Thursday, April 10, 2025
4/10/2025
Diabetes Prevention and Treatment - Abstract Introduction The Fort Berthold Indian Reservation (hereafter Fort Berthold) is located in northwest North Dakota. The reservation consists of six predominant communities: New Town, Parshall, White Shield, Four Bears, Mandaree and Twin Buttes spread over approximately 1544 square miles. From Four Bears community, the one-way distance to Twin Buttes community is 120 miles and it is 45 miles to Mandaree. (See Fort Berthold Maps) The Elbowoods Memorial Health Center, located in New Town, is the tribal IHS 638 contract health center which serves the entire reservation. Parshall, White Shield, Mandaree, and Twin Buttes have small community field clinics which provide basic services to their communities. The two closest hospitals and emergency room services are located approximately 72 miles and 160 miles away. Diabetes Needs In 2022, staff screened 92.57% (n=1221/1319) of the students enrolled in school on Fort Berthold. Of the children screened, nearly two-thirds (63.88%) of the students had overweight or obesity. Staff The staff funded by the Special Diabetes Program for Indians (SDPI) grant will include one Registered Dietitian, two Health Education Technicians, one Medical Support Assistant, one Lead Health Education Technician, one Fitness Specialist and one SDPI Case Manager. Partnerships and Collaborations Elbowoods Memorial Health Center and Model Program refer adult and pediatric patients with diabetes, pre-diabetes, or obesity for diabetes self-management education and support (DSMES), medical nutrition therapy (MNT), fitness programing and prevention education. School screening are conducted at all schools located on Fort Berthold Reservation and include height, weight, and HbA1C screenings. SDPI Diabetes Best Practice Diabetes-Related Education is the Best Practice that will be implemented. Diabetes-related education activities and education will be provided through school screening, Keeping Active Strong and Healthy (KASH) program, Healthy Futures clinics, school education, Youth Healthy Futures Lifestyle Training, case management, youth outreach programs, diabetes prevention education, community screenings, diabetes treatment and awareness education. Other Activities/Services Physical Activities Other activities and services include community fitness assessments and classes that will encourage exercise and healthy lifestyle behaviors. Other Activities/Services National Diabetes Prevention Program Other activities and services include utilizing an in-person and online platform to offer National DPP classes.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).