Racism and Type 2 Diabetes in Sioux City: Dr. Julian Lee on Health Equity

Dr. Julian Lee joins Corey Dion Lewis to break down how racism shapes type 2 diabetes outcomes and trust in care for African American communities in Sioux City, Iowa.

You will hear:

• What aversive, structural, and overt racism look like in healthcare
• Why diabetes disparities persist and what the data shows
• How bias shows up in real clinical moments
• What systems can change now to improve outcomes and trust

This episode connects health equity, diabetes prevention, and community-driven solutions with a clear focus on action.

Show Notes
 0:00 – Introduction and welcome
 2:15 – Dr. Julian Lee’s work and why health equity drives him
 3:42 – How racism impacts diabetes outcomes in African Americans
 5:38 – Losing his father and the path to advocacy
 8:57 – Moving from awareness to action
 10:25 – Helping people care and respond with responsibility
 15:20 – Aversive, structural, and overt racism in healthcare
 20:06 – The curb cut effect and why equity helps everyone
 29:18 – Bias and stereotyping in clinical interactions
 33:03 – Structural changes that create accountability
 36:27 – Mistrust, history, and today’s realities
 40:49 – Key takeaways on diabetes disparities in Sioux City
 43:44 – Closing thoughts and how to connect with Dr. Lee

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