Weekend reading: Diabetes, race, and class

Arleen Tuchman.  Diabetes: A History of Race and Disease.  Yale University Press, 2020.I did a blurb for this book:

This is a superb, deeply researched history of the role of racism and class bias in perceptions of type 2 diabetes.  Its root causes?  Poverty and discrimination—a new vision for a prevention agenda.

Tuchman does for type 2 diabetes what historians of other diseases have done: explore the central role of race and racism.  Racism, she explains, can

Generate ill health by producing pathological responses to the stress of living in a society in which skin color is endowed with privileges denied to others.  Racism, in other words, can make people sick.  In this way, racism—not race—becomes a fundamental cause of differential disease rates, making it impossible to draw a sharp line between what is biological and what is social.

As she documents, health professionals first viewed diabetes as a disease of the Jews—perhaps because they went to doctors more often.   It took decades for scientists to distinguish type 1 from type 2 diabetes, and more decades to recognize that its higher prevalence among non-white minority groups might be due to the obesity-promoting diets and lifestyles of poverty.

For documentation of the social determinants of health, this book is an instant classic.