Joined the programme in 2014

One of the fastest growing cities in the United States1, Houston is a sprawling urban landscape tied together by miles of concrete highways. Only 1.5% of the population walk or cycle to work2 and inactivity combined with unhealthy diets has resulted in one of the highest obesity rates in the country3.

Reducing obesity: an opportunity for change in Houston
Without action, the increase of adult obesity in Houston will continue along current trends. However, if weight distribution were to remain at 2017 levels and we could reduce the rate of obesity by 25%, Houston would see 149,000 fewer cases of type 2 diabetes and save almost 1.5 billion dollars in healthcare expenditure by 20454.

Cities Changing Diabetes launched in Houston in November 2014 with a comprehensive analysis of the major gaps and vulnerabilities associated with diabetes. The research identified the need to improve community involvement and promote positive health behaviours.

As a result, the Cities Changing Diabetes partnership launched the Faith and Diabetes Initiative, which uses the reach and influence of faith-based organisations to reach the most vulnerable people. These organisations deliver support and education to drive the prevention, detection and management of diabetes.

"Diabetes affects all Houstonians. The disease affects our families, our communities, our schools, our workplaces, our places of worship and ultimately our economy. There are steps we can take to confront and reduce the number of people impacted by this growing epidemic."

 Sylvester Turner, Mayor of Houston.


Download Houston fact sheet

Download Houston case study

The Faith and Diabetes Process Blueprint


Forbes. America’s fastest growing cities 2015. Business 2015;‑houston‑texas‑2/ ‑ 124b6be04ece. Accessed July, 2017.


2013 Downtown Commute Survey. Houston, TX: Central Houston, Inc; 2013.


WalletHub: 2017 Fattest Cities in America. 2017;‑cities‑in‑america/10532/. Accessed August 2017


Cities Changing Diabetes. Diabetes Projection Model, Houston. Data on file. Novo Nordisk. In: Incentive, ed. Holte, Denmark 2017.