December 13, 2019
Samoa Diabetes Epidemic: Part 4

Samoa Diabetes Epidemic: Part 4

The Pacific Islands…lush…idyllic, populated by strong seafaring people living off fresh fruit,
fish, taro, and coconuts. But today 9 of the top 10 countries
for type 2 diabetes are in the Pacific. Here in Samoa 1 in 4 adults
are thought to have the disease. It is now the main cause
of death and disability. Life expectancy is beginning to decline. How is it possible that this is one
of the most diabetic places on earth? (Drum beats) Just two generations
ago Samoans were slim, fit, and largely free of
non infectious diseases. But what has happened here is
also happening around the world. It has been more
rapid in the Pacific Islands because of how quickly the
change in diet and lifestyle has occurred. Food has gone from being
self sourced and self prepared …to calorific and convenient. In the Village of Lalomalava is
the one GP for the Island of Savai’i. An Island with a population
of over 45,000 people. Doctor Nola Gidlow has witnessed
the rising tide of type 2 diabetes. (Nola) I definitely encounter
a lot of people with diabetes. 25-30% of our population are diabetic and I would see about the
same proportion in my clinic with not only diabetes but
diabetes related complications. They don’t always understand
that if they don’t look after it properly in ten years time they
could be very, very unwell. There is a lot of misunderstanding
or a lack of knowledge of the causes of diabetes and
what they could be doing to improve it. I do spend a lot of
my time educating people and it’s the very basic information. Tupua Tamasese Meaole on the Island
of Upolu is Samoa’s main Hospital. Already 20% of the beds are
occupied by diabetes patients. Diabetes complications including heart
disease and blindness develop slowly. So it’s expected the number of patients
needing hospitalisation will skyrocket. Diabetes is a tsunami in the
Pacific and it’s happening right now. You don’t see it coming…it’s a wave. What I know for sure is we
can not afford the treatment for these complications of diabetes. There is no way we can
carry on the way we’re doing. (Narrator) Much of the
diabetes work at the hospital involves infections and sepsis. (Doctor) A diabetic sepsis and
it has already been debrided. That means we’ve removed
most of the dead tissue. We control his blood sugar,
antibiotics, and we borrow some skin to put on it to make it heal very fast. We are seeing more
and more diabetics coming and three quarters of the
patients we see here are diabetic. And lately there has been an
in flow of a lot of diabetic sepsis. More than half of our ward
our diabetic sepsis patients. Our people here in Samoa
usually seek herbal medicines first before coming to see their doctor. Even if they’re diagnosed with diabetes
most of them probably in denial. They go and do a lot of herbal
medicines before they come back. And when they come back they
either have renal impairment or it’s at that late
stage where it’s too late. Another complication we see a lot with our diabetic patients is renal impairment. This patient is not keen for dialysis
so we’re monitoring him in our clinics making sure his sugar is well controlled. While there is nothing much we
can do since they don’t want dialysis. There’s a lot of superstition around medication amongst themselves. That’s normal for any human
being to not want to be put on… a medicine that you have
to take for the rest of your life. (Narrator) In an effort to delay
the flood of new diabetes patients the National Kidney Foundation
has set up a pre-dialysis clinic. Patients are screened
and advice is given. She is a diabetic and comes here
so we can check her blood sugars so she doesn’t end up on dialysis
because our dialysis is already full up. We don’t have any space for
most of the people that need dialysis. 10.4 that is high… It’s very bad…. Why did you get
diabetes in the beginning? This is part of our
work of trying to prevent or slow down the
progression of kidney failure. A lot of people they don’t want
dialysis and they prefer to go home and die with dignity
instead of coming here. Otherwise our Unit would
have nowhere to extend to. We’re looking into extending our Unit. (Narrator) Dialysis
began in Samoa in 2005. Before that patients
were sent to New Zealand. But that quickly became unaffordable. Almost half the Health
Care Budget goes on diabetes and other non communicable diseases. I love ice cream,
lollies and fizzy drinks. I wish I had taken heed and took my
medicines when I was first diagnosed. They have to do dialysis three times a
week for the rest of their lives. We’re not sure we can
sustain and maintain our Unit here. We started with just 11
chairs and now we’ve got 22. Foot injections are the leading cause
of hospitalisation for type 2 diabetes. They result in lengthy hospital stays. Even minor scrapes can
result in open sores that fail to heal. The damaged blood supply
makes diabetic infection hard to treat. So doctors resort to
debridement, an operation… where the unhealthy tissue is cut out. But once the infection
reaches the bone amputations begin. The majority of our operations is to remove a limb that has been affected by bacterial infections secondary
to diabetes complications. It’s a very short staff and a lot of
work that needs to be done for patients. We’re trying our best to treat infections. Ta’apega Solofuti Tumama manages
the huge case load of diabetes patients. But she also looks after her husband who has had diabetes for ten years,
as well as her mother-in-law. Our mama had her small toe amputated. It was a wake up call for us,
to save the whole leg by teaching and making
a lot of food with vegetables. We try to eat a balanced diet. The Tumama family is trying
to go back to traditional cooking to improve their health and prevent
their six children ending up diabetic. I always encourage them
to eat vegetables and fruit because I know diabetes
is not our friend. Nowadays they can afford
to buy fatty foods from the shops. They prefer the imported foods. Because diabetes has been
around for quite a time now people think of it as a normal thing
that everyone will get as they get old. The boys don’t like cooking and
they love fatty foods like McDonalds. They say, “Oh mum please can
we have fried chicken or McDonalds?” I always scold them and ask them
to get to the table and eat the soup. “You will never get any other
food apart from the soup on the table.” (Narrator) Traditionally young
men did most of the cooking. The diet was heavy in
starch, taro and bread fruit. Although starch is a carbohydrate, which is slowly broken down
into sugar during digestion, a lot of energy is spent
growing and preparing it. Ta’apega’s husband, Frankie, says
the new diet has had mixed results. (Island music) At one time Samoa earned
money as an exporter of produce like bananas
and cocoa beans. But with globalisation cheaper
sources cut Samoa out of the market. By 2010, Samoa
imported 40 times more… from New Zealand than it exported. Now Samoa is dependent
on imported food. Tin meats, noodles,
sweets and soft drinks. Traditional food has been
replaced by cheap foods high in calories but
with little nutritional value. It’s what is affordable in a country
where 25% live below the poverty line. You need sugar. Some worry about the sugar
and some don’t worry about it. Samoans love sugar and as
you can see I’ve got lots of lollies. This is Samoan cocoa
and we call it Koko Samoa. It comes straight out of the cocoa tree and some put a lot of sugar in there. Samoa has tried sugar taxes and
bans on the import of low quality foods. Like turkey tails from America
and mutton flaps from New Zealand. But New Zealand and
America refuse to support Samoa’s entry into
the World Trade Organisation unless such measures were dropped. Under the WTO prohibitions and
bans are not looked upon favourably so we have removed the discriminatory
measure of banning imports but we’ve replaced it with a
measure that’s less trade restrictive. Instead of slapping a ban of every
single product that we have concern of, the WTO membership
said we couldn’t do that, so we became more creative and
work closely with the Ministry of Health in collecting the data that’s able
to justify that there’s a direct link of this product to the increase
in incidences that we have right now. And with this information we’re
able to sit at the negotiation table and say we don’t to bring
these goods down from 20% to zero because we’ve “so and so” justification. On one side you’re imposing
restrictions on the importation of fatty and high salt foods. Then on the flip side you
have issues of food security. If you’re going to import these
things what are people going to eat? (Dance music) Because of the rising medical costs most government initiatives
focus on health promotion. Exercise is always the
handmaiden of diet in the fight against diabetes. Ten years ago the
government set up a fund to introduce physical
activity into the community. Zumba is now the most
popular exercise in Samoan villages. Zumba has recently
become popular in Samoa people started to get active and one third of the
population do Zumba. It’s a gift from God. Community groups are
taking it into their own hands. Pastor Paulo Pelenato
doesn’t want to lose anymore of his congregation to diabetes. The Government needs
to work with the churches because a major part of the
Government budget is health sectors and the quicker they
can turn around the lifestyle the less money they
spend on the health sectors. Our religion does have a lot of
impact on the lifestyle of the people and whatever the Ministry says, goes. Our church is focusing
on health and wellness. We soon will be opening
a Wellness Centre. The problem in Samoa is it’s
very hard to obtain vegetables, the original diet, nuts, fruits, and grains. The church can work with
the members to prolong their lives. And to try and cut down this deadly
disease that is now spreading in the Pacific and also
in many parts of the world. It has taken the lives of so many people and so the Health Ministry
needs to come up, the churches need to come up,
and all the people need to work together in order to try and alleviate this disease. (Narrator) To overcome the lack
of access to green vegetables many villages are setting
up communal gardens. (Nola) The idea of this was born
because my family run a restaurant. We realised quickly
there is very small supply of green leafy vegetables
available locally, everything had to be
imported from the other Island, or even from overseas at times. We saw a need to
have to do this ourselves. As people realize they need to
change their diet to get healthy they do start looking for
what they can use in their kitchen and if this isn’t available locally
that choice is not made easy for them.>From being exposed to such a plantation
is giving them new knowledge and giving them new ideas
and it has been positive. People haven’t just viewed it as
something to sell to the tourists and they’re wanting to use
it more in their own homes. It’s about getting enough
of the right foods out there …that are available and cheap. (Church bells) In the village people are
starting to get the message. There are so many
diseases that we have because we eat the palangi food. Most of the people they like
the sweets and foods like that. But when we got diabetes
and other diseases we know that’s not good for our body. The food that we had before,
we were strong and healthy, but now we depend
on the store to buy foods. And that’s why they grow
up fat and get diseases. When I was young, I never
ate any lollies or chocolate because we were poor at that time. I was thinner then but now I am fat. So I think I eat too much
food that we didn’t need before. Lanisi’s husband, Tuioti,
was diagnosed two years ago. But has managed to control his
diabetes through a change in diet. When he got diabetes we
tried to make the food suited for him. Like soup with vegetables and
no sugar in tea and everything. We cut out drinks and ice cream, those are all the things that
we do to take care of him. 5 kms up the road from the village
is Samoa’s second Dialysis Unit. It has five beds. The entire hospital
was recently upgraded but usually is staffed by one doctor. So there is no time to educate
patients on the dangers of diabetes. When I work at the public hospital we may have up to
200 patients in ED on a day and at times only one doctor. That means the consult time
goes right down to three minutes. Where we find out what
is the patient’s biggest problem. This may be the first time somebody
has been told they’ve got diabetes and you only have three
minutes to explain things to people. So it’s not the best way
to go about tackling diabetes. An increasing number of
patients need dialysis treatment. We only have five machines
so we need more machines and to expand the
Dialysis Unit in Savai’i. It all boils down to getting
good primary health care and not putting all our energy into
catching people at the end of a cliff. I grew up in a society
that you go to school with a coconut in one hand
and a pawpaw in the other hand. Now that’s your lunch
and it could be your dinner too. But look at it now… kids are given money
and they go to the canteen and the only thing want is a
very cheap soft drink, pie and chips because that’s what they like eating. It’s a very different world we live in. (Narrator) In the first of western contact infectious diseases such as smallpox
and influenza devastated these islands. The second wave of non infectious
diseases such as diabetes came with the modern western
lifestyle into the local culture. All this has happened
in less than 40 years. Samoa’s struggles with
diabetes seem overwhelming but it may be a warning of a global
health disaster that will affect us all. A lot of all the western influences,
the western diet has had a lot to play and it so happened that they
found a culture that valued food a lot. A long time ago that food was good food, so the culturally appropriate things
where there was exchange of food was always good food, fresh fish,
taro from the plantation, and things were baked
in the earth oven. Now that has changed completely
because we now have so much processed food,
which is brought to our Island. And it’s a shame that now
the Islanders are labelled as those bigger people with diabetes. Where if you came and visited
Samoa a hundred years ago …it wouldn’t be like that. It’s not that we’re greedy or lazy, it’s our culture and our people
have lost our way a little. And the same way we brought in
the foreign experience of different food, we need to bring in the
foreign experience of health. We can find our way
back onto the healthy track. Go back to how we used to eat. And to change people’s attitudes
to view that as actually the better diet …the more superior diet. That’s what we need to be doing. (Archive) Quietly, easily, unhurried… the Samoan people
live out their lives. But thrust against the shocks
of intruding western culture by unshaken belief that Samoa
remains the center of the Universe.

84 thoughts on “Samoa Diabetes Epidemic: Part 4

  1. True so true… Western diet been introduced to Samoa… Our ppl need to return back to the basic.,. Growing up in the 50s never heard of such disease. Go back to the old way of eating…..Taro has alot health benefits. It also control insulin that prevents diabetic…the Bible said, my ppl perished cause of lack of knowledge…

  2. 80% diet 20% excercise– — juicing fruit and veggies before breakfast, walking 30 minutes a day! McDonald's and fake chocholate designed to thin the herd(poor)……time to wake up No more sugar & bread!

  3. Samoan Cocoa and Bananas are awesome, I always try to buy from Samoa when possible because its good for their economy and their health. New Zealand should be importing more goods from the islands (and sending less of our shit to the islands).

  4. Omg soooo triggered when the said “Sumoa” it’s SAMOA! And I’m from Samoa! Ugh so triggering, but ya when I visit there we do have obesity problems but srsly get it right I guys!

  5. The white man brainwashed them to change to his diet AND his religion. Their ancient ancestors are rolling in their graves about both of these issues.

  6. Wow, the ancient sea farers from Africa made it all the way to those islands. You can see it in their facial features.

  7. I told those girls from Samoa 15 years ago, to get rid of their McDonald that just set up shop when they came to Maui for their internship on water treatment processing. Problem with Samoans they are in the "Asian gene pool", so their RISK IS 20% HIGHER than "whites", African Americans even higher 87%, and Oprah told her audience that !!!! Anyway, the higher risk in the genes has to do with inability to manufacture MORE FAT CELLS to accommodate extra fat coming into the body for storage !!!! from high fat diet. Whereas "white" can make more fat cells, like building an extra garage for more stuff to store. So, the over-stuffed fat cells becomes INFLAMMED !!!!! and leaked out fatty acids into the blood streams and get stored in the skeletal muscle and liver , and that causes insulin RESISTANCE, by inhibiting downstream enzymes activation for GLUT 4 transporter to remove the glucose out of the blood from the food. The REFINED sugar food just helps to ACTIVATED the insulin……but it the FAT IN THE FOOD THAT GETS STORED.

  8. WHY is Samoa not using maggot therapy to control infection caused by diabeties?  It is most effective and least painful. It is commonly used in South African hospitals and in Kenya, and in China..You can save allot of trouble..

  9. its not samoa its other pacific islands such as New sad..I have type 2 and dont eat any dessert, cakes, biscuits, nor drink softdrink etc..found mine is with assistance with doctor and exercise with diet I have lost over 28 kgs..more to go..take control of your heart problems at all nor eye problems..and I am heading towards 70yrs of age..

  10. Dont focus on losing weight just focus on eating healthy and being active go for walks, bike rides or gym etc and the weight will fall off

  11. This just sad. Why wait till its to late. Go back to the way your people use to eat. All from whats around you. Go fishing again, plant and eat what you grow. Look after yourselfs people…. sad to watch. Sugar slowly killing yourselfs.

  12. I'm worry because as global economy rise there are more western foods exporting to Southeast Asia. The influence of western foods in bad for any cultures if there's no balance. These western foods are not even from America but China. When natives are not educated about the side effects of what they eat is truly SAD. Is the food exporters and the government faults that get unhealthy foods into any country in the first place. Government and businesses play HUGE roles into this.

  13. Big Corp. does this and watch them suffer…they are about $$ and power…the only hope we have is in Jesus Christ..check out Jonathan Kleck on youtube..may the truth set all humanity free

  14. I'm an Islander (Born in Samoa). I'd be curious to see what people back home would think of the Ketogenic diet. I've been messing with it for 6 months now and it seems to fit more a Polynesian diet (minus the carbs). Keto in a nutshell is eating mostly fats, proteins and very little carbs (sugars). When your body gets into what is called "ketosis" your body starts using fat for energy instead of glucose (sugar). It's not easy but because it's more meat and fat based I feel it could work well for Polys better than other diets I've tried. Do some youtube and google searching to find out more about Keto as an option.

  15. Samoa, it's so simple. If you want to be slim and healthy like our ancestors, eat more traditional foods, especially seafood. In other words, cut down on the consumption of foods made of flour and foods and drinks with high sugar content. Fatty foods do not make you fat, but they might clog up your arteries; but starchy foods and sugar will make you fat. It doesn't matter how many health care professionals and clinics and other health-promoting programs we have in the islands, if the gov't of both Samoas do not ban lamb flaps and other foods high in fat content from being imported to Samoa and force producers to lower sugar and salt contents in their products, then it's a waste of time. The problem will worsen.

  16. Why do they have that
    That just sad
    I'm american so I don't know
    Why dose it happens so soon

  17. I cant tell the difference between the women and men from their faces alone, and the worst part is the men are not even good looking.

  18. It was heartening to see some fit young people. One could be forgiven for thinking the entire nation is populated by obese folks–it's clearly an epidemic in Samoa. Such a shame that they must join the host of peoples around the world who have been dumped on by Western Society. I can see the injustice of it. But, what's equally alarming is that these people don't seem concerned, even when they have yawning open wounds in their flesh. They don't seem motivated to change or there wouldn't be so many fat Samoans. They don't even seem to be angry that this health crisis is sweeping their nation as their government acquiesces to the demands of Western Powers making things worse. I'm unfamiliar with the intricacies of Samoan life. I don't know what their cultural norms are, but they appear quite sedentary. Too easy-going, perhaps, just casually meandering to the grave. Even their homes appeared a bit ramshackle (though, this could be me applying culturally inappropriate standards to their dwellings?). I hope Samoa is able to do as Dr. Gidlow suggested and cease being a dumping ground for junk-food from the West, but rather start taking the beneficial aspects of Western Society onboard, e.g., a focus on healthy lifestyles. They ought to want better for themselves, and half an hour of Zumba a week isn't going to cut it.

  19. People there need to take PERSONAL RESPONSIBILITY for their diet…..educate and make choices. Nobody is forcing them to eat crap.

  20. Samoa can use this negative disease as a greater cause. It can be one of the first Country to completely turn it's back on sugar. Go back to eating well again it's not hard. It is an opportunity to lead the way Globally from what is perceived as a no win situation. Imagine 3 years from now another documentary is made and 90% of Samoa has become free of type 2 diabetes. They would be a world leader in the fight against processed sugar. That would be really something to be proud of. A world first in turning it's back completely on processed sugar, what? a Country that does not want sugar on the Island anymore? wow…. btw, fruits have more than enough natural sweet to kill the sugar crave, not processed and after some time takes better than sugar! AND of course all the health benefits…come on guys bring back the rock builds!!

  21. View sugar as the devil!! Just think of it like that. Because it is run away from it and avoid it like the plague in the day!!

  22. See even the doctor said her clients don't want to listen to her or even bother to change. Don't blame the West.

  23. new zealand and the U.S government are SICK! they don't care about these people, they keep sending left over junks like mutton flaps Fat turkey tails, the animal parts that American and New Zealanders don't want to these remote islands in South Pacific.

  24. I think famous Samoan people should help set up education clinics on nutrition and wellness. I can't help but think of Dwayne Johnson. Surely he could visit the country and urge people to become more physically active. He's a huge celebrity and well known for his physical attributes and how he acquires them. He's the ideal role model to combat this epidemic.

  25. The best diet is what our ancestors and forefathers ate before colonisation….. thats where we should go back. There is a Samoan saying 'ole mea'ai Samoa e to'a ai le moa'. Also education is key!!!

  26. It’s Ok to push away from the table once in a while. Stop blaming the “White Man’s food” – it doesn’t just jump in your mouth.

  27. Hats off to all our doctors and nurses working hard for Samoa for very little money. That's love and dedication and loyalty for our people – day in, day out. RESPECT❤️❤️

  28. The reason is simple.
    GENETICS they are genetically predisposed to put on weight .

    Their IQ or intelligence is low and they can't function in civilization

  29. Survival of the fittest NOT fattest .

    Sorry but they islanders are to blame ,that did that to themselves

    people are also not the same and races are very different even on a cellular level.

    They put on weight very easy , very efficiently actually because they adapted to their environment.

  30. Diabetes effect some over weight people because there is a negative spirit of that disease in them. Please watch TB Joshua Deliverance. It could be generational curses thats why the doctors ask if it runs in your family. I have a twin and I am bigger but she has diabetes not me. Watch Katie Souza after watching her preaching she has an activation at the end of her video to stop any curse that come from your aunt sister. Watch TB Joshua how he does deliverance on sick people and heal them. You my peoples and I love my big culture but please find someone who can take that disease demon in you. I heard after you do a deliverance your eating habits change. Look up also Val Wolfe deliverance she is really good. Her videos will help you know what it is really saying from the Bible. Jesus went around taking our evil (demon) spirits and healed people. Please believe me. Email me at [email protected] if you have any questions.

  31. I have lost four stones in six years. Its hard to keep the weight off, but I have. Its very very hard. This disease is no joke please folks please do not take your health for granted. You can change your diet and you feel so much better as a consequence.

  32. I noticed that 7th day adventist pastor was fat….typical …want all the funding but arent walking the walk…typical religious bullshit.

  33. You can't ban the food (the government is too powerful). You have to educate people on the risks of eating a high sugar diet. We SAMOA have to get back to out roots of growing our own food instead of being dependent on foreign food that are usually NOT FRESH and high in chemicals.

  34. they should ban Coca Cola and Mc Donalds, or sue them and get the founds for the treatment, the same as with the tabaco industry

  35. If so many places can blame the export of ' fast food culture' from western countries for their unhelathy lifestyle, why can't they also export the exercise culture that is heavily present in most of the western world? People will blame about everything for their lack of getting enough exercise and eating a salad every once in a while.

  36. This foreign Ministry Trade are just blind or just corrupt? What collecting data for what, you couldn't see your surroundings that the people are getting fat and sick and you need more data? This is island is abundant of natural resources, I'm sad watching this how people change the lifestyle that quick..Bless you all Samoa People..

  37. All this sadness…ONE sensible man! This gent says "NOW I DRINK WATER" IT"S THAT easy. Someone needs to sue coke & pepsi

  38. Its sugar and salt that causes mostly health issues in the world. We must know what to eat and put in our bodies. I have type 2 diabetis. Throw all junk food out from our diets. Process food, sugar and can drinks contain the most sugar and process food a lot food agents. Its better to go organic and eat more veges. And drink warm water instead of juice. Trust me the diabetes will be controlled. Just an advise from a severe diabetes person. Who is totally well now after I change my diet. It took me years to battle with this health issue.

  39. I keep yelling at the TV put something on your feet!! They are all running around Barefoot and can't feel their feet! I wear slippers at all times during the year whether it's a hundred degrees out or minus 30.

  40. They are not forced to eat junk food. Look at that Open Air Market and the prices and a lot of these people own a farm or Plantation. It's just like an alcoholic stop drinking get treatment so that you can do it safely and stop just like with diabetes see your doctor regularly and stop the junk food! I would rather spend more money on good food then less money on what's going to hurt me. I have type 2 diabetes since I was 20 years old and I am 100% insulin-resistant as my insulin receptors do not function and I am the only person in the world with this condition. I am healthy and I have a candy bar once in a while and I have ice cream once in awhile but by eating my beans legumes and oats along with barley and other grains my blood sugar is now normal my hemoglobin A1c went from 12.5 to 5.1 and I didn't have to make huge changes. I went vegan overnight and gave away or threw away everything in the house that wasn't me and went shopping on my small amount of food stamps as I am on SSDI. I can spend $20 and eat for a month I don't because I also need things to drink to don't raise my blood sugar and I drink a lot of purchase water I also have an ice maker that needs purchased water. But I don't have any of these issues except severe nerve damage everywhere and that was due to B12 deficiency not diabetes they found I had years and years of B12 deficiency and that is what caused my nerve damage I can't feel my legs below the knees or my feet I can barely feel my hands I'm in a great deal of pain but I am here and as long as I am breathing there is hope for a better life! Please if you can't help just passed this along your social media. That's a very important thing you can do and I am a real woman with a real need for this and I will ask any questions anybody has. I'm due to rewrite it and post an update but I haven't felt well the last two weeks from another problem the comes from non-functioning insulin receptors.

  41. Diabetes has no correlation to what you eat there is not been a double-blind peer-reviewed study that can make that correlation however the correlation is made between obesity and diabetes. You can be obese and not eat sweets and junk food.

  42. Glutony. Call it what it is. It is sinful to overeat and its greedy. Polynesian people need to realise that your stomach is not your God, learn to control it. Once you cannot control your appetite it has become your idol. Dont let anything have dominion over you but God!

  43. The humans that are truly responsible will truly answer for the destruction of these people. Everything on these islands is like a setup for death a trap to kill off the Samoans. Samoans must fight back with discipline if they love their children because they are the future.

  44. I’m Samoan and I never seen so much disease hit Samoa so much then it is now! I grew up around fit Samoans and maybe one big person , but that one big person was either wealthy or well known. Nowadays everyone can afford diabetes 😳

  45. I think it’s awesome that the Samoan people can eat all the sweets they choose and the government will take care of their health needs.

  46. Its quite interesting how their diabetes stats increased when they started importing more western food from NZ and other countries. Thats when all those junk food started popping up but i remember back in the day we always ate veggies and fruit cause you had to plant and cook it. So you basically sweat all day then cook your food. But now they just buy everything already made.

  47. They should be suspicious about modern medicine because it has no answers only drugs. And when I see the picture of what they tell diabetics to eat and in what proportions, my bloodpressure rises! A quarter plate for carbs? Are you kidding? Western medicine and eating guidlines are so stupid and dangerous. Kick the carbs and the processed foods out, load your plate on fresh stuff and fast. These people get killed with the best intentions from the med staff….

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