Diabetes in the Ethiopian-Israeli community — prevention and management

The data: why the community is at high risk

According to MoH and CBS data (2024), 17% of Ethiopian-Israelis have diabetes — the highest rate among any Jewish group in Israel (national average: 9.5%). Key drivers: the metabolic shift from traditional high-fiber, low-fat Ethiopian diet to processed Western food; limited access to preventive care due to language barriers and rigid work hours; and research linking chronic racism-related stress to increased insulin resistance (Kaplan Medical Center, 2021).

Tests you are entitled to — at no cost

HbA1c (glycated hemoglobin) is available twice a year at no cost for anyone over 35 or with risk factors. Ask your GP for a referral to "HbA1c — pre-diabetes." Fasting glucose is part of the annual general checkup. Blood pressure and BMI checks are available free at Tene Briut clinics.

Clalit programs in Ethiopian communities

Clalit runs a "barrier-breaking pathway" with Amharic-speaking nurses in Netanya, Lod, Rishon LeZion, Haifa, and Beersheba. The prevention program includes free dietitian meetings, monthly measurements, and Amharic-language healthy-cooking workshops.

Injera and diabetes — the nutritional guide

Traditional teff injera has a moderate-to-high glycemic index (~79). It is not necessary to stop eating traditional foods — balance with more legumes (misir-wot is excellent at GI ~27), vegetables, and protein.

Sigd fasting and diabetes

Diabetics using insulin or certain medications must consult their doctor before fasting. Specific guidance is available from Clalit for Israeli religious holidays.