This Diabetes Program is funded out of “The Special Diabetes Program for Indians” grant that is currently a $150 million per year grant program that provides funding for diabetes treatment and prevention services at 399 IHS, Tribal, and Urban Indian health programs in all 12 IHS Areas across the United States.The Special Diabetes Program for Indians (SDPI) Community-Directed Diabetes Programs for American Indian and Alaska Native communities:
- Provides grants to 338 IHS, Tribal and Urban Indian health programs in 35 states to implement diabetes treatment and prevention services and programs.
- Focuses on effective evidence-based intervention strategies using the Indian Health Diabetes Best Practices.
- Uses a broad, community-based public health approach to diabetes treatment and prevention for American Indians and Alaska Natives.
- Identifies and develops services and activities that address their own specific local concerns and needs.
The Diabetes Prevention Project targets American Indians and Alaska Natives at high risk for developing diabetes. This project focuses on preventing diabetes through lifestyle changes, such as exercise and weight loss.
Objective and Activities:
The diabetes program’s goal is provide an opportunity to educate diabetics, pre-diabetics, hypertensive, and high-risk individuals on healthier choices to live healthier functioning lives with the help of education classes and lifestyle coaching.
The diabetes program will:
- Increase awareness related to the incidence of diabetes
Distribution of program brochures and prevention materials, conduct an annual spring health fair and seasonal adult support group events within the Seminole Nation service area.
- Reduce diabetes related risk factors
Provide individual counseling with three month, and six month, and one year follow ups consisting of A1C management, weight management counseling, daily activity consulting, and conduct fitness assessments with referred and screened individuals.
- Promote healthy behavior
Staff will conduct 2 monthly diabetes screenings, provide prevention education for school age tribal youth, host a weeklong summer diabetes prevention youth camp, hold diabetes prevention education classes using the Lifestyle Balance curriculum, promote a community exercise program, and hold fitness activity camps for all ages throughout the program year.
- Early detection of persons at risk for complication of diabetes
The diabetes team will offer needs assessments to patient during counseling sessions, offer diabetes risk assessments to newly diagnosed DM patients and their families, provide eye wear for patients referred from the Wewoka Clinic, and issue new or update patients glucose monitors and strips
- Reduce complications associated with diabetes
Provide diabetic shoes and inserts and socks for patients that are experiencing foot complications, provide eye glasses for patients that have lowered/or maintained A1C levels to 8% or lower, reduce hypertension among diabetic, pre-diabetic and high risk individuals by providing exercise prescription and exercise classes.
The Seminole Nation of Oklahoma Diabetes Program operates only on the annual funds out of the Indian Health Services- Division of Diabetes Treatment and Prevention that focuses on evidence based intervention strategies using the Indian Health Best Practices. The current selected best practices for the Seminole Nation of Oklahoma SDPI are Community Diabetes Screenings and Physical Activity for Diabetes Prevention and Care.
Physical Activity for Diabetes Prevention & Care Goals:
- Implement Best Practice approaches to physical activity for individuals with diabetes or at risk for diabetes and increase the percentage of people with diabetes or at risk for diabetes who follow the recommended guidelines for physical activity.
- Reduce the risk of type 2 diabetes and co-morbidities associated with physical inactivity.
- Provide effective strategies for clinical and community programs to integrate and expand physical activity and fitness education services, to prevent and treat type 2 diabetes in AI/AN communities.
Community Diabetes Screenings Goals
- To increase identification of those at risk for developing diabetes.
- To increase the percent of individuals at risk of developing diabetes who receive further diagnostic testing.
- To increase the number of community members who receive education about diabetes risk factors.
The Seminole Nation Diabetes Program provides services listed below for current diabetic patients residing within Seminole and Hughes counties and provides prevention education for ALL individuals referred or screened into the program for services. Education will encompass each individual’s lifestyle choices pertaining to their physical activity, weight loss, dietary education, and their current lifestyle affects their existing conditions.
Diabetes Program Eligibility:
To be eligible to receive support for patient services (diabetic shoes and/or glasses) from the SN Diabetes Program, a person must:
· Be diagnosed Type 2 diabetic
· Reside within Seminole or Hughes County
· Possess a tribal enrollment or C.D.I.B card
· Medical Chart at Wewoka Clinic or a referral from their health care provider
· Each person must sign and agree to a Program Participant Agreement Form for an initial follow-up, 3 month, 6 month, and one year follow-up.
Eligibility to receive diabetic shoes, each patient must meet at least one of the below 6 criteria:
· History of partial or complete amputation of the foot
· History of previous foot ulceration
· History of pre-ulcerative callus
· Peripheral neuropathy and evidence of callus formation
· Foot Deformity
· Poor circulation in either foot.
Diabetic Clients can receive diabetic supplies if they need lancets, strips, and other medical supplies. Our Program Nurse can provide clients with updated glucose-meters and supplies, blood pressure monitors, wheel chairs, shower chairs and walkers if the client needs the equipment for outdated or faulty equipment.
Our staff does offer prevention education when it comes to your medications, blood glucose levels, daily physical activity levels, nutrition levels, or any other pertinent information to each individual’s overall health and lifestyle. We are here to help educate anyone that is currently diabetic, pre-diabetic, or high risk of developing diabetes.
Youth Prevention Camp:
The program hosts a weeklong summer Diabetes Prevention Youth Camp at East Central University in July with over 35 tribal youth attending each year. Each child is screened and offered education from educated professionals in dealing with diabetes prevention, exercise, and healthy nutrition on how to incorporate this into their everyday choices. The pre and posttest numbers have proven that we are reaching the youth and increasing their knowledge of diabetes prevention.
Our Exercise Specialist “Jerome Harrison” holds multiple activities throughout the program year for our adults and our youth. One of the most demanded activities is the water aerobics class. He holds three weekly classes at the Seminole St. College pool. Along with the water aerobics, he’s incorporated a boot camp for individuals that are high risk, diabetic, or over weight. On the youth prevention side, we have held basketball and soccer camps for kids to experience a structured environment with experienced professional providing proper instruction. Each youth camper receives a full fitness assessment and is screened for diabetes.
Another youth activity has been to establish a tribal youth running program to help increase daily activity and receive prevention education each month. This program runs from September throughout the year until June.