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DIABETES PRESENTATION. Canadian Diabetes Association Summit. Presented by: Cathryn Mandoka, AIAI Health Director. Historical Background. Unknown to FN in Ontario prior to 1950 ’ s.

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DIABETES PRESENTATION

Canadian Diabetes Association Summit

Presented by: Cathryn Mandoka, AIAI Health Director


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Historical Background

  • Unknown to FN in Ontario prior to 1950’s

  • Eight-year old Ojibway/Potawatami girl diagnosed in 1957. First in community to be diagnosed with maturity onset Type – 2. Caused blindness, severe weight gain.

  • Regime included: glucose tolerance testing, urinalysis, drastic weight reduction, hospitalization

  • Introduction of traditional medicines and prayers – new diet and lifestyle changes


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Historical Background

  • During this era Southern Ontario First Nations were introduced to Community Health Clinics held on reserve.

  • Diabetes is believed to be the result of First Nations being forced onto reservations, limiting the practice of wild game – hunting, fishing and trapping.


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Prevention Statement

Through proper nutrition, weight control and exercise, one can strive to prevent the onset of diabetes


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Treatment Statement

  • Regime changed overtime – hypoglycemic drugs - became insulin intolerant. Child birth resulted in weight gain.

  • Endocrinologists - an asset

  • FN glucose tolerance significantly higher than non-native pop. (30+)


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Future Generations

Diabetes impact on four generations

  • Highlights Regional Health Survey- 2002/03

  • Ontario First Nations

  • Chronic Disease-About one in 5 adults (20%),age-adjusted had diabetes. Among those 55 yrs.+is-1/in3 (36.4%).

  • Diabetics-88.7%- complications hands/feet-37.1%, vision-36.8%-circulation-21.6%,lower limbs-20.9%,kidney function-15.9’%, infections-14.7%, heart-11.3%


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Practical Tips

  • Use New Clean Needles for every insulin injection

  • Dull Needles can cause skin infections and bruising


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Political Statements

We will always insist that we have our treaty rights for Health care and services, thus make the required medications and devices available for today and future generations.


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