TOPIC: Epidemiological study of Diabetes in the Marshall Islands PURPOSE: To aid in the development of a comprehensive Diabetes Hea ith Care Syscem in the Marshall Islands. GOAL : To determine lifestyle factors associated with Diabecds in the Marshall Islanders. GIVEN: The prevelence of Diabetes in the Marshall Islands (from igicial health and medical history questionnaird. CASE CONTROL STUDY: Cases = All known cases diagnosed by a positive answer to question: “are you taking Diabetes medication?’ ie eicher pil! $ or insulin. Options 1. 2. The case group may consistof a random sample of JOOO instead of all cases. The case group may consist of 2 subgroups of Dial indigenous and westernized. etics Controls = Sex, age, race, matched controls without Diabedes diagnosed by a negacive answer to above quescion. Variables Measured Life Scyle L. Diet (measured by 24 hour dietary recall or Wy daily log) a. Simple Carbohydrate Intake b. Unrefined Complex Carbohydrate Intake c.. Dietary Fat Intake 2. Regular cardiovascular exercise. 3, Biochemical data e.g. Urin & Blood Sugar Food Sources Water Sources Geographic residence local L. Island of longest residence 2. Island of birth 3. Urban or rural