While these numbers are shocking (and honestly, quite terrifying) there’s some optimism to be shared: Type 2 diabetes is preventable.

That said, we’re dealing with a metabolic health crisis in the United States and around the world. So, accepting the “obesogenic way our environments are designed and the inequitable way we organize our resources and societies,” as researchers from the Lancet review so eloquently put it, is not an option if we’d like to optimize the metabolic well-being of humanity moving forward.