HS 1002a - Class 15 - Thursday, Oct. 25
Questions on Film Series “Unnatural Causes”, Episode: Bad Sugar
This film examines the problem of Type 2 Diabetes among the Pima Indians (in Arizona) within a Social
Determinants of Health framework.
This film focuses on Type 2 Diabetes, also known as Diabetes Mellitus. This form of diabetes is
characterized by high levels of glucose in the blood and the body’s inability to regulate glucose levels
properly. Type 2 diabetes can be managed through changes to lifestyle and medication. Undiagnosed or
untreated diabetes can have serious short- and long-term complications. Diabetes affects many major
organs, including your heart, blood vessels, nerves, eyes and kidneys. Long-term complications include
cardiovascular disease, nerve damage, kidney damage, eye damage (potential blindness), and foot
damage (sometimes requiring amputation). For more information, go to:
• What are the differences in the rates of Type 2 Diabetes among the Indigenous peoples in this
film, compared to the national average in the US?
Americans in low income brackets are twice as likely to become obese than those in higher
• What impact does genetics have on the incidence of Type 2 Diabetes?
Is a common. It was believed that something in their biology was unique. Neither the cause nor
cure can be discovered. It is complicated as many genes are involved.
• What evidence exists for the effects of colonization on Type 2 diabetes?
Land culture and work vanished.
Health problems occur long before they can get to the hospital. Blindness, kidney failure, and
amputation are the result.
There is a direct between the biological conditions such as stress increased by poverty – which
increases cortisol. Obesity is a risk factor. So is low income.
• Through what mechanisms did colonization affect social and economic conditions, a