Flandreau Santee Sioux Tribal Diabetes Program - The Wicozoni (Sacred Wellness) Movement - The Flandreau Santee Sioux Tribal Diabetes Program/The Wicozoni (Sacred Wellness) Movement is an effort to enhance the Flandreau Santee Sioux Tribal Health Center's (FSSTHC) existing diabetes program activities via a formal partnership between the Flandreau Santee Sioux Tribe's (FSST) programs, primarily Recreation, to drive engagement for diabetes prevention. This program will work to improve the obesity rates (BMI/body mass index) and A1C’s (Hemoglobin A1C) of patients with diabetes, by providing focused education in the following education topics: (1) nutrition;(2) physical activity; (3) diabetes self-management; and (4) diabetes prevention. Education is provided during weekly diabetes educational events at the health center, as well as community prevention activities that work to increase access to a variety of physical activity, fresh produce, and culturally specific educational events, such as, open gyms, basketball tournaments, cooking classes with traditional foods, rehabilitating the tribal community gardens, and after-school programs for the youth. The number of patients with diabetes continues to grow from year to year, with at least half of the patients being between the ages of 45 to 64. The obesity rates as well as the rate of uncontrolled A1c’s continue to be an area of concern. Increasing access to healthier choices and educating not only patients with diabetes, but all community members on diabetic education topics can provide them with the tools to make healthier choices. There are two key goals for this project: (1) Clinical: Per the FSSTHC’s Diabetes Care and Outcomes Audit, decrease obesity rates and improve/stabilize blood sugar control based on an A1C of less than 7.0; and (2) Community-based: To prevent patients from being diagnosed with diabetes in the future, with a special emphasis on patients who are considered "pre-diabetic" through prevention and education activities. The FSSTHC Diabetes Care Team is comprised of multi-disciplinary professionals, consisting of three primary care providers, Case Management Nurse, Patient Services Representative, Health and Wellness Nurse, and Public Health Nursing Department. Continuity amongst this team has strengthened the relationship between the patient and their healthcare team. By formally partnering with the FSST Recreation Program’s Coordinator, this project will promote the importance of regular physical activity and nutritional education incorporating tribal culture, foods and customs thereby improving community engagement. The SDPI funding is an essential component to our community engagement, outreach and program development.