Our mission

Ho'ola, meaning "to heal," is improving health outcomes for all men in Hawai'i by providing free blood pressure, urine dipstick, and BMI screenings in trusted community spaces — targeting the conditions that hit our communities hardest.

Men and medical care: a gap we can't ignore

72%
of men would rather clean toilets than go to the doctor
65%
avoid the doctor as long as possible, even with symptoms
50%
only half of men get regular checkups
37%
have withheld information from their doctor

Quick self-check

Which barrier sounds most like you?

Be honest — identifying the reason is the first step. Select one below.

Sources

Disclaimer: The statistics above are drawn from national U.S. surveys and may not fully represent the experiences of men in Hawai'i. Data reflects self-reported responses and should be interpreted as general trends, not clinical findings. Ho'ola Koa Men's Health does not endorse any third-party sources linked above.

Why Hawai'i needs this

These conditions don't hit everyone equally.

Diabetes, hypertension, obesity, and kidney disease are disproportionately affecting communities across Hawai'i.

Diabetes
~121k

adults in Hawai'i living with diabetes, with another 39,000 estimated undiagnosed.

37% of Hawai'i adults — about 410,000 people — have prediabetes.

Hypertension
1 in 3

adults in Hawai'i have high blood pressure — and most have no symptoms at all.

Native Hawaiian men face cardiovascular death rates 4× higher when combined with diabetes.

Kidney Disease
156k

estimated adults in Hawai'i with CKD. The state's kidney failure rate is 30% above the national level.

9 in 10 adults with CKD don't know they have it. A urine dipstick can catch it early.

Obesity
60%

of Hawai'i adults are overweight or obese — a major driver of diabetes, hypertension, and kidney disease.

Obesity is linked to 53% of new type 2 diabetes cases each year.

These conditions are connected.

Diabetes and hypertension are the two leading causes of kidney disease. Obesity drives all three. That's why our screening checks blood pressure, urine (for kidney damage and diabetes), and BMI — three tests that take 15 minutes and can catch problems years before symptoms appear.

Who's most affected

Native Hawaiian, Filipino, and Pacific Islander men face the highest rates of kidney disease, diabetes, and obesity in Hawai'i. End-stage kidney disease is 9.5× more prevalent among Native Hawaiians than non-Hispanic whites, and 88% of Hawai'i's dialysis patients are of Asian or Pacific Islander ancestry. These are the communities our screenings are built for.

Sources: Hawai'i BRFSS (2022); National Kidney Foundation of Hawai'i; American Diabetes Association, Burden of Diabetes in Hawaii (2024); TFAH State of Obesity Report (2025); CDC Preventing Chronic Disease (2020); USRDS Annual Data Report.

The real cost of skipping care

Cost comparison

Preventative Screening

$0

Blood pressure, urine dipstick, and BMI check. Takes 15 minutes. Know your numbers today.

vs.

Treating Unmanaged Hypertension

$2,759/yr

Average additional annual healthcare cost for adults with unmanaged high blood pressure — medications, visits, and procedures.

Source: CDC / MEPS 2024

That's $13,795 over 5 years — before accounting for a heart attack or stroke.

What's happening around you

How do you compare to other men?

1 in 2

men do not get regular checkups — meaning half the men you work with are flying blind on their health numbers.

69%

of men who have their first heart attack had undetected high blood pressure beforehand. No symptoms. No warning.

77%

of first strokes occur in people with high blood pressure — most of whom didn't know they had it.

Sources: Cleveland Clinic MENtion It Survey (2019); American Heart Association; CDC.

Risk timeline

What untreated high blood pressure looks like over time

No symptoms. No signs. Just silent damage building up.

30s

Feel fine

BP quietly rising. Zero symptoms.

35

Still no signs

Heart & arteries under strain. Still undetected.

40s

Damage accumulates

Kidney strain, thickened walls, fatigue dismissed as "getting older."

50+

Crisis point

Heart attack or stroke risk peaks. Men with hypertension at 50 live 5.1 fewer years on average.

Sources: Franco OH et al., Hypertension (2005); American Heart Association Heart Disease & Stroke Statistics 2024.

Programs & Services

Targeting diabetes, hypertension, kidney disease, and obesity.

Blood Pressure Screening

Free blood pressure check — the single most important number for preventing heart attack and stroke.

Monthly · Free

Urine Dipstick Screening

Simple urine test to check for early signs of kidney disease and diabetes — conditions that are often silent until advanced. Hawai'i's kidney failure rate is 30% above the national average.

Monthly · Free

BMI Measurement

Height, weight, and BMI calculated on-site with a clinical scale and stadiometer. BMI is a key risk factor for diabetes, hypertension, and kidney disease.

Monthly · Free

Health Navigation

One-on-one support navigating healthcare systems, insurance, and finding the right providers.

By appointment
Live Health Market

What are your odds?

Answer 5 questions. See your live odds update in real time.

Hypertension by 50
—%
Diabetes / Prediabetes
—%
Heart Attack before 60
—%
1 / 5 Answer to update your odds

How old are you?

Community Screening

Help us understand your needs.

Anonymous questions about your healthcare experiences. Takes 2 minutes. No names or contact info collected.

Take the screening 100% anonymous
Know your numbers

Blood Pressure Categories

Category

Systolic (top)

Diastolic (bottom)

Normal
Less than 120Less than 80
Elevated
120–129Less than 80
Stage 1 Hypertension

High Blood Pressure

130–13980–89
Stage 2 Hypertension

High Blood Pressure

140 or higher90 or higher
Hypertensive Crisis

Call 911 if you have symptoms*

Higher than 180Higher than 120

*Symptoms: chest pain, shortness of breath, back pain, numbness, weakness, change in vision or difficulty speaking. Based on American Heart Association guidelines.

Learn more about high blood pressure at heart.org

Normal
SystolicLess than 120
DiastolicLess than 80
Elevated
Systolic120–129
DiastolicLess than 80
Stage 1 Hypertension
Systolic130–139
Diastolic80–89
Stage 2 Hypertension
Systolic140 or higher
Diastolic90 or higher
Hypertensive Crisis

Call 911 if you have symptoms*

SystolicHigher than 180
DiastolicHigher than 120

*Symptoms: chest pain, shortness of breath, back pain, numbness, weakness, change in vision or difficulty speaking.

Learn more at heart.org

Fasting Blood Sugar Levels

0 100 126 180 200+
mg/dL
Normal
Less than 100 mg/dL
Prediabetes
100–125 mg/dL
Diabetes
126 mg/dL or higher
High Risk

Seek medical attention

180 mg/dL or higher

Values based on fasting blood glucose test. Based on American Diabetes Association guidelines.

Learn more about blood sugar at diabetes.org

Normal
Fasting blood sugarLess than 100 mg/dL
Prediabetes
Fasting blood sugar100–125 mg/dL
Diabetes
Fasting blood sugar126 mg/dL or higher
High Risk

Seek medical attention

Fasting blood sugar180 mg/dL or higher

Values based on fasting blood glucose test. American Diabetes Association guidelines.

Learn more at diabetes.org

Urine Dipstick — What We Check

A urine dipstick detects protein (albumin) and glucose in urine — early markers of kidney damage and uncontrolled diabetes that blood tests alone can miss.

Protein (Albumin)

Healthy kidneys keep protein in your blood. If protein leaks into urine, it's an early sign of kidney damage — often caused by unmanaged diabetes or high blood pressure.

Negative = Normal Trace or higher = Follow up
Glucose

Glucose in urine usually means blood sugar is too high for kidneys to filter it all. This can indicate undiagnosed or poorly controlled diabetes.

Negative = Normal Positive = Follow up

Abnormal results don't always mean disease — hydration, diet, and medications can affect readings. Any positive result will be reviewed with you on-site.

Learn more about kidney screening at kidney.org

Protein (Albumin)

Detects early kidney damage — often caused by diabetes or high blood pressure.

NormalNegative
Needs follow-upTrace or higher
Glucose in Urine

Can indicate undiagnosed or uncontrolled diabetes.

NormalNegative
Needs follow-upPositive

Abnormal results don't always mean disease. Any positive result will be reviewed with you on-site.

Learn more at kidney.org

Body Mass Index (BMI)

BMI is calculated from your height and weight. We measure both on-site with a clinical scale and stadiometer — no guessing.

18.5 25 30 35 40+
kg/m²
Healthy Weight
18.5 – 24.9
Overweight
25.0 – 29.9
Obese (Class I)
30.0 – 34.9
Obese (Class II+)
35.0 or higher

BMI is a screening tool, not a diagnosis. Muscle mass, age, and ethnicity all affect interpretation. We'll review your results with you in context. Based on CDC/WHO guidelines.

Learn more about BMI at cdc.gov

Healthy Weight
BMI18.5 – 24.9
Overweight
BMI25.0 – 29.9
Obese (Class I)
BMI30.0 – 34.9
Obese (Class II+)
BMI35.0 or higher

BMI is a screening tool, not a diagnosis. We measure height and weight on-site with clinical equipment.

Learn more at cdc.gov

Connect with us

Contact us to get support, volunteer, donate, or if you have a question.

Our healthcare partners

Pacific Primary Care