Thursday, April 10, 2025
4/10/2025
Special Diabetes Program for Indians - The Lower Brule Diabetes Prevention Program (LBDPP) has offered Diabetes Self-Management Education (DSME) classes in tribal work sites since 2014 to the present. Providing DSME classes in the tribal work sites has been a success strategy in reaching individuals who have diabetes. These classes are crucial in reducing diabetes complications for the participants. The Lower Brule Diabetes Prevention Program developed Diabetes Independent Study Modules to continue providing DSME throughout COVID-19 in 2020 and 2021. Each module included information related to a diabetes topic and a 10-question quiz for each of the participants to complete. The Lower Brule Sioux Tribe is located along the west bank of the Missouri River. The closet town to Lower Brule is Chamberlain with approximate distance of 32 miles. The town of Chamberlain provides the Lower Brule community members with a 24-hour emergency medical hospital, variety of food retails and other basic and/or specific needed services. The Lower Brule Sioux Tribe has a population of 1, 130 enrolled members live on reservation, and are located in central South Dakota. There are 391 children and 739 adults who live on the Lower Brule Reservation. The geographic location is rural and isolated from major towns and/or cities. The isolation affects the availability and/or variety of food markets and limits interstate commerce because of Lower Brule not being located on a main service route. The Lower Brule Sioux Tribe does not have a grocery store but only has a convenience store. The Kul Wicasa Wopasi provides a farmers' market in June, July, and August of 2022. Based on the 2022 Diabetes Audit for calendar year 2021, the number of individuals with diabetes increased from 120 in 2020 to 138 in 2021. Comparing 2020 to 2021, the number of individuals with diabetes <20 years increased from 1 to 3 people, 20-44 years increased from 30 to 36 people, 45-64 years increased from 52 to 59 people and >65 years increased from 31 to 38 people. Coronavirus disease (COVID-19) likely contributed to the increase in the number of people with diabetes. The Indian Health Service 2022 Diabetes Audit for calendar year 2021 found 69% (n=94/136) of the adults had obesity. Based on the results of the Lower Brule Diabetes Program (LBDP) 2018 Soda Survey results, 91% of the youth and 87% of the adults consumed soda. The majority, 61% of the youth and 63% of the adults consumed regular soda on a daily basis. Soda consumption could be contributing to obesity rates for both the youth and adults. Diabetes-related education assists The Lower Brule Diabetes Prevention Program by allowing a more comprehensive education program focusing on diabetes, exercise and nutrition. The Lower Brule Diabetes Prevention Program (LBDPP) has offered Diabetes Self-Management Education (DSME) classes in tribal work sites since 2014 to the present. Established partnerships and collaborations with the Lower Brule Head Start, Lower Brule Elderly Nutrition Center, Lower Brule Tribal Administration, Lower Brule Courthouse Facility, and the Lower Brule Community Center to provide location and schedule of events for diabetes related education. In FY 2021, 118 DSME classes (January 1, 2021 to December 31, 2021) have been held in five work-site locations. The instructors of the DSME classes have established personal relationships with the participants which contribute to the success of the program. In addition to DSME, physical education and Diabetes Prevention Education classes are provided in the Lower Brule School system. In addition to the best practice, the program implemented community physical activity events, Presidential Fitness Assessments for Youth, Fitness Center promotion, and school screening.
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).