www.nada.ca

December 2012

CHAIRPERSONS ADDRESS

Welcome to the December 2012 issue of the NADA

newsletter! Christmas and New Year are just around the

corner.

NADA organized a special World Diabetes Day event

on November 14 in partnership with Kidney Foundation

of Canada, Manitoba Branch, and Aboriginal Health &

Wellness Centre in Winnipeg. The event featured

speakers on footcare, mental health, nutrition, kidney

assessments, exercise physiology, eyecare, footcare,

pharmacare and diabetes management as well as hosted

a variety of booths where the attendees could ask ques-

tions from the qualified health professionals and phar-

macists. NADA had over 80 attendees and the event

was a great success. We are planning to build on this

success in preparation for future events like this one.

NADA has finished transitioning to digital communication, and we are pleased to

provide this newsletter to you digitally. Now you are able to print as many copies

of the newsletter as you wish and can even forward it to your co-workers and

friends. Additionally, we are launching “Diabetes Resource of the Month.” Each

month you will receive a special diabetes resource handpicked by the NADA staff.

We are excited to provide this benefit to our members and partners.

In closing, I encourage you to visit our website at www.nada.ca frequently. We

have been working hard to upload new resources and information on diabetes. On

behalf of the Board of Directors, I wish you happy holidays during this special time

and magnificent season.

Miigwech

Catherine Turner

Inside

From Executive Director

Amazing Race

Journey to Wellness

Research in Childhood T2

Diabetes

Announcements

Christmas and Diabetes

SOADI Footcare Program

Extraordinary event

www.nada.ca

Page 1 December 2012

Countdown to IKEA: There’s More to it Than Swedish Meatballs

By NADA Executive Director Anita Ducharme

I think that it’s fair to say that all of Manitoba and its neighbouring provinces were excited

about IKEA, the largest in Canada, coming to Winnipeg. The local “buzz” started years

ago with the initial announcement that IKEA was coming, but the enthusiastic conversa-

tions and media coverage were front page news for the past six months creating a riot of

activity and plans for its opening day.

Well, the opening day has come and gone and all the “hype” about the shopping experience

still resonates in most staff rooms and dining room tables. Clearly, the IKEA launch into

Winnipeg was a resounding success! So, it begs the question, what made it such a success

and what lessons can be applied to the activities that you are involved with? There is no doubt in my mind that

success is not happenstance, left up to chance or caused by accident. Behind every success story are many

little steps or plans. Each step or plan has its own special goals or targets, such as planning for opening day,

doing a test run and advertising progress to date. It’s important to understand that these are pillars for success

and we can adapt these steps to match our own personal goals.

For instance, the holiday season is around the corner and for many this is a time for celebration, reflection,

giving and sharing. After the holiday season, many people make New Year’s Resolutions that may focus on

healthier lifestyle, weight loss and increasing physical activity. Improvements in those three areas will greatly

address prevention, intervention and complications of diabetes. So, just like IKEA, you can apply their steps

to success and incorporate them to help you reach your goals. Let’s get started!

Have a plan: Write down your goals, add a start and end date. Goals are important to help you talk

about and measure your successes. For instance if you were able to walk 30 minutes 7 days a week,

that is a success. A start and end date can help you prepare and gear up for the challenge, keep track

of your progress and measure your success.

Make a list: List the activities that you want to participate in. For example, you might want to cook

your meals and reduce the number of times that you eat out or you might want to join a recreation

league.

Set your Targets: Make your targets or goals achievable, timely, and measureable. For example, if

you are going to increase your physical activity by walking every second day, then prepare yourself

to go walking outdoors, in a community gym, or the mall on Monday, Wednesday, Friday, etc. Time

yourself, see how far you go. At first it might not be too far, but you will see by the end of the week

that your distance will increase. That is a success story.

Talk about It: Share your ideas, goals and successes with your friends, family, or exercise buddy.

People are interested in what you do and do want to you to succeed. For instance, let them know that

you reached your goal of walking every second day of the week.

www.nada.ca

Page 2 June 2012 Page 2 December 2012

Add more activities or ideas: It is necessary to stay fresh and by changing up your routines or

recipes is all it takes. Change is good.

Have a Countdown: Keep your friends and family interested in your progress. Tell them your start

date. Start getting ready before the big day. Do little things like stretching or trying a new vegetable.

Keep up the good work: Keep going, keep going, keep going. The consistency will help your mind,

body and spirit form new, healthier habits.

Enjoy Yourself: Review your progress especially when you arrive at your end date. For instance,

how did you do? Did you accomplish your goals? Did you follow your plan for the time frame that

you established? Were there any challenges? What were they? Were there any successes? What

were they?

Make changes: If there were many challenges, decide what changes need to be made to overcome

them. Make a new plan.

Keep active: By having a plan and sticking to it, you will reap positive outcomes. Stick to it. Find

out what works for you and pursue it.

As you gear up for the holidays, remember to do something special for yourself by eating well and staying

active. Season’s greetings to all.

To help you get started, use MY CHART, which is found on the NADA website: http://www.nada.ca/wp-

content/uploads/1045.pdf

For more information on budget friendly recipes visit: www.eatrightontario.ca/en/budget.

For more information on physical activity visit: www.justmoveit.org.

www.nada.ca

Page 3 December 2012

Amazing Race

By Melita Paul and Darlene Wall

NunatuKavut’s “ Learning For Life ~ Preventing Diabetes” & “Full

Circle Breaking ~The Cycle of Drug Use” projects partnered with the

Community Youth Network and Southern Labrador Family Centre,

and Calvary Pentecostal Tabernacle to host an Amazing Race event in

Port Hope Simpson. Funding was provided for this event by Health

Canada. Thanks to all the partners for this event!

Fourteen energetic youth paired up in teams of two and participated in

the event while 3 other dedicated youth volunteered at one of the

station stops for the afternoon. It was a fun time with lots of exercise

while also learning about living a healthy lifestyle. The youth were sent throughout the town following leads

that were given at each of the 6 station stops. They had several detours and roadblocks along the way. Their

physical endurance was challenged along with their ability to interact with members of the community such as

asking their mayor her year of birth or having a picture taken with an Elder or carrying a bucket of water from

one station stop to another. All of the youth agreed it was a fun event and some of them said what they en-

joyed the most was, “teaming up with another youth and working together”, while another said they didn’t en-

joy eating the “drowning ant” concoction that they chose at a roadblock challenge. We finished up the event

with a healthy snack. It is those type of events that give the staff of NunatuKavut ‘s Health and Social Sector

the opportunity to promote holistic health such as the importance of being active and also the importance of

interacting with peers and members of their community. We look forward to continuing to carry out events for

youth in NunatuKavut communities and we encourage each youth to become more involved in those types of

events!

If you would like more information about this event or have suggestions for future events please get in contact

with: Darlene Wall at dwall@nunatukavut.ca, Sherry Turnbull at sturnbull@nunatukavut.ca or Melita Paul at

mpaul@nunatukavut.ca.

www.nada.ca

Page 4 December 2012

Journey to Wellness: Learning to Make Healthy Choices in the Face of

Diabetes

By Ontario Native Women’s Association

“You can transform your life, regardless of the circumstances you were born into.” That’s the main message Bossy Ducharme shared at the “Journey to Wellness” workshops hosted by the Ontario Native Women’s Association (ONWA). November 14th of each year marks World Diabetes Day – a day to raise global awareness about the climbing rates of the disease and how to prevent it. This year, ONWA joined the battle against Diabetes by hosting Diabetes focused workshops inspired by Bossy Ducharme’s message of “Reclaiming Spirit through Traditional Diet”. ONWA was enthusiastic about hosting the two-day workshops – one geared to-wards adults and one towards youth – because of the overwhelming need to raise awareness. “Diabetes is affecting our Aboriginal youth with children as young as 5

-8 years of age being diagnosed with Type II Diabetes” states Bonnie Wilson, Sugar Disease Coordinator, ONWA. In her role, Bonnie is working to educate and inform Aboriginal*, Métis and Inuit youth across the province of Ontario about the dangers and risks associated with Type II Diabetes. “We held the Journey to Wellness workshops as a way to not only recognize World Diabetes Day, but to stress the importance of a healthy lifestyle and a clean diet,” says Robert Fenton, Aboriginal Diabetes Worker, ONWA. “Diabetes is a disease that plagues Aboriginal peoples at significantly higher rates than non-Aboriginal people. It’s become an epidemic within Aboriginal communities and ONWA, in partnership with other Aboriginal agencies, is working hard to combat it.” Ducharme, who was invited as the guest keynote speaker for the event, began a traditional diet in 2010 eating only foods indigenous to “North” America Pre-European Contact for a period of one year. He speaks from experiences that others can relate to and about the challenges of eating a traditional diet. Workshop participants were inspired to make a change in their lifestyles after sharing in Ducharme’s story of his path to health. In June of 2007, an overweight Ducharme was informed by his doctor that if he didn’t make a serious change, he would likely become the victim of a heart attack or other serious health problems. Through changing his diet and embracing his traditional roots, he has since lost 80 pounds and is now the pic-ture of health. Ducharme teaches that we can all slowly implement changes in our own diets that can drastically improve our health. Embracing foods indigenous to North America pre-European contact can help Aboriginal peoples who are living with, or at risk of developing Diabetes, restore their health and wellness. “Diabetes is a serious disease that can cause serious health conditions, even resulting in death,” states Fenton. “Aboriginal communities and agencies need to take notice of the severity of the issue; together we can make a difference and restore our people to the path of wellness.” For more information about ONWA, please visit www.onwa-tbay.ca.

*”The author is referring to First Nations and many other tribes in Ontario other than First Nations.”

www.nada.ca

Page 5 December 2012

Looking forward to prevention: Research in childhood type 2 diabetes

Brandy Wicklow. MD., Elizabeth Sellers., MD. Heather Dean., MD The Diabetes Education Resource for Children and Adolescents

(DERCA), Winnipeg, Manitoba

The number of children (< 18 years of age) with

type 2 diabetes is increasing in Canada and around

the world. In Manitoba, we see more children with

type 2 diabetes (T2D) than anywhere else in Can-

ada. In fact, in Manitoba we see more children each

year diagnosed with T2D than type 1 diabetes

(T1D). 87% of the children in Manitoba with T2D

are of self declared First Nation heritage. Currently

there is at least one child diagnosed with T2D in 54

out of 64 First Nations communities in Manitoba,

meaning that T2D in childhood affects a very large

number of communities. Since it is so widespread,

community based prevention programs and/or treat-

ment programs must also be widespread across the

province. We know that an important risk factor for

the development of T2D in children is when the

mother had T2D diagnosed before pregnancy.

In fact, T2D diagnosed before pregnancy in the

mother is a stronger risk factor than either TID in

the mother before pregnancy or gestational diabetes

diagnosed during pregnancy. It is not clear why

T2D before pregnancy puts the infants at higher

risk, and researchers are examining what part of the

risk genetics, the environment in the womb, and the

environment outside of the womb contributes. We

also know that the only exposure that protects the

infant from developing T2D in childhood is breast-

feeding. When mothers only feed their babies’

breast milk for the first 6 months of life, their babies

are less likely to become obese or develop T2D as

children. As the rates of T2D in children are in-

creasing it is very important to study why more

children are developing T2D and what we can do to

prevent it.

The teams of physicians and researchers at the

Diabetes Education Resource for Children and Ado-

lescents (DERCA) and at the Manitoba Institute of

Child Health (MICH) have formed an exciting part-

nership with community representatives to answer

research questions including: What puts children at

risk of early onset T2D?; and Where should efforts

at T2D prevention be focused? Together the Univer-

sity of Manitoba and MICH have partnered to invest

in research in T2D and we are very pleased to an-

nounce the new Diabetes Research Envisioned and

Accomplished in Manitoba (DREAM) research

theme. One of the studies supported by this theme is

looking at the risk factors in pregnancy and after

pregnancy that puts the infants of mothers diagnosed

with T2D in childhood at risk of developing obesity

and T2D. In 2003 the young adults who followed at

the DERCA agreed to have their pregnancies and

their children followed as they grew up to look for

the development of obesity and T2D in the children.

The group of infants and children was called “the

Next generation birth cohort”. We now follow 132

children of 50 mothers and 7 fathers all of whom

were diagnosed with T2D as teenagers.

In this group of children (all 10 years of age or

older), approximately 60% are obese and 35% have

already developed T2D. The goal of one of our cur-

rent studies is to find out which risk factors are the

most important in developing T2D in childhood. The

risk factors we are looking at include the environ-

ment inside the womb while the infant is developing

(including high blood sugar and high blood choles-

terol), and the environment of the babies after they

are born (feeding practices, exposure to smoking

etc). Our other goal is to start a community based

breastfeeding program for mothers and their new-

borns in an effort to prevent future obesity and T2D

in their children. We are excited to be able to con-

tinue to work together to figure out what puts chil-

dren at risk of developing T2D and what we can do

to stop it from happening. We plan to continue to

increase the current group of mothers, fathers and to

help us to determine which risk factors are most im-

portant in the development of T2D in childhood and

whether feeding infants only breast milk in the first

6 months of life protects them from developing obe-

sity and/or T2D.

www.nada.ca

Page 6 December 2012

Effective October 31, 2012, our membership for community members and frontline workers is free of

charge. You may obtain the Membership Form on our website at www.nada.ca or on the back page of

this newsletter. Simply fill the form out and send it to us by fax it at: (204)927-1222 or email at:

diabetes@nada.ca.

Please be advised that effective October 31, 2012, NADA switches to digital communication to deliver

diabetes resources in a more efficient and timely manner as well as for the purpose of being

environmentally friendly. In particular, the NADA newsletter will be emailed 6 times a year and

members are responsible for ensuring that we have correct email on file. For more information please

contact the NADA office by phone at: (204) 927-1220 or by email at: info@nada.ca

NADA is excited to announce the launch of

“Resource of the Month.” Each month our members

and partners will receive a special diabetes resource

handpicked by the NADA staff. Please ensure that

we have a correct email address for you on file by

phoning (204) 927-1220 or emailing info@nada.ca.

The Kidney Foundation of Canada, MB Branch,

and NADA are asking the public to donate

running shoes for children living in Garden Hill

First Nation. The drive takes place now until

December 30, 2012. Both organizations will

gather new or gently-used shoes for children ages

8 to 12 (grades 3 to 6). The shoes will be deliv-

ered to the children of Garden Hill in January

2013, in time for their new school term. Please

drop your new or gently-used running shoes to

either of the following locations in Winnipeg

between the hours of 8:30am and 4:30pm:

The Foundation’s office at 1-452 Dovercourt

Drive (near Waverly and Scurfield)

The NADA office at B1-90 Garry Street (just

south of Broadway)

World Diabetes Day

NADA, in partnership with the Kidney Foundation of

Canada, MB Branch, and Aboriginal Health & Well-

ness Centre, organized a special event on November

14, 2012. To see video highlights if the event go to

http://www.youtube.com/watch?v=XJdiisrBdBA

Page 7 December 2012

Christmas and Diabetes

Christmas can be a month of overeating, and that means an average

weight gain of 3-5 lbs for a man, and an average weight gain of 2-3

lbs for a woman.

The trouble is, it is so difficult to lose the weight after Christmas.

Weight gain grows year after year, and this can lead to diabetes.

It doesn’t have to be this way. You can plan ahead to manage your

diabetes and weight gain over the Christmas holidays.

Here are a few ideas to help you.

Plan ahead. Christmas means more family and friends visiting and more food and drinks shared. So it

takes more control to not overeat the special Christmas cookies and cake or over-drink alcohol and the

sweetened coffees. The more you eat, the more you want. Sugar and fat are very addictive.

Plan to eat your regular meals. Eat your usual breakfast and lunch, and where possible your usual snacks

and dinner. Offer healthy food platters to balance the trays of sweet treats. Try: vegetables with a low-fat

sour cream dip, shrimp and dip, smoked salmon or oysters on crackers, light seasoned popcorn, and a

punch made with diet beverages.

Plan how much you are going to eat, including desserts. Plan not to eat a second helping of Christmas

dinner. Decide to have no-more-than two alcohol drinks. Have only one or two pieces of dessert. Plan to

put on the brakes.

Plan for exercise. Exercise takes you away from the food. After the big Christmas dinner, say “who wants

to go outside and play?” Plan for outdoor play activities: build a snow fort; throw snowballs into a bucket

for points; build a snowman; slide on an easy hill; even throw a Frisbee back and forth; run around and play

tag. Dress warmly and walk around with the children to see the Christmas lights of your neighborhood.

Page 8 December 2012

Karen and Janice’s Suggestions for Healthy Christmas Gifts:

Gifts costing under $10

Hand weights or resistance bands

Tickets to skate, go to the gym or swim at your local recreation centre or arena

Water bottles, sunscreen, and socks Gifts costing under $25

An exercise video

A music CD with a great beat to inspire one

to do chair exercises or dance

Car cleaning and polishing kit

Neck and shoulder bean bag pillow (microwave to ease sore muscles)

Sports bag, swim suit and special towel

Clothing and gear for the fisherman, hunter and trapper

A gardening gift basket, with a trowel, gardening gloves and vegetable

seeds

A gift basket of herbal tea, low-calorie

drink mixes, and light hot chocolate

A gift basket of one-step, low-sodium spice

blends to shake on salmon, chicken, meat

and vegetables

A diabetes cookbook or health book. Order one of Karen’s books www.karengraham.ca.

Other great books can be found at

www.amazon.com

Gifts costing $50-$100

A CPR lifesaving kit (contact your local

heart organization)

A mini-peddler; see page 208 of Karen’s

book The Complete Diabetes Guide, for a

photo and description

Nordic walking sticks; see page 205 of The

Complete Diabetes Guide, for a photo and

description

A good pair of walking shoes

Nintendo Wii games

A one month gym membership

Gifts costing over $100

A recumbent bike which has a comfortable

wide seat and back support

A treadmill

Gifts for Children

Keep them active and safe

for outdoor play all year round

balls of all kinds (soccer, basketball, volleyball,

and football)

baseball bat, mitt and ball

bean bag tossing games

Velcro ball catch games

badminton rackets and birdies (don’t need a

net)

set of bowling pins and balls

wiffle balls (plastic balls with holes in them)

and plastic bats or plastic golf clubs

frisbees come in different styles and colours

hoola hoops and jump ropes

water wings, floating toys and life jackets

set of flippers, mask and snorkel for the swim-

mers

beach set of buckets with hand shovel and rake

rollerblades or skateboards with safety pads

bicycles, tricycles, wagons

safety and fun gear for bicycles: helmets, han-

dlebar tassels and bells, soft seats, baskets, and

reflectors

fishing tackle and poles (children sizes)

butterfly net, water net, magnifying glass and

bug containers

child size shovels and rakes (help you in gar-

dening)

books on animals, birds, insects, weather and

stars

Page 9 December 2012

The Southern Ontario Aboriginal Diabetes Initiative Foot Care Program’s vision is to support Aboriginal communities working to decrease the high incidence of diabetes and its complications through prevention, intervention, and management activities. The holistic Foot Care Program has four components available in order to help educate and provide the proper tools needed for the com-munity to practice preventative foot care.

Self-Care and Prevention Resources: we have available a self-care resource kit which we give out at our different events throughout southern Ontario and have available on our website (www.soadi.ca). These resources are to empower individuals to respect and care for their feet. Items that come in this kit are; mirror to check the bottoms and all around your feet, soap to wash, lotion to apply after drying in and all around your toes and feet, a foot file to eliminate the dead skin and calluses, a footsie bristle brush to clean under and around your nails, a first aid kit, diabetic socks, a Foot Care DVD, and other different diabetic/foot care education.

Annual Foot Events: The annual Foot Care Event travels to various Aboriginal communities upon request. We work with community organizations to set up and host a full day of foot care assessments, and treatments with Chiropodists, Foot Care Nurses and Reflexologists. We also bring in different presentations, activities, self-care resources, and speakers on related topics. This full day of assessment, treatment and education is a great way to learn more about diabetic foot care and preventative self-care management.

Foot Care Subsidy: Aboriginal communities who are living with diabetes, and have current foot concerns, high risk under the LEAP ranking, and whom do not qualify for any other funding resources are SOADI’s main pri-orities for continual support regarding treatment and foot care devices. This part of the program is designed for people to independently go to the chiropodist office for treatment.

Foot Care Ongoing Clinics: this part of the program is very simi-lar to the subsidy program with the priorities as well as the contin-ual support regarding treatment. Ongoing clinics are set up within the Aboriginal community by working with Aboriginal organiza-tions to host the clinic every 6-8 weeks with a service provider who travels into the community. This allows education for all cli-ents from SOADI, as well as the different programs from the or-ganization who is hosting the clinic. Ongoing Clinics create a sense of belonging with the group and enables group learning for proactive steps with foot care and healthy lifestyles.

Many areas have benefited from the foot care program and we continue to provide education, treatment, and workshops that will help our Aboriginal communities to learn more about diabetes prevention, management and how to properly care for themselves. Through our proactive measures our community members learn to live healthy and avoid the complications of diabetes.

Southern Ontario Aboriginal Diabetes Initiative

Footcare Program

Page 10 December 2012

Extraordinary Event

By Bernadette Restoule, Dokis First Nation

I am a 63 year old Ojibway woman and I have had diabetes for 21 years. At the beginning, I attended com-

prehensive diabetes initiation classes and was very strict with myself. But as the years went by, I became re-

laxed and as people do, I let myself go. I gained weight, became non-active and ate everything I wanted. Of

course, we all know what happens over time. Over the years I had regular visits with my doctor and he al-

ways told me that I needed to watch what I ate.

In January 2012 I had an appointment with my optometrist. He told me he was concerned that I had a small

blood drop in a vein in my left eye. I asked him “how I could fix it. Or can it be fixed?” He told me that I

probably would not be able to. I asked him what I should do. He then said I should eat more fish, greens

and any other foods high in omega 3 to help prevent age-related macro-degeneration which was also occur-

ring.

As a community diabetes educator, attending meetings and conferences, I knew I had to get active and watch

my weight to ensure good control of my diabetes.

After getting the news about my eye, I realized that I probably wasn’t doing the best job of controlling my

diabetes. I took my optometrist’s advice to heart. I increased my active living by exercising and walking.

My husband helped me a great deal and when he cooked he found foods high in omega 3 and stopped cook-

ing what we often refer to as “comfort foods”, those high in fat and loaded with carbohydrates.

Three months later, I was nervous when I went to my follow up appointment and my doctor dilated my eye

to check how it was. He came back three times and finally sighed. I asked him, “is there something

wrong?” I thought the worst. He said he had to take another picture of my eye. He brought up my first one

from January on the computer, and then he brought up the second one. I looked and looked, but I said, “I

don’t see the blood.” The doctor said, “That’s right. It’s gone. You did it, you cleared it up.” I was ecstatic!

He asked for permission to share this with other optometrists as an example that it is possible to clear up this

sort of problem.

I have been told to share this with others, and I hope this helps others because I’m so very fortunate that I

was able to change my habits, fix my eye and be able to see my sons, granddaughters and especially my

great grandson for a long time to come.

For more information please contact: Lindsey Cosh Foot Care Coordinator Southern Ontario

Aboriginal Diabetes Initiative 8 Clairmont St. Unit 2, Thorold, Ontario L2V 1R1 Ph: 1-888-514-

1370x102 C:289-668-0551 fx: 1-866-352-0485 www.soadifootcare.ca

B1-90 Garry Street

Winnipeg, Manitoba,

R3C 4H1

Phone: (204) 927-1220

Toll Free: 1-877-232-6232

Fax: (204) 927-1222

E-mail:diabetes@nada.ca

Get Involved

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ters 6 times/year through email;

Be the first to be informed on new diabetes resources through our “Diabetes Resource of

the Month”;

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site;

Be eligible to vote at NADA’s Annual General

Assembly;

Be informed of conferences and events that

are being held across the country;

Know that you are contributing to the suc-cess of NADA so we can address diabetes in Aboriginal people as a priority health issue

through advocacy and education

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National Aboriginal Diabetes Association

Board of Directors

Erin Rowsell, BC

Yvan Michon, QC

Melita Paul, NL

Leon Simard, MB

Dilly Knol, MB

Treasurer

Troy Paul, MB

Past President

Roslynn Baird, ON

Secretary

Virgil E. Nathaniel, MB

Chairperson

Catherine Turner, BC

IF YOU HAVE NOT RENEWED YOUR

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