The diabetes problem is reaching full roar in the Spokane-Coeur d’Alene region. More than 48,000 people are living with the chronic disease and another 114,000 are on the cusp as they struggle with obesity and sedentary lifestyles. It’s an epidemic that has grown along with the nation’s girth. Diabetes rates could double within 25 years, threatening to overwhelm hospitals, clinics, businesses, insurers, government and taxpayers, according to studies that analyze government reports. Educational campaigns and hard-fought regulations are considered a start in combating the problem – food labeling and tobacco restrictions, for example, that have revealed how unhealthy some foods are and chased smokers from public places.