Diabetes is more common in Native Americans and Alaska Natives than in any other group. According to the American Diabetes Society, the likelihood of having diabetes is 2.2 times higher in Native Americans and Alaska Natives. The larger majority have type 2 diabetes, a condition usually influenced by environmental factors like poor diet and lack of exercise. If you are a Native American or Alaskan Native, it is important to work together with your doctor to discuss your risks and steps you can take to prevent diabetes.