Western pacific region is frequently struck by nature disasters. The earthquakes and tsunamis in south asia and Japan as well as local instability are threatening the medical access for diabetic patients in affected regions. In the face of disasters we, as a young leader in diabetes, should stand firm and take actions to reduce loss of medical supply and life of people in our community. Effective mitigation requires that we all understand local risks, address the hard choices, and invest in long-term community well-being. Without mitigation actions, we jeopardize our safety, financial security and self-reliance.