By Kassidy Bahozho Allison
I chose this topic due to the relevance of diabetes in my community, family, and throughout my life. My mom, a nurse, has come home telling me about situations from which those with chronic illnesses suffer. She has educated me about the risks associated with a variety of diseases. One that stood out and I heard about from her frequently was diabetes. It is prominent in native communities due to the relatively recent introduction of a sedentary, colonized lifestyle compared to one that was once active and clean in terms of diet. I have also been very interested in health disparities in native communities and ways to solve them or generate awareness. I hope to bring awareness and education to the public about this topic through my SHP.
Kaminsky, June. "The Four Directions." First Nations Pedagogy, 2013. https://firstnationspedagogy.com/fourdirections.html. Accessed 11 November 2023
In the article “Sharing One Skin,” Jeanette Armstrong describes our four selves. Our four selves, the physical, emotional, thinking, and spiritual self, allow us to be human. Our physical self is what interacts with our environment. The emotional self allows us to form bonds with communities and the land.” The thinking-intellectual self is “a spark that ignites” and can create or destroy. The spiritual self is “our true self” and connects us to a greater community. With all of these selves, we can be a connected human.
Armstrong, Jeanette. “Sharing One Skin.” Jerry Mander and Edward Goldsmith (EDs). The case against the Global Economy. San Francisco, CA. Sierra Club Books.
Unknown. "Lakuchakai Cliffs." Science Education Research Center at Carleton College, 2005. https://serc.carleton.edu/download/images/4564/Lukachukai_Cliffs.jpg. Accessed 11 November 2023.
Memories and stories are connected to our land, as described by B. Toastie in the article “How place names impact the way we see the landscape.” Place identity connects us to the land, a perspective people have about a place due to its known connotation, the feelings one may experience at that place, one's own feelings when there, etc. Place identity connects is almost a relationship someone has with the land. Stories can also influence place identity because they can be tied to the landscape. The shape of rock formations, the winding of rivers, or certain flowers on the land can be explained through stories. Memories and stories can influence how we see life and the landscape and alter our identity.
Toastie, B. “How Place Names Impact the Way We See Landscapes,” High Country News. Know the West. 2022.
Hillers, John K. "Cochiti Pueblo between c. 1871-c. 1907" U.S Archives and Records Administration, 1907. https://commons.wikimedia.org/wiki/File:Cochitea,_New_Mexico__NARA__523758.jpg#/media/File:Cochitea,_New_Mexico-_NARA_-_523758.jpg. Accessed 11 November 2023.
In the article, “And I Went to School,” by Joe Suina, he shares his experience as a pueblo child in the fifties. Mr. Suina grew up in Cochiti’s Plaza with his grandmother. He performed duties such as cutting wood and hauling water. He was an active participant in cultural traditions. As he grew older and went to school, he had a hard time adjusting to the English language, being constantly stationary, and the new expectations. Later, he starts to resent his culture because he “imagined it could be a heck of a lot better if only I had a white man’s house with a bed, a nice couch, and a clock. the white man’s was so convenient and clean." Eventually, he accepts both cultures and lives with both. This acceptance creates harmony and positivity in Suina's life.
Suina, Joseph. “And Then I Went to School,” New Mexico Journal of Reading. Winter 1989. Vol. V, No. 2. Re
Diabetes Mellitus in Native Americans: The Problem and its Implications. In Changing Numbers, Changing Needs: American Indian Demography and Public Health
The history of desert Native Americans who live in the desert is recounted. Before western settlement in areas such as the Pima territory in Arizona, rivers ran freely, nourishing fields and farms that belonged to tribed. After settlement, rivers were dammed, and hydration was stricken, forcing the Arizona natives to seek the government or a Westernized lifestyle to amend their needs. Fields and farms were significant aspects of their culture, and without their culture that once was so rich, they felt fragmented. Their diet and environment were completely changed. This leads to depression and diabetes. From the environmental changes the Arizonians faced, they acquired disease and illness.
Sandefur, G.D., Rindfuss, R.R., Cohen, B. (1996.) 12, Diabetes Mellitus in Native Americans: The Problem and its Implications. In Changing Numbers, Changing Needs: American Indian Demography and Public Health. Essay. National Academy Press.
Tomás Karmelo Amaya. “This Native American Tribe Is Taking Back Its Water.” Smithsonian Magazine, 15 Mar. 2023, www.smithsonianmag.com/innovation/native-american-tribe-pima-indians-taking-back-water-180981542.
Milestones in the history of diabetes mellitus: The main contributors.
Many advances in science took place over thousands of years to achieve the level of knowledge we have about diabetes and accomplishments that have impacted diabetes care. In the article “Milestones in the History of diabetes mellitus: The main contributors”, the authors mention scientists who contributed to diabetes research. Scientists such as Arataues described diabetes, and Claude Bernard discovered diabetes was due to an inefficiency in the liver. Lastly, they introduce the men who aided in the discovery of insulin: Fredrick Banting, Charles Best, James Collip, and John Macleod.
Karamanou, Marianna, et al. “Milestones in the history of diabetes mellitus: The main contributors.” World Journal of Diabetes vol. 7,1 (2016): 1-7. doi:10.4239/wjd.v7.i1.1 (2005a). Unnatural Causes. Retrieved October 19, 2023, from https://unnaturalcauses.org
Unknown. "An illustration of Canadian scientists Frederick G. Banting and Charles H. Best in the laboratory, testing insulin on a diabetic dog, August 14, 1921." Encyclopædia Britannica. https://www.britannica.com/science/insulin#/media/1/289486/174379. Accessed 11 November 2023.
Unknown. A Native American doctor treats their patient. Native American Health Center. https://www.nativehealth.org/services/medical/. Accessed 11 November 2023.
Diabetes was nonexistent in native communities until westernization and colonization. This article describes the prevalence of Native Americans, especially after World War II. Adaptation to a Western culture has impacted indigenous lifestyles, diet, and indulgence in physical activity. These factors contribute to the progression passed down or even inherited due to DNA structure. Diabetes is generational, and as centuries pass, percentages increase.
(2005a). Unnatural Causes. Retrieved October 19, 2023, from https://unnaturalcauses.org
Events such as colonization, the creation of the government, and treaties were mentioned in this article. From the first contact, Native Americans were seen as unequal, wild, and primitive. Some wanted to extinguish the race or assimilate them. The relationship between natives and the government is without harmony due to the stereotypes the government has associated with natives throughout history.
(2005a). Unnatural Causes. Retrieved October 19, 2023, from https://unnaturalcauses.org
North Wind Picture Archives. "Native American Man and the Mayflower." National Geographic. https://education.nationalgeographic.org/resource/new-england-native-american-groups/. Accessed 11 November 2023.
RichLegg. MIT engineers have developed a small implantable device that could help people with type 1 diabetes monitor their glucose levels. \. 20 Nov. 2023. UChicago Medicine, https://www.uchicagomedicine.org/forefront/patient-care-articles/transforming-diabetes-care-with-precision-medicine#:~:text=%E2%80%9CPrecision%20medicine%E2%80%9D%20involves%20customizing%20interventions,for%20diabetes%20prevention%20and%20care. Accessed 30 Nov. 2023.
Transforming Diabetes Care with Precision Medicine
Precision healthcare is a personalized system where health plans are explicitly based on the patient and are treated uniquely to benefit the patient. Everyone is different, having various genes, health concerns, circumstances, and goals. This is why it is crucial to consider these factors when deciding a treatment plan for a patient. It should be as diverse as their situation. Comprehensive care increases positive outcomes and should be implemented everywhere.
Niewijk, Grace. “Transforming Diabetes Care with Precision Medicine.” U Chicago Medicine, 20 November 2023.
New Drug Delivery System Could Reduce Daily Diabetes Shots to Just Three a Year
Hydrogel is a new technology that could replace daily injections with injections that occur once every four months. Scientists have tested it on rats and have successfully distributed insulin in diabetic rats for four months each shot. They plan to test pigs, as their endocrine system is similar to humans. If there is success, then they will test on humans. This drug is a contact-lens-like gel that dissolves in the body over time. It could promote healthier diabetics as they do not need to worry about daily injections.
Myers, Andrew. “Drug Delivery System Could Reduce Daily Diabetes Shots to Just Three a Year.” Stanford News, 21 November 2023.
Andrea, D’Aquino Ivana. Hydrogel among Insulin. 21 Nov. 2023. Stanford News, https://news.stanford.edu/2023/11/21/drug-delivery-system-reduce-daily-diabetes-shots-just-three-year/#:~:text=A%20new%20hydrogel%20could%20mean%20shots%20just%20three%20times%20a%20year.&text=Materials%20engineers%20at%20Stanford%20University,just%20once%20every%20four%20months. Accessed 28 Nov. 2023.
Hellerman, Caleb. 20 Apr. 2023. Diabetes a Major Factor behind Declining Life Expectancy in Rural Areas, https://www.pbs.org/newshour/show/diabetes-a-major-factor-behind-declining-life-expectancy-in-rural-areas. Accessed 25 Nov. 2023.
Diabetes a Major Factor Behind Declining Life Expectancy in Rural Areas
Diabetes impacts many rural communities across the country. In South Texas, there are high rates of diabetes diagnoses due to the fact of inaccessibility. Many diabetes patients in this area do not have access to healthcare. There are a plethora of reasons that conjure the perfect combination of circumstances leading to an increase in diabetes. Many patients cannot afford transportation, medication, or insurance. They may be afraid to get detained during their visits. Patients worsen their health by overconsuming carbs, not exercising, and being sedentary. These communities aim to change their mindset and lifestyle by changing their eating habits and exercising.
Hellerman, Caleb. “Diabetes a Major Factor Behind Declining Life Expectancy in Rural Areas.” Youtube, PBS News Hour, 20 April 2023,
"Doha." Wikipedia, Wikimedia Foundation, 20 Feb. 2024, en.wikipedia.org/wiki/Doha. Accessed 23 Feb. 2024.
Surprisingly, in Qatar, 20% of people are living with diabetes because diabetes usually occurs in low and middle-class countries. The cause of the rise in diabetes in Qatar is due to the accessibility to luxury and leisure. Such as the easy access to needs and wants is debilitating because it does not force individuals to seek resources through viable exercise. The accessibility limits the amount of exercise citizens are getting. For example, with diabetes, a man who was once active in sports was diagnosed. This was a pivotal moment in his life as he had to constantly inject and monitor. He is now completely incapable of leaving his home, only for visits to the hospital for medication and checkups.
United Nations. “Qatar: Sweet Epidemic (Diabetes).” YouTube, YouTube, 6 Nov. 2013, www.youtube.com/watch?v=Iyq7klfOctY.
“The 5 Islands in the South Pacific You Need to Visit Now.” Qantas, 23 June 2023, www.qantas.com/travelinsider/en/explore/south-pacific/best-south-pacific-islands.html.
This article argues that the implementation of processed foods into the Pacific Island community caused the uprise in diabetes within the islands. It cites that in the 1940s, a study was conducted that showed diabetes was virtually nonexistent. After World War II, government feeding programs introduced processed foods and soon after, diabetes became a profoundly increasing chronic illness. Many factors aid in the continuation of relevancy including cost, resources, patient negligence, poverty rate, calorie-dense inexpensive premade foods, transportation, affordability, agriculture, fishing, and rural vs urban populations. To amend this, they are creating awareness, food policy, and education to their youth.
Ruikka, Jessica. “The Western Diet’s Negative Impact on the Health of the Pacific ...” The Western Diet’s Negative Impact on the Health of the Pacific Islands., 2016, ir.library.louisville.edu/cgi/viewcontent.cgi?article=1131&context=honors.
“Kuwait - United States Department of State.” United States Department of State, 23 Aug. 2023, www.state.gov/countries-areas/kuwait.
A study was completed by conducting interviews in malls and shopping centers (mostly) along with other locations and methods, asking participants about their knowledge of diabetes risk factors. Surprisingly, only a few knew how to prevent diabetes. Most of these people were highly educated with a college degree. They felt the convenience of processed and fast foods was easiest to prepare, especially for those who work during the day. They argue that it was too hot or they didn't have enough energy to exercise. After being diagnosed with diabetes, people were surprisingly less active and ate more. The lack of education proved to be a major factor in the success of exercise and diet in the prevention of chronic health issues.
Carballo, Manuel, et al. “Knowledge, Attitudes, Behaviours and Practices towards Diabetes Mellitus in Kuwait.” World Health Organization, World Health Organization, 15 Aug. 2017, www.emro.who.int/emhj-volume-24-2018/volume-24-issue-11/knowledge-attitudes-behaviours-and-practices-towards-diabetes-mellitus-in-kuwait.html.