City Health is celebrating increased diabetes screening rates but warns that more young people are developing the disease due to poor lifestyle choices made during their teenage years.
On World Diabetes Day, health officials are calling for greater awareness as new statistics reveal alarming trends affecting South Africans in their twenties.
“More and more people in their twenties are being diagnosed with diabetes, and the cause is often the choices they made as teenagers,” said City of Cape Town Mayco member for community services and health, Francine Higham.
“Healthy food choices and regular physical activity can greatly reduce the risk of developing Type 2 diabetes. You’re not too young to start making better choices for your health.”
Diabetes is the second leading cause of death in South Africa after tuberculosis, affecting millions across the country. While historically associated with older people, Type 2 diabetes is increasingly striking younger individuals.
In the past financial year, diabetes screenings at City clinics for the 18 to 44 age group rose by just over 4% to 132 518, identifying 425 new diabetes patients.
This year’s World Diabetes Day theme, “Diabetes and the Workplace”, emphasises that with proper care, education and support, people living with diabetes can thrive at home, in their communities and at work.
Prevention starts with daily choices
Health experts stress that diabetes prevention begins with everyday decisions across all life stages. Young people should choose water over sugary drinks, eat fruits and vegetables, maintain a high-fibre diet and stay active to build lifelong healthy habits.
Adults need to manage stress, avoid excessive fast food and eat balanced meals to maintain healthy weight and prevent chronic diseases. Older residents should continue eating balanced meals and staying active to support blood sugar control and overall vitality.
Workplace support crucial
Employers play a vital role in supporting staff health, officials say. Companies can create supportive work environments that promote physical activity and access to healthy meals, encourage regular health screenings and wellness days, and ensure staff have access to mental health support.

“With the right support, information and understanding, people with diabetes can lead full, active lives,” Higham added.
“By raising awareness at home and in the workplace, we can help prevent new cases and ensure that those living with diabetes receive the care and respect they deserve.”
Community call to action
City Health is urging all residents to make one small healthy change – whether taking a walk, swapping sugary drinks for water, or packing a balanced lunch.
“Together, these small steps can lead to a healthier, more resilient Cape Town,” officials said.
As part of the global awareness campaign, the City encourages residents, staff and partners to show support by wearing blue and sharing messages online using #WearBlueforDiabetes.
City Health clinics continue promoting balanced eating, regular screening and early detection.
Visit your nearest City Health clinic or go to www.capetown.gov.za/Departments/City%20Health%20Department for more information.



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