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Diabetes and Heart Disease Hit Hispanic Communities Hardest

A new report from the American College of Cardiology details how Hispanic and Latino communities across the U.S. face outsized risks of both diabetes and cardiovascular disease—two conditions that feed each other and drive serious, often preventable health complications. The reporte describes a “disproportionately high burden” of these diseases, with higher rates of obesity, smoking, and sedentary behavior contributing to early metabolic syndrome, prediabetes, and insulin resistance.

These intertwined risks lead to more heart attacks, stroke, and peripheral artery disease. Clinicians note that many Hispanic and Latino patients face a stronger genetic predisposition to diabetes, along with a higher likelihood of having a family history of the disease. But structural barriers magnify those risks. Limited access to health care can delay diagnosis and treatment, ultimately resulting in poorer outcomes. Barriers include employment instability, limited insurance coverage, distance from health facilities, and high out-of-pocket costs.

Language and cultural differences create additional challenges. Limited English proficiency can complicate communication with clinicians and understanding medical instructions. Cultural beliefs, including reliance on traditional remedies or mistrust of the health system, may also affect adherence to treatment.

Socioeconomic inequities deepen the disparities. Poverty, low income, and reduced educational attainment are “closely linked” to the elevated rates of diabetes and cardiovascular disease in Hispanic and Latino populations.

The report underscores the need for culturally tailored approaches—from telehealth and Spanish-language education materials to policy changes—aimed at closing gaps in care and outcomes.

See: “From the Member Sections | Empowering Care: Diabetes and Heart Health in Hispanic/Latino Communities” (Aug. 01, 2025) 

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