1053: Preventing Diabetes and Improving Access: Food, Insulin, and Public Health Policy

Diabetes remains one of the most serious and costly chronic diseases facing communities today. In this episode, ASTHO Vice President of Community Health and Prevention Christi Mackie breaks down the differences between type 1, type 2, and gestational diabetes, common symptoms parents should watch for, and why routine screenings are essential. The conversation focuses on prevention and management of type 2 diabetes, highlighting how public health and healthcare systems intersect through nutrition, physical activity, and policy initiatives such as food-as-medicine programs and SNAP waivers. The episode also examines ongoing challenges with insulin affordability and shortages, as well as growing state efforts to limit ultra-processed foods—particularly in schools—as part of a broader, systems-based approach to improving long-term health outcomes.Policy Trends Shaping Healthy Food and Chronic Disease in 2026 | ASTHOMeeting Home PageOrganizational Strategic Planning Guide | ASTHO