desired in the overall health and well-being of our state.

Many diseases are on the rise within the Aloha State. Diabetes, which affects approximately 1 in 3 residents, is the seventh leading cause of death in Hawaii and is an obstacle that many residents have to overcome.

Diabetes occurs when a person’s body is unable to produce or respond to the hormone insulin, a hormone that allows the body to process glucose. It affects those of all ages and ethnicities and can lead to serious or even life-threatening metabolic and glycemic complications. If left untreated, diabetes can lead to cardiovascular, neurological, and/or nephrological damage, and may even require an amputation of limbs.

Native Hawaiians and Pacific Islanders are three times more susceptible to a diabetes diagnosis due to genetic predisposition and other risk factors such as obesity, diet, and a sedentary lifestyle. Those who are overweight increase their risk of developing diabetes. Obesity affects the body’s metabolism and the effectiveness of insulin’s response to changes in the body. In a recent study completed by The State of Obesity: Better Policies for a Healthier America, Hawaii’s adult obesity rate was 22.7 percent in 2016, up from 15.7 percent in 2000, and 8.9 percent in 1990. The rise in obesity is not only linked to diabetes, but can also lead to other health-related complications.

A lack of proper diabetes diet management can lead to the consumption of foods or beverages high in sugar. Inconsistent meals also are a concern for diabetics. Blood glucose levels will fluctuate depending on what and when food is consumed. Although the traditional, local diet of fish, vegetables, and fruits is known for its sustainability and nutrition, many people have adopted processed foods, like canned meats and oily snacks, and other fast foods into their diet.

Furthermore, living a sedentary lifestyle and an overall lack of physical activity also will increase the risk of developing diabetes, as it leads to weight gain and eventually obesity. A lack of movement prevents the body from burning off excess sugar, thus limiting blood circulation throughout the body. Through maintaining the right amount of physical activity and eating a well-balanced diet, it is possible to overcome one’s genetic susceptibility for diabetes.

Diabetes is something that everyone needs to be aware of. Educating yourself and those around you about the importance of diabetes prevention will make a difference. While some may not think about their lifestyle choices, they need to understand that their actions will also impact those around them. The overall quality of life for those affected will be reduced.

It is critical for those at risk to understand their predisposed health risks. With this information, we can make an impact on our communities. Spreading diabetes awareness and education brings attention to the problem at hand. It’s crucial that our communities understand the risk factors and take action to ensure a healthy lifestyle.

Jenelle Aoki, Moanalua High Class of 2018, is president of the Hawaii HOSA State Executive Council. Brycen Kawamoto, Castle High Class of 2018, is the council treasurer.