Introduction Diabetes is one of the most recognized chronic diseases that have become an epidemic worldwide. In 2013, data collected (Fast Facts Data and Statistics about Diabetes, 2013) by the American Diabetes Association stated that nearly 26 million adults and children suffer from diabetes. Of these, 16.1% of total American Indian and Alaska Native adults have diagnosed diabetes (Fast Facts Data and Statistics about Diabetes, 2013). rate of type II diabetes worldwide, in the Tohono O'Odham American Indian Tribe in southern Phoenix, Arizona, and in the Gila River Reservation Tribe, Pima (Bad Sugar, 2008). The documentary describes the economic, political, social situation and physical structures as important determinants of health. Unfortunately, these tribes are deprived of these determinants, the rates of which are seven times higher than the national average, with half the population suffering from type II diabetes and rapidly increasing rates of children. The people of the Tohono O'Odham American Indian tribe, although thriving in the desert, had good sources of nutrition with local crops and wild game for hundreds of years, but in the present they paint a different picture. People are generally depressed due to the rise of diabetes and have accepted the fact that they are as prone to it as any other family member, witnessing the death of loved ones due to the disease or complications during amputations. The Pima people, although residing along a river, are from the same tribe and grew crops with adequate irrigation, but now also suffer from type II diabetes. Genetic researchers have speculated on the reason... middle of paper... ...expressing his opinion S. Leonard Syme, on how prevention is the main solution to control diabetes in this community instead of spending funds on the disease itself and underlining the change in the formula (Bad Sugar, 2008). ConclusionEconomy, environment and The social difficulties of the Tohono O'Odham tribe have been the main reasons that have made them suffer from type II diabetes for many years. But with healthy interventions and economic recovery it provides hope to help restore prosperity to this community. References Association, A.D. (2013). Facts and statistics in brief on Diabetes.Newsreel, C. (Director). (2008). Bad Sugar [Moving Image]. History, M., & Evans, M. (1999). The obesity epidemic in American Indian communities and the need for childhood obesity prevention programs. American Society for Clinical Nutrition.