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Diabetes is more than just a health issue—it’s a societal challenge that touches every corner of our communities. In Canada, where one in three individuals faces the risk of diabetes or its precursor, prediabetes, addressing the broader determinants of health is essential, especially in marginalized communities. Today, we dive into a comprehensive commentary published in the Canadian Journal of Diabetes that lays out a conceptual framework for tackling these challenges, and we invite you to explore these ideas interactively. Understanding the Challenge of Inequities The commentary explains that diabetes is not solely a clinical problem  but a complex issue influenced by socioeconomic status, community resources, and systemic inequities. It highlights that " low socioeconomic status groups have a substantially greater risk of developing type 2 diabetes and are more likely to experience adverse diabetes outcomes." This means that beyond individual choices, factors like poverty, food insecurity, and access to health care play critical roles in the diabetes epidemic. 👉 Have you noticed how your community’s resources (or lack thereof) influence health behaviors? Share your thoughts in the comments below or take a moment to reflect on your neighborhood’s strengths and weaknesses. The Conceptual Framework The framework presented in the article uses a socioecological model , dividing determinants into three levels: Micro (Individual/Household):  Factors like employment status and psychosocial stress. Meso (Community):  Influences such as neighborhood environments and community support systems. Macro (Societal):  Broader influences, including public policies and economic conditions. The framework underscores that while many current diabetes prevention strategies focus on “downstream” approaches  (like individual behavioral change), there is a pressing need to shift toward “upstream” interventions  that address the root causes—such as structural inequities and food insecurity. “What good does it do to treat people’s illnesses … [and] then send them back to the conditions that made them sick?” — Sir Michael Marmot This quote challenges us to rethink our approach to health care. Instead of treating symptoms, we must address the underlying factors that lead to disease. 👉 How do you think public policy could better address these “upstream” factors in your community? Strategies for Change The article outlines several key strategies for shifting the focus from reactive to proactive diabetes prevention: National Surveillance Programs: Creating systems to monitor diabetes risk factors and prediabetes incidence, especially in marginalized communities, is vital. This can help tailor early interventions and measure the impact of policies. Public Health and Health Systems Capacity Building: Collaborative partnerships across sectors (health care, public health, community organizations) are essential to develop sustainable interventions. For example, programs that integrate healthy living into community planning can help create supportive environments. Health Promotion and Healthy Public Policies: Integrating health into all policy areas—from housing to transportation—ensures that public spending fosters environments conducive to healthy lifestyles. This includes initiatives like improving access to nutritious food in shelters and designing walkable neighborhoods. 👉 Imagine you have a budget to improve your community’s health. Which one of these strategies would you invest in first, and why? The Road Ahead The commentary calls for a multifaceted approach  to diabetes prevention—one that leverages research, policy, and community engagement to create lasting change. The key is to develop policies that not only manage diabetes but also prevent it by addressing the social determinants that lead to its development. By taking a holistic view of diabetes prevention, we can help reduce the disproportionate burden on marginalized communities and pave the way for healthier futures. As we move forward, it's crucial to build intersectoral partnerships, support community-based programs, and invest in research that focuses on upstream determinants of health. 👉 What role do you think community voices should play in shaping health policies? Share your perspective and let’s keep the conversation going. Get Involved! Your insights are powerful. Whether you’re a policymaker, healthcare provider, researcher, or a community member, your voice matters  in the fight against diabetes. We encourage you to: Share this post:  Spread the word about the importance of addressing structural inequities in diabetes prevention. Comment below:  Tell us your thoughts on how we can better integrate community-based approaches with national policy strategies. Take Action:  Explore local initiatives and consider how you can contribute to creating healthier, more equitable environments. Together, by understanding the broader determinants of diabetes and championing innovative solutions, we can work toward a future where everyone has the opportunity to live a healthy, fulfilling life. 👉 Stay tuned for more discussions on public health strategies, and don’t forget to subscribe to our newsletter and keep up-to-date with our blog posts !

Evidence continues to highlight the complex relationship between Type 2 diabetes (T2D) and digestive health. As studies show, individuals with T2D are at an increased risk of developing conditions like irritable bowel syndrome (IBS) and gastroparesis , while conversely, gastrointestinal (GI) issues can heighten the risk of developing diabetes. Diabetes and GI disorders often coexist, influencing each other in ways that challenge both patients and healthcare providers. Studies consistently show a bidirectional relationship between T2D and conditions like irritable bowel syndrome (IBS) and gastroparesis. People with T2D are at a higher risk of developing IBS, with one large cohort study (2024) revealing a 39% increased risk, particularly when blood glucose levels are poorly controlled. Conversely, IBS itself raises the risk of T2D by 18%. The link between T2D and GI disorders is further confirmed by genetic studies. Research (2024) shows that individuals genetically predisposed to T2D are also at increased risk of conditions like gastroesophageal reflux disease (GERD) , gastric ulcers, and chronic gastritis. Notably, the risk for these GI disorders is heightened with higher levels of fasting insulin and glucose, highlighting the importance of managing these glycemic traits to prevent broader GI complications. The impact of diabetes on gastrointestinal health goes beyond IBS and affects the management of other chronic conditions. Inflammatory bowel disease (IBD), for instance, is known to worsen in patients with diabetes. A study (2023) has found that diabetes increases the likelihood of hospitalizations and infections in IBD patients, although it doesn’t appear to influence IBD-related complications or mortality. This finding underscores the need for careful monitoring of diabetes in patients with pre-existing GI conditions to prevent further health declines. Personal experiences, like that of Sheila , who was diagnosed with both T2D and gastroparesis, shed light on the everyday challenges faced by individuals managing multiple chronic diseases. Sheila's experience illustrates how rare conditions linked to diabetes, such as gastroparesis, can drastically change one's quality of life, requiring constant adjustments in diet and lifestyle. Her story highlights the frustrations of finding suitable solutions, especially when traditional dietary recommendations seem to limit more than they offer. Recognizing the interconnected nature of these conditions is vital to improve prevention strategies, treatment outcomes, and ultimately the quality of life for those affected by both T2D and GI disorders. Together, these studies and personal stories underscore the need for comprehensive care that addresses both the metabolic and gastrointestinal aspects of diabetes. Managing both IBS and diabetes can be challenging, but with the right diet, it's possible to control both conditions. The key is working with a knowledgeable nutritionist to find a balanced food plan that stabilizes blood sugar while avoiding IBS triggers. A few practical tips can make managing food simpler and more effective, helping you feel in control without overwhelming your diet. Visit the T2D Network for more insights, support, and recipes that may work for you and your T2D journey.

A revolutionary advancement in diabetes detection has been made with the development of an artificial intelligence (AI)-powered voice analysis tool that has the potential to transform how Type 2 Diabetes (T2D) is diagnosed. This groundbreaking research comes from the Luxembourg Institute of Health (LIH), where a team of researchers has successfully developed an AI algorithm capable of detecting subtle changes in speech patterns that are correlated with T2D. This new tool offers a non-invasive and cost-effective alternative to traditional blood tests, potentially improving access to screening for underserved populations. The study published in December 2024 in Plos Digital Health and led by Abir Elbeji and Dr. Guy Fagherazzi from the Deep Digital Phenotyping Research Unit at LIH, was a part of the Colive Voice program , which aims to use voice analysis as a tool for diagnosing various chronic conditions. By analyzing vocal biomarkers – subtle changes in speech melody, cadence, and pitch – the team developed an algorithm that can predict the likelihood of T2D with an accuracy comparable to existing diagnostic risk scores used by the American Diabetes Association (ADA). This achievement marks a significant step forward in the field of non-invasive diagnostics. The study analyzed over 600 speech recordings from participants in the United States. The results were particularly promising, with detection rates higher among key groups, including women over 60 and individuals with hypertension. This suggests that voice analysis could offer an efficient and accessible method for identifying individuals at risk of T2D, allowing for earlier intervention and prevention. The application of this research could be a game-changer, especially in resource-limited settings where traditional diagnostic tools, such as blood tests, may not be feasible. Dr. Fagherazzi remarked on the significance of this breakthrough: "The ability to screen for diabetes using a simple voice recording could dramatically improve healthcare accessibility for millions of people around the world." This method would allow for widespread screening without the need for expensive, invasive procedures, making early detection and prevention of T2D more achievable, especially for underserved communities. Meanwhile, similar groundbreaking work has also being conducted in Canada, where a team at Ontario Tech University investigated the potential of AI in diagnosing T2D through voice analysis. Led by Jaycee Kaufman, the research published in the Mayo Clinic Proceedings in 2023 involves analyzing short, recorded voice samples to detect acoustic features that could indicate the presence of Type 2 Diabetes. Kaufman and her team recorded voice samples from 267 participants over a period of two weeks, generating over 18,000 voice samples that were analyzed using AI to identify patterns associated with diabetes. In their study, certain vocal features – such as changes in pitch, tone, and cadence – were found to differ between participants with and without diabetes. Dr Kaufman reflects: “Voice technology has the potential to remove barriers to diabetes screening by offering a quick, non-invasive, and cost-effective alternative. With just a short voice sample, we can detect early signs of Type 2 diabetes, making screening more accessible, especially for underserved populations. This could lead to earlier diagnoses and better patient outcomes through timely intervention.” The study highlighted that the AI was able to accurately assess diabetes risk based on just a six to 10-second voice recording, with accuracy rates reaching 89% for female participants and 86% for male participants. Kaufman notes that this method could be revolutionary for diabetes detection, as it requires no specialized equipment other than a smartphone, something most people already have. This could vastly increase the accessibility of diabetes screening, especially for those who face barriers due to geographical location or financial constraints. "Voice technology has the potential to remove these barriers entirely," Kaufman states, emphasizing the practical advantages of using everyday devices like smartphones to detect diabetes. However, while the technology shows great promise, Kaufman and her colleagues caution that voice analysis should not be used as a sole diagnostic tool but rather as an indicator that prompts further medical testing. AI algorithms can analyze vocal patterns to identify symptoms of T2D, but human healthcare professionals are still needed to confirm a diagnosis and provide appropriate treatment. Like the Luxembourg study, the researchers in Canada aim to refine their algorithm, with hopes of expanding the scope to detect other conditions, such as prediabetes or hypertension. Both of these studies underscore the potential for AI-driven voice analysis to revolutionize the way Type 2 Diabetes is diagnosed. The use of voice recordings as a diagnostic tool offers several benefits, especially in terms of accessibility and cost-effectiveness. These advancements could allow for earlier diagnosis and more timely intervention, which is critical in managing T2D and preventing the onset of complications, such as cardiovascular disease, nerve damage, and kidney failure. For many people, particularly those in remote or underserved regions, traditional diagnostic methods may be inaccessible or prohibitively expensive. Voice analysis, therefore, has the potential to level the playing field by offering a simple, low-cost screening method that anyone with a smartphone could use. By combining AI technology with digital health, both the Luxembourg and Canadian research teams are paving the way for a future where T2D can be detected early and managed more effectively. These studies show that diabetes care is on the cusp of a major transformation. The ability to detect T2D through something as simple as a voice recording could drastically improve the efficiency and accessibility of screening, ultimately leading to better health outcomes for patients worldwide. Looking ahead, both teams are working on refining their algorithms, expanding their studies to include larger and more diverse populations, and exploring the potential for using voice analysis to detect other chronic conditions. This could not only benefit those at risk of T2D but also offer a non-invasive diagnostic tool for other diseases, such as neurodegenerative conditions like Parkinson’s and Alzheimer’s, or even mental health disorders like depression and PTSD. As AI technology continues to evolve, it’s clear that the future of healthcare lies in integrating innovative, non-invasive diagnostic methods, making it possible for patients to take charge of their health in new and exciting ways. Sources: A voice-based algorithm can predict type 2 diabetes status in USA adults: Findings from the Colive Voice study. Elbéji A, Pizzimenti M, Aguayo G, Fischer A, Ayadi H, et al. (2024). PLOS Digital Health 3(12): e0000679. https://doi.org/10.1371/journal.pdig.0000679 Acoustic Analysis and Prediction of Type 2 Diabetes Mellitus Using Smartphone-Recorded Voice Segments. Jaycee M. Kaufman, Anirudh Thommandram, Yan Fossat. (2023). Mayo Clinic Proceedings: Digital Health. https://www.sciencedirect.com/science/article/pii/S2949761223000731

Managing both mental health challenges and diabetes can be complex, but understanding their connection is key to better health and well-being. In a recent vodcast, two leading experts, Dr. Mahavir Agarwal, Scientist at the University of Toronto's Schizophrenia Division, and Dr. Diana Sherifali, Associate Professor in the School of Nursing at McMaster University, shared valuable insights on navigating these dual health concerns. The Intersection of Mental Health and Diabetes The vodcast delves into the significant overlap between mental health conditions and diabetes. Research shows that individuals living with mental health disorders may face a higher risk of developing type 2 diabetes, while those with diabetes often experience heightened stress, anxiety, or depression. Dr. Agarwal and Dr. Sherifali explain how these conditions can influence each other, emphasizing the importance of integrated care approaches. Key Strategies for Managing Dual Health Challenges The experts highlight practical strategies to support individuals managing both conditions: Holistic Health Management:  Addressing both physical and emotional health simultaneously can lead to better outcomes. Education and Awareness:  Understanding the link between mental health and diabetes empowers patients to make informed decisions. Collaboration in Care:  Engaging a multidisciplinary team of healthcare providers ensures comprehensive care tailored to individual needs. Expert Insights on Improving Health and Well-being Dr. Sherifali and Dr. Agarwal stress the importance of a patient-centered approach, where open communication and personalized care plans play a crucial role. They also discuss the significance of lifestyle factors, such as balanced nutrition, regular physical activity, and stress management techniques, in promoting overall wellness. This insightful vodcast underscores the need for a collaborative, informed approach to managing mental health and diabetes together. By understanding their connection and applying expert-recommended strategies, individuals can take proactive steps toward improving their quality of life. Stay informed and empowered—tune into our YouTube channel for more expert guidance on achieving better health outcomes.

Are you passionate about healthcare transformation? The Institute for Health System Transformation and Sustainability (IHSTS)  is seeking a dedicated and diverse individual to join its Board of Directors. This is an exciting opportunity to make a real impact on the future of healthcare by collaborating with industry leaders, professionals, and community members. As a Board Director at IHSTS, you will have the chance to help drive systemic transformation. You will collaborate with other Board members to guide IHSTS’s vision and strategic priorities, ensure the organization’s financial sustainability and accountability, and offer your expertise on governance, risk management, and organizational policies. Board members are also expected to serve on at least one Board Committee and attend four meetings per year, participate in the recruitment, hiring, and evaluation of the CEO, and contribute to shaping strategic goals. To be eligible for this role, candidates must be a member of the Corporation, at least 18 years of age, and have a solid understanding of Canada’s Not-For-Profit Corporations Act. We are looking for individuals who are knowledgeable in areas such as board governance, the not-for-profit sector, finance, human resources, risk management, and advocacy. Previous board experience is preferred. We especially welcome candidates with experience in communications/marketing, fundraising/grant writing, legal, information technology, government relations, finance, and strategic planning. Directors are expected to participate actively in four Board meetings and four Committee meetings each year, with meetings held either virtually or in-person in Vancouver’s downtown core. As recognition for your service, Board members will receive an annual retainer. If you are interested in contributing to the future of healthcare, please send your resume and a cover letter to lesleyjohnston@ihsts.ca  with the subject line "Board Director." The deadline for applications is September 30, 2024 . This is your chance to be part of a dedicated team driving meaningful change in healthcare. Apply today and help shape the future of health system transformation!

On March 21, 2024, Calgary, Alberta became the focal point for advancing equitable healthcare with the first-ever *Western Canada Diabetes Health Equity Summit*, hosted by Diabetes Canada. This landmark event, supported by the Public Health Agency of Canada, gathered 25 participants from across British Columbia, Alberta, Saskatchewan, and Manitoba to share their experiences, successes, and challenges in tackling the growing issue of diabetes, with a particular focus on health equity. A Call for Health Equity in Diabetes Care Diabetes is a rapidly growing public health issue, with more than four million Canadians currently living with the condition. The burden of this disease disproportionately affects marginalized populations, including racialized communities, people experiencing homelessness, and those impacted by the social determinants of health (SDOH). Recognizing the importance of a systemic, inclusive approach, the summit aimed to spotlight health equity and its role in diabetes care, prevention, and management. As part of the three-year project Sustaining Momentum to Implement the Diabetes Framework (SMIDF), this summit represented a step forward in applying the principles of the Framework for Diabetes in Canada to practical healthcare initiatives. Figure taken from the Diabetes Canada report Multi-Sectoral Collaboration: The Key to Progress Participants at the summit hailed from diverse sectors including healthcare professionals, diabetes and health equity researchers, non-governmental organizations, and crown corporations. The cross-sectoral approach was essential to address the varying layers of diabetes care, especially when considering health equity. By bringing together a diverse group of stakeholders, the summit aimed to: Share successes and challenges in applying health equity principles to diabetes care, Identify barriers in access to diabetes diagnosis, treatment, and prevention, particularly in vulnerable communities, Highlight innovative and successful approaches to equitable diabetes care, Explore the next steps to implementing a systems-level health equity approach across all diabetes programs. Insights from the Summit The discussions covered a wide range of topics, all centered around the core theme of health equity. Key presentations focused on: Culturally Competent Diabetes Care: Ensuring care systems are tailored to meet the cultural needs of Black and South Asian communities in Canada. The Impact of Diabetes on Homeless Populations: Addressing the unique healthcare challenges faced by people without stable housing. The Role of Nutrition Policy: Exploring how nutrition interventions and policy can reduce the risk of diabetes, particularly in underserved communities. The summit reinforced the idea that a “one-size-fits-all” approach to diabetes care doesn’t work, especially when cultural, economic, and social factors deeply influence health outcomes. Challenges and Barriers Despite the progress highlighted at the summit, several barriers were identified as limiting equitable diabetes care across Western Canada: Inconsistent Funding: Participants emphasized the critical need for sustained financial support to ensure the ongoing success of equity-based diabetes programs. Government Involvement: Stronger government participation at both the local and federal levels is necessary to drive systemic changes. Community Investment: Support for community-driven initiatives was seen as crucial to ensuring the long-term sustainability of diabetes care programs. Looking Ahead: The Next Steps As a result of the summit, several clear actions were outlined to drive forward the principles of health equity within the context of diabetes care. Some of the key next steps include: Ongoing Networking and Knowledge Sharing: Continued collaboration between healthcare providers, researchers, NGOs, and other stakeholders will be vital in creating a shared understanding of best practices in equitable diabetes care. Community Engagement: It’s essential to involve the communities most affected by diabetes in the conversation, to ensure their voices are heard, and their needs are met in policy development and program design. Systems-Level Approach: Incorporating health equity into the core framework of diabetes care and prevention efforts is a long-term goal. Stakeholders must work toward integrating these principles at every level of healthcare, from primary care settings to specialized diabetes management programs. The Diabetes Framework for Canada: A National Strategy for Change A significant focus of the summit was on the Diabetes Framework for Canada , introduced in 2022. This framework provides a comprehensive approach to managing diabetes in Canada, focusing on six interconnected components: 1. Prevention 2. Management, Treatment, and Care 3. Research 4. Surveillance and Data Collection 5. Learning and Knowledge Sharing 6. Access to Diabetes Devices, Medicines, and Financial Support. The Diabetes Framework serves as the national policy direction for addressing diabetes and its associated healthcare challenges. By identifying gaps, reducing duplication, and fostering collaboration between stakeholders, it provides the government with an opportunity to monitor and assess progress in diabetes care. Building Momentum for Health Equity in Diabetes Care The Western Canada Diabetes Health Equity Summit laid the groundwork for a more inclusive and equitable approach to diabetes care. By fostering multi-sectoral collaboration and emphasizing the critical role of health equity, the summit participants have taken meaningful steps toward improving diabetes outcomes for all Canadians, particularly those in marginalized communities. As the Sustaining Momentum to Implement the Diabetes Framework project moves forward, the lessons learned from this summit will serve as a valuable guide for future initiatives. By keeping health equity at the forefront, Canada can create a healthcare system where everyone, regardless of their background or circumstances, has access to the care and resources they need to live healthy, fulfilling lives.

Recent research from the University of Surrey has revealed concerning links between a preference for sugary foods and increased health risks, including depression, diabetes, and stroke. Published in the Journal of Translational Medicine , this study draws on anonymized data from 180,000 participants in the UK Biobank and utilizes artificial intelligence to categorize individuals into three distinct dietary profiles: Health-conscious, Omnivore, and Sweet Tooth. Understanding the Dietary Profiles 1. Health-conscious : Individuals in this group prefer fruits and vegetables over processed and sweet foods. 2. Omnivore : This group enjoys a variety of foods, including meats, fish, vegetables, and sweets. 3. Sweet Tooth : Participants in this profile show a strong preference for sweet foods and sugary beverages, often neglecting healthier options. Using data on blood samples measuring 2,923 proteins and 168 metabolites, the research team aimed to uncover biological differences among these groups. Proteins play crucial roles in various bodily functions, from muscle contractions to immune responses, while metabolites provide insights into metabolic processes. Key Findings Professor Nophar Geifman , the study’s senior author and Professor of Health and Biomedical Informatics at the University of Surrey, highlighted significant findings: - Individuals classified as having a "sweet tooth" are 31% more likely to experience depression compared to their health-conscious counterparts. - This group also exhibited elevated rates of diabetes and vascular heart conditions. - The Sweet Tooth group showed increased levels of C-reactive protein, a marker for inflammation , as well as higher glucose levels and poor lipid profiles—indicators that raise concerns for diabetes and heart disease. Conversely, those in the health-conscious category, who had higher dietary fiber intake, demonstrated reduced risks for heart failure, chronic kidney diseases, and stroke. The omnivores fell somewhere in between, facing moderate health risks. The Role of Sugar in Diet According to the British Nutrition Foundation , free sugars—defined as sugars added to foods or drinks—account for 9% to 12.5% of an individual's daily caloric intake in the UK. The leading contributors include biscuits, cakes, pastries, and sugary beverages. As Professor Geifman notes, “Processed sugar is a key factor in the diet of many, and these results are further evidence that we should be mindful of our food choices. Our role is to inform people about these potential health impacts rather than dictate what they should eat.” Summary This research underscores the critical need for greater awareness of the health implications associated with dietary preferences, particularly concerning sugar consumption. By recognizing the links between food choices and health outcomes, individuals can make more informed decisions that may positively impact their overall well-being . To explore more about this study and its findings, refer to the full journal article .

Diabetes isn’t just a diagnosis; for some, it’s a generational story, a legacy that intertwines with personal experiences and cultural perceptions. For Lubna Aslam , a diabetes advocate and individual living with type 2 diabetes, this journey spans three generations. Her story, shared during Diabetes Awareness Month by Diabetes Canada , highlights the importance of knowledge, community, and empowerment in managing this condition. A Legacy of Lived Experience Lubna recalls her first encounters with diabetes through her grandmothers. As a child, she watched her maternal grandmother boil glass syringes and administer insulin. These early memories laid the foundation for her understanding of diabetes, shaping how she approached her own diagnosis years later. At 37, she was diagnosed with prediabetes, and by 38, it progressed to type 2 diabetes. The initial symptoms—chronic fatigue and exhaustion she attributed to the demands of parenting—were more than just life’s stresses. A visit to the doctor revealed the underlying cause: diabetes. Breaking Down Stigma For Lubna, navigating life with diabetes meant confronting not just the medical condition but also the stigma surrounding it. She speaks openly about the stereotypes people with diabetes face, from misconceptions about responsibility to misplaced blame. Her message is clear: “When we don’t talk about things we live with, we feed into the stigma.” By sharing her story, she hopes to inspire others to embrace transparency and empower themselves with accurate information. Knowledge Is Power Managing diabetes starts with access to reliable resources. Lubna encourages individuals to turn to trusted sources like Diabetes Canada for guidance. In a world filled with misinformation, understanding the realities of living with diabetes and the science behind its management is crucial. She emphasizes honoring the emotional weight of a diagnosis. While it’s normal to feel overwhelmed, the journey doesn’t end there. “Don’t stay down,” she says. Instead, focus on learning, connecting with others, and finding strength in community. Thriving with Support With over 4 million Canadians living with diabetes, Lubna reminds us of the vibrant network of individuals, healthcare providers, and researchers dedicated to supporting those with the condition. From accessing resources to leaning on friends and family, diabetes management is not a solo endeavor—it’s a collective effort. Her advice to those newly diagnosed: take time to process, connect with knowledgeable organizations like Diabetes Canada, and understand that managing diabetes isn’t just possible—it’s an opportunity to thrive. Join the Conversation This Diabetes Awareness Month, Lubna invites others to “make time to spill the diabetes.” Sharing stories not only fosters understanding but also builds a supportive community that champions awareness and acceptance. By raising your voice, connecting with others, and embracing your journey, you can help reshape the narrative around diabetes. Share your story on social media using #SpillTheDiabe tea and #DiabetesAwarenessMonth to join the movement. Diabetes isn’t just about managing blood sugar; it’s about reclaiming your life, breaking down barriers, and building a brighter future—one story at a time. Join us and Diabetes Canada with their Spill the Diabe tea initiative to raise awareness of Diabetes

In a recent episode of the Diabetes Canada Healthcare Huddle  podcast, hosts Dr. Sarah Stafford and Gail McNeil sat down with Dr. James Kim , a clinical assistant professor in the Department of Family Medicine at the University of Calgary, to discuss the vital connection between sleep quality and diabetes management. The episode kicked off with a case study highlighting the importance of quality sleep in diabetes care. Dr. Kim emphasized, "Sleep is a conversation that probably comes up almost every day in practice. It's no longer just a side topic but a central part of managing diabetes effectively." The Link Between Sleep and Diabetes Dr. Kim explained how poor sleep can disrupt hormone regulation, leading to insulin resistance, weight gain, and poorer blood sugar control. He stated, "When sleep patterns are consistently poor, we see a direct impact on metabolic health, including increased blood sugar levels and difficulty managing weight." Gail McNeil shared a patient example to illustrate this connection: "I remember one case, I'll call her Sandra, a 31-year-old patient who hadn't slept more than four hours at a time for over ten years. During that period, she gained 60 pounds and developed type 2 diabetes. The connection between her poor sleep and her metabolic health was undeniable." Podcast: Sleep and Diabetes with Dr. James Kim Dec 19, 2024 Addressing Sleep Disorders in Diabetes Care Dr. Kim highlighted common sleep disorders among people with diabetes, such as sleep apnea and insomnia, and the importance of screening for them during clinical visits. He noted, "Many patients with diabetes experience sleep disturbances, which often go unaddressed. Identifying and managing these issues can significantly improve health outcomes." Key insights included: Impact of Sleep Quality: Poor sleep can disrupt hormone regulation, affecting blood sugar levels. Common Sleep Disorders : Sleep apnea and insomnia are prevalent among individuals with diabetes and need proper screening. Practical Strategies : Tips for improving sleep hygiene, such as maintaining a consistent sleep schedule and creating a restful sleep environment, were discussed. Practical Strategies for Better Sleep and Diabetes Control Dr. Kim explained the scientific connection between sleep quality and metabolic health, emphasizing how sleep deprivation can lead to insulin resistance and worsen diabetes symptoms. The podcast also offered actionable strategies for improving sleep hygiene and diabetes management, including: Consistent Sleep Schedule:  Maintaining regular sleep and wake times. Creating a Restful Environment:  Reducing screen time before bed and ensuring a quiet, dark sleeping space. Professional Support:  Seeking medical advice if persistent sleep issues arise. Dr. Kim summarized, "Improving sleep hygiene isn't just about better rest—it's about better health. Quality sleep plays a key role in effective diabetes management." Final Thoughts This insightful episode serves as a valuable resource for both healthcare professionals and individuals living with diabetes. By addressing sleep health as part of diabetes care, better overall health outcomes can be achieved. Listen to the full episode here  for a deeper dive into this important topic.

Diabetes is a significant health concern in Canada, affecting over 3 million individuals , or 8.9% of the population. This chronic condition comes in various forms, with type 2 diabetes comprising 90% of cases , followed by type 1 diabetes at 9%, and gestational diabetes at less than 1%. Despite advancements in healthcare, the prevalence of diabetes continues to rise, with an annual increase of 3.3% . One notable aspect of diabetes is its disproportionate impact on certain communities . Racialized and marginalized groups are at a heightened risk of developing diabetes, reflecting broader health disparities within society. Furthermore, the COVID-19 pandemic has exacerbated these disparities , amplifying the challenges faced by individuals with diabetes and hindering access to essential care. 2021 marked the 100-year anniversary of the discovery of insulin, a groundbreaking achievement that revolutionized diabetes treatment and saved countless lives. In recognition of this milestone, the Government of Canada allocated $35 million towards diabetes research and prevention initiatives. This funding aims to bolster efforts to address diabetes and enhance support for individuals living with the condition. The National Framework for Diabetes Act , enacted in 2021, represents a significant step forward in diabetes management and prevention. This framework focuses on improving access to diabetes prevention and treatment services nationwide, with input from stakeholders across various sectors. It encompasses six key components, including prevention, management, research, surveillance, knowledge sharing, and access to diabetes devices and financial support . The framework is essential for guiding coordinated efforts to tackle the complex challenges of diabetes in Canada. By emphasizing principles like health equity and collaboration, it provides a roadmap for addressing prevention, management, and treatment of diabetes. Through research and innovation, the framework aims to drive advancements in diabetes care , while comprehensive data collection and surveillance ensure evidence-based decision-making. Additionally, the framework prioritizes access to essential resources and support services, aiming to reduce disparities and improve health outcomes for individuals living with diabetes nationwide. Moving forward, it is imperative to continue advancing efforts to combat diabetes and promote better health outcomes for all Canadians. By prioritizing prevention , enhancing access to care , and fostering collaboration among stakeholders, we can work towards a future where diabetes no longer poses a barrier to overall well-being.

November 14, 2024 | Ottawa, Ontario In recognition of Diabetes Awareness Month in November and World Diabetes Day, the Government of Canada, through the Public Health Agency of Canada, has issued a statement addressing the growing concern of diabetes in the country. With nearly 1 in 10 Canadians affected by this chronic condition and over 200,000 new diagnoses each year, the government is committed to raising awareness, promoting healthier lifestyles, and ensuring better access to treatment and care. The following message from the Honourable Mark Holland, Minister of Health , highlights the government's efforts to improve diabetes care and prevention across Canada. As Canada's population continues to age, the number of people living with diabetes is expected to rise. While certain types of diabetes, such as type 1 and gestational diabetes, cannot be prevented, adopting healthy lifestyles can help prevent or delay complications and reduce the risk of developing prediabetes and type 2 diabetes. Simple lifestyle changes can make a significant difference, including staying physically active, following Canada's Food Guide , maintaining a healthy weight, and avoiding smoking. It’s also crucial to discuss symptoms and concerns with healthcare providers to better understand personal risks. Access to Medication and Support One of the most important aspects of managing diabetes is access to necessary medications. Through the Pharmacare Act , which received Royal Assent on October 10, 2024, the Government of Canada is working with provinces and territories to ensure universal access to medications, including diabetes drugs, as part of the first phase of national universal pharmacare. This initiative will not only cover medications but also provide a fund to support access to essential supplies that people with diabetes need to manage and monitor their condition effectively. Improving Diabetes Care Across Canada The Canadian government is committed to improving our understanding of diabetes and advancing its prevention, management, and treatment. Through investments and multi-sectoral initiatives, we continue to support Canadians living with diabetes. The Framework for Diabetes in Canada , developed in collaboration with provincial and territorial governments, Indigenous communities, healthcare professionals, and researchers, serves as the foundation of these efforts. We are also working to provide reliable data through the Canadian Chronic Disease Surveillance System , which tracks chronic diseases, including diabetes, and monitors trends over time. This information is vital to ensuring that we are making progress and addressing diabetes effectively at a national level. Looking Ahead As we move forward, our commitment to improving the health and quality of life for the millions of Canadians living with diabetes remains strong. This Diabetes Awareness Month, we hope we've taken collective action to reduce the risk of developing diabetes and prevent complications, ensuring a healthier future for all.

Diabetes prevalence in Canada has shown a notable stabilization in recent years, according to new data, marking a contrast to global trends where the disease has doubled over the past three decades. A study published in The Lancet  ahead of World Diabetes Day highlighted that while the prevalence of diabetes worldwide reached an alarming 14% in 2022, Canada’s rates have neither increased nor decreased significantly since 1990. This apparent stability might suggest progress, but experts caution that it masks underlying issues and warn against complacency, as diabetes remains a serious public health concern. Between 2000 and 2021, the Government of Canada reported that 3.7 million Canadians were living with diabetes. At that time the prevalence of all types of diabetes was 8.7% among women and 10.1% among men, and 22.5% who met the diagnosis criteria for diabetes were unaware of their condition. Despite these figures being lower than in many other countries, endocrinologist Jeremy Gilbert warns that diabetes is “still really an epidemic” in Canada, affecting one in 10 people. The relative progress among women in Canada has been attributed to several factors. Women in Canada have lower obesity rates compared to those in countries like the United States, and biological factors such as estrogen may provide some protection against diabetes, particularly at younger ages. However, experts also note concerning trends, such as the rise in gestational diabetes during pregnancies, which could signal future health challenges. Lorraine Lipscombe, an endocrinologist at Women’s College Hospital in Toronto, emphasized that women under 50 are increasingly catching up to men in terms of diabetes prevalence, an alarming development. The stabilization of diabetes rates in Canada could reflect improved screening and awareness. “One piece of good news is that more people are likely being screened and tested for diabetes than before,” said Lipscombe. Yet, experts also point to systemic barriers that prevent further progress. Diet and lifestyle changes, while known to be critical for diabetes prevention, remain difficult for many Canadians to implement. “We tell people to eat vegetables and proteins, but those are the most expensive foods,” said Gilbert, highlighting how the high cost of healthy eating disproportionately affects vulnerable populations. Canada’s aging population is another significant factor contributing to diabetes rates. With advancing age, the likelihood of developing diabetes increases, driven by both biological factors and lifestyle risks, such as sedentary behavior. Lipscombe noted that while the Lancet study provides valuable insights, it may underestimate the true prevalence of diabetes in Canada due to limitations in data collection methods. Relevant to this topic, Global News did a feature for Diabetes Awareness Month -- Dr. Jeremy Gilbert discussed the growing prevalence, factors behind the rising numbers, and the role of continuous glucose monitoring technology like the Dexcom G7. He also shares patient success stories and highlights why it’s crucial to consult a doctor about potential symptoms. Coming back to the Lancet article and on the treatment side, Canada has made significant strides. Along with countries like Mexico, Chile, and Costa Rica, Canada has seen substantial improvements in diabetes care over the past three decades. Approximately two-thirds of Canadians with diabetes aged 30 and older are now receiving treatment. The introduction of Canada’s new Pharmacare law is expected to further enhance access to medications, reducing disparities and improving health outcomes for patients nationwide. “Canada’s universal healthcare system gives it an advantage over other countries when it comes to accessing care and recommending treatment for diabetes,” said Lipscombe. Despite this progress, gaps in care remain, especially for vulnerable populations. The need for continued investment in education, affordable healthy food options, and community-based interventions remains pressing. While Canada’s stabilization of diabetes rates offers a glimmer of hope, it also underscores the need for sustained efforts to address the underlying drivers of this complex disease. Diabetes may not be rising as quickly in Canada as in other nations, but the disease still poses a significant burden on individuals, families, and the healthcare system. Experts agree that achieving meaningful progress will require a combination of improved prevention strategies, enhanced screening efforts, and equitable access to treatment for all Canadians. As Gilbert aptly put it, “There’s raised knowledge and awareness, but still a lot of work to do on the implementation side of things.” Learn more about how the T2DNetwork strives to increase awareness and education on Type 2 diabetes in British Columbia.