Diabetes is a serious public health problem in Mexico with a particular concern in Isla Mujeres. With its sparkling beaches, delicious ceviche, and dazzling sunsets, the Caribbean island of Isla Mujeres in Quintana Roo, Mexico, is paradise to all; nevertheless, an estimated 80 percent of the population has Type 2 diabetes. In a primarily isleño (islander) population, I conducted a mixed method ethnographic study that integrated an anthropological lens with an applied research design. The rate of Type 2 diabetes within this population highlights the need to include in-depth, qualitative exploration of local context, social environment, and isleño culture when considering how to create change. Clinical data, formal and informal interviews, and surveys reveal the need to improve accessible patient education programs. The focus of this ethnography study is to understand the cultural and societal domains of food as a social practice, nutrition, and education that have led to this food-related disease.

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