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DIABETES INTEGRATION PROJECT
ABOUT DIABETES INTEGRATION PROJECT
DIP stands for the Diabetes Integration Project. We are a travelling diabetes health care team made up of Nurses and Dietitians. Created by First Nations for First Nations. DIP works closely with the Aboriginal Diabetes Initiative (ADI) Staff in 18 communities.
LINKS AND INFORMATION
Please click on the links to view more information regarding the Diabetes Integration Project.
BACKGROUND
In 1997 First Nations Leaders in Manitoba declared Diabetes an epidemic. In 1999, the Manitoba First Nations Diabetes Leadership Council (MFNDLC), was formed and mandated by the AMC Chiefs-In-Assembly to develop a strategy to address the growing epidemic of diabetes.
Today DIP is a mobile diabetes care and treatment model that provides services on-reserve to support First Nation adults living with Type 2 Diabetes to prevent or delay the complications of diabetes.
The services delivered are designed to assist adult clients in monitoring their diabetes status, screen for complications, provide diabetes education to support client self-management, and to refer clients to other health care providers based on their individual needs. Services that are provided by the DIP include the following:
In 1999 the MFNDLC developed “The Manitoba First Nation Diabetes Strategy: A Call to Action” to address the diabetes epidemic in Manitoba First Nations. The strategy has five priority areas; Prevention and Promotion, Care and Treatment, Gestational Diabetes, Research, Surveillance and Evaluation, and Policy/Infrastructure. The Care and Treatment component led to the development of the Diabetes Integration Project (DIP) which was supported by First Nation Leadership through a resolution passed at the AMC Chiefs-In-Assembly held in August 2006.
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Education and support to encourage client’s self-management of diabetes to prevent complications.
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Complication Risk Assessments.
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Screening using Point of Care testing to monitor blood glucose (sugar), kidney function and kidney damage using a small blood sample and a sample of urine. Test results are available immediately to allow for individualized counselling referrals and support if needed.
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Referrals to a Primary Care Physician, Dietitian, Foot Care Nurse, Community Nurse, community services, mental health services and specialists will be made based on the client’s needs.
GOALS
Our goal is to provide a model of care that enhances self care and support for adults who have been diagnosed with type 2 diabetes to prevent or delay the onset of complications. Through training and capacity development, the DIP Team Nurses are encouraged to engage with clients from an anti-racist, anti-colonial and strength-based approach.
OUR PROJECTS
DIABETES INTEGRATION PROJECT
Lead: Tannyce Cook – Interim Director
TEAM MEMBERS
Ariel
Dauphin Team Nurse
Glenda
South Team Nurse
Charmaine
South Team Nurse
Kayla
Dietitian
Cynthia
North Team Nurse
Monique
Administrative Assistant
Danielle
Dietitian
Shannon
Regional Foot Care Program Coordinator
Destiny
Dauphin Team Nurse
Tannyce
Interim Director
KIDNEY CHECK SCREENING
Lead: Tannyce Cook
ABOUT
First Nations people have high rates of many chronic diseases like diabetes, hypertension, and kidney disease.
Early detection through screening and pharmacologic interventions can reduce progression of kidney disease and may delay dialysis starts by up to 10 years.
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FNHSSM is proud to lead the screening program in partnership with Can Solve and Chronic Disease Innovation Centre CDIC.
OBJECTIVE
Our team of Indigenous nurses set up clinics in community to screen and identify individuals who are at risk of developing kidney disease.
Results are generated within 15 minutes, and appropriate education and referrals are provided immediately.
Follow up is within weeks or months for those at medium to high risk for developing kidney disease.
TEAM MEMBERS
Davilene
Nurse
Ashton
Nurse
Renee
Administrative Assistant
I-K HEALTH
Lead: Tannyce Cook
ABOUT
Many First Nations patients who are diagnosed with kidney disease requiring dialysis are previously unaware of any damage to their kidneys. The IK Health project was initiated to try and find out why. Factors such as access to screening and quality primary care, lack of follow up and appropriate referrals have led to higher rates of kidney disease in the First Nation population.
IK Health is a mixed methods research study that aims to identify gaps and improve the responsiveness across the continuum of kidney health care in rural and remote Manitoba First Nation communities.
OBJECTIVE
Identify and address gaps in services.
Allow those with lived experience to tell their stories about life on dialysis and the challenges that they face every day and use this information to make positive changes to renal care in Manitoba.
TEAM MEMBERS
Christy
I-K Health Project Coordinator
COMMUNITIES RECEIVING SERVICES
The Diabetes Integration Project currently has 3 Teams delivering these services in Manitoba. The Winnipeg Team travels to the following 5 First Nations communities to deliver services:
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Hollow Water
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Sandy Bay
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Chemawawin
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Long Plain
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Peguis
The Dauphin Team travels to the following 8 communities:
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Pine Creek
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Skownan
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Ebb & Flow
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O-Chi-Chak-Ko-Sipi
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Rolling River
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Keeseekoowenin
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Gambler
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Tootinaowaziibeeng
The Thompson Team travels to the following 6 communities:
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Nelson House
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Split Lake
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God's River
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God's Lake
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Oxford House
RESOURCES
First Nations Health and Social Secretariat of Manitoba: www.fnhssm.com
Manitoba First Nations Diabetes Leadership Council: https://mfndlc.ca/
Assembly of Manitoba Chiefs: www.manitobachiefs.com
National Aboriginal Diabetes Association: NADA website: http://nada.ca/
Diabetes Canada website: http://www.diabetes.ca/
International Diabetes Federation website: https://www.idf.org
Dial A Dietitian number: 1-877-830-2892 (Click to see poster)
PDF RESOURCES
Action Plan for Diabetes
Are You At Risk for Diabetes
Blood Sugar Log Sheet
Building a Healthy Snack
Defining Carbohydrates Handout
Drive Safe with Diabetes
Getting Started With Insulin
Healthy Eating - Glycemic Index Guide
Knowing Your ABCDESSS of Diabetes
Low and High Blood Sugars
Low Blood Sugars
Managing Your Blood Sugars
My Diabetes Care - Not Just About Blood Sugars
Physical Activity and Diabetes
Stay Safe While You Have Diabetes And Are Sick
Staying Healthy with Diabetes
Thinking of Starting Insulin
Tips for Healthy Eating with Diabetes
Type 2 Diabetes - The Basics
OUR DEPARTMENT TEAM
Ariel
Dauphin Team Nurse
Danielle
Dietitian
Monique
Administrative Assistant
Ashton
Nurse
Davilene
Nurse
Renee
Administrative Assistant
Charmaine
South Team Nurse
Destiny
Dauphin Team Nurse
Sabina
Medical Consultant
Christy
I-K Health Project Coordinator
Glenda
South Team Nurse
Shannon
Regional Foot Care Program Coordinator
Cynthia
North Team Nurse
Kayla
Dietitian
Tannyce
Interim Director
Last Updated: 2024-05-30