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In this article, I investigate how diabetes-related risks are experienced and managed in Fiji. Neoliberal discourses implore patients to be risk-averse and blame poorer Indigenous (iTaukei) people with diabetes for "irresponsible" treatment choices and medication "noncompliance." Drawing on ethnographic fieldwork conducted during 2015-16, I suggest lower-income iTaukei people with diabetes face multiple layers of risk in everyday life beyond biomedical definitions, including spiritual threats; cultural politics; and limited healthcare access. People with di