The Puerto Rico Department of Health estimated that 480,952 adults in Puerto Rico lived with diabetes in 2024, representing 17.8% of the island's adult population. ^[1] A study published 2026-10-28 in JAMA Network Open analyzed 285+ million person-years of US adult insurance claims from 2018 to 2024. ^[2] Diagnosed diabetes prevalence among insured US adults 18-64 rose from 8.99% in 2018 to 10.61% in 2024, an 18% relative increase. ^[3][6] Hospital Auxilio Mutuo held a diabetes awareness fair at its Hato Rey facilities on a recent Thursday, administering 112 glucose tests over a four hour period. ^[4] The US Centers for Disease Control and Prevention reported that in 2023, Puerto Rico and Guam had the highest age-adjusted diabetes prevalence among all US states and territories included in their report. ^[5] Study authors stated the data cannot confirm if actual blood glucose control worsened, or if detection/documentation improved. ^[7] Hospital Auxilio Mutuo medical director Víctor Gordo stated the hospital facade and fountain will remain lit blue throughout November in solidarity with people living with diabetes. ^[8]