Clinical Training

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Sarah Maestas CPT
Director of Health and Wellness
Denver Indian Health and Family Services
Leah Fitzgerald PharmD, BCACP
Director of Pharmacy
Denver Indian Health and Family Services

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During this presentation we will discuss how we utilize our Integrated Care Clinic to help reduce barriers to care for our patients with diabetes. We will explore strategies we use to improve care integration emphasize family participation.

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Jillian Cambridge MPH, MA, PhD (c)
Jemez Public Health Program Manager
SDPI Principle Investigator

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Jemez Public Health proudly presents its comprehensive strategy to enhance the Hemish Food System and advance food sovereignty through three interconnected pillars: Food Sovereignty, Health Education, and Public Health Nursing. This approach integrates food sovereignty principles into all public health initiatives, showcasing how the strategy strengthens food security, fosters healthy eating habits, and preserves cultural traditions, all while aiming to address social determinants of health within the Pueblo of Jemez.

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Christos Argyropoulos MD
Associate Professor of Internal Medicine, Division Chief of Nephrology
Department of Internal Medicine University of New Mexico

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This session will provide an update on the epidemiology, clinical presentation, and pathogenesis of Diabetic Kidney Disease (DKD). The session will discuss strategies for monitoring disease, selection of new therapies, and referrals to nephrology. It will also review the clinical data supporting the current pharmacological paradigm for treating diabetes in DKD, discuss risk management of new therapies, and summarize considerations for special populations.

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Christy Pierce APRN, MSN, ACNP-BC, FNP-C, BC-ADM
LCDR, USPHS
Diabetes and Endocrinology

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This session will provide a brief history of the use of glucose monitoring as a tool for diabetes management. Pitfalls and difficulties of continuous glucose monitoring (CGM) and ways to overcome these barriers to help patients be successful with the use of CGMs will be discussed. In addition, a review of how to interpret CGM data by analyzing case studies to help determine the best course of action for medication management will be provided.

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Denee Bex MPH, RD, CDCES
Founder & Owner
Tumbleweed Nutrition LLC

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This webinar will explore the intersection of diabetes management with traditional diets of Southwest Tribal communities. Health professionals will gain a deeper understanding of the nutritional benefits of incorporating culturally significant foods, such as blue corn, beans, squash and other traditional foods in diabetes care plans. Additionally, we will review case studies to highlight the importance of respecting cultural food practices when developing individualized interventions for Indigenous clients with diabetes. As a result, attendees will be able to foster stronger connections with Indigenous communities and offer more effective and culturally relevant care.

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Carol Greenlee MD MACP

Western Slope Endocrinology

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This presentation will discuss diabetes distress and how it impacts the patients you care for every day. We will review different screening tools used to assess a patient's level of distress related to their diabetes. We will also identify how healthcare providers can help their patient manage their diabetes distress with the assistance of Behavioral Health Specialists as a part of the care team.

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Brian Laban
Director of Culture and Education
Native American Fitness Council
John Blievernicht MA
Executive Director
Native American Fitness Council

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This presentation will touch on the benefits of resistance training for older adults. The main focus will be on how to choose the best resistance training exercises & modify them for maximum benefit. Ideas on connecting to Native elders through culturally appropriate ways will be included.

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CoCo Villaluz
Health Equity Manager
American Indian Cancer Foundation

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Join us for an engaging discussion on culturally sensitive strategies aimed at improving health outcomes in Native American communities. This session will explore the intersection of traditional tobacco use, diabetes risk, and holistic wellness practices within Native cultures.

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Nicole Santonastaso O'Neill RDN, LD, IBCLC, CDCES
Prevention Program Supervisor
Norton Sound Health Corporation

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There is a compelling connection between breastfeeding and the reduced risk of developing type 2 diabetes and overall prevention of chronic disease. This presentation will delve into the scientific evidence supporting this relationship and how clinical and community settings can support and protect breastfeeding for the health of mothers and our future generations.

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Denisa Livingston
Indigenous Public Health Consultant
Diné Community Advocacy Alliance

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The presentation will focus on the contribution of the Diné Community Advocacy Alliance (DCAA) regarding the Healthy Diné Nation Act of 2014 and related food policies as it relates to Indigenous data sovereignty with an unhealthy food tax and the importance of innovation in tribal communities. Topics include sustainability, strategies, and community engagement. DCAA is recognized as the passage of several laws which include the Elimination of Tax on Healthy Foods with an emphasis on Indigenous foods, the Healthy Diné Nation Act of 2014, and a tax revenue allocation for Community Wellness Projects for all 110 Navajo Chapters.

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Gary L. Ferguson ND
Washington State University
Institute for Research and Education to Advance Community Health (IREACH)

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Indigenous communities experience significant rates of food insecurity, which is associated with obesity, diabetes, and hypertension. The Store Outside Your Door initiative, supported initially from a USDA NIFA (National Institute of Food and Agriculture) grant "Helping Ourselves to Health" investigated diets of the Yup'ik from SW Alaska and eventually became a statewide initiative addressing food sovereignty. This presentation will share the story of how this initiative continues to thrive across Alaska and ways it can be replicated to help other indigenous communities to improve diabetic-related health outcomes.

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Kristy Klinger PharmD, PhC, CDCES, BC-ADM

USPHS – Indian Health Service (retired) Gallup Community Health

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In the fast paced world of diabetes, one thing remains a central component – insulin. But with so many options to choose from, where do you begin? This presentation will discuss several clinical aspects of this life altering medicine and how we can best serve our patients who may benefit from insulin therapy.

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Miriam T. Bell MPH
Team Lead
National Diabetes Prevention Program Division of Diabetes Translation National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention
Kavitha Muthuswamy MPH
Public Health Analyst
Division of Diabetes Translation National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention
Dolores Addison MPH, RDN
LCDR US Public Health Service
Division of Diabetes Translation National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention

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Speakers from the Division of Diabetes Translation at the Centers for Disease Control and Prevention (CDC) will provide an update on activities to expand access to the National Diabetes Prevention Program (National DPP) lifestyle change program across Indian Country with an emphasis on the long history of contributions from American Indian and Alaska Native individuals in helping to shape the science that supports the program.

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Wyatt Pickner MPH
Research Manager
American Indian Cancer Foundation

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This presentation will discuss the history and context of health inequities in Native communities and how the American Indian Cancer Foundation (AICAF) is working to eliminate the cancer burdens of Indigenous people with diabetes through culturally-aligned efforts that improve access to prevention, early detection, treatment, and survivor support. While our efforts are framed around cancer, these strategies may inform work on other health topics and support the larger effort to reclaim indigenous health. By providing patients with diabetes, community members, leaders and health care providers with the knowledge, tools and resources needed to make informed decisions about health, we can collectively work towards healthier communities and future generations.

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Denee Bex MPH, RD, CDCES
Founder & Owner
Tumbleweed Nutrition LLC

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The session aims to illuminate the challenges and opportunities in managing diabetes within these communities, including socioeconomic barriers, healthcare access, and traditional beliefs. Participants will learn strategies for engaging Navajo individuals and communities in diabetes education, emphasizing respect for cultural values and the utilization of local resources and leadership. Additionally, case studies will highlight practical applications and the positive impacts of culturally adapted health initiatives. By the end of this presentation, participants will have a comprehensive understanding of how to adapt and apply the ADCES 7-Self Care Behaviors in a manner that respects Navajo traditions and improves diabetes outcomes.

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Ashley Weedn MD, MPH, FAAP
Director, Pediatric Obesity Research Program
University of Oklahoma Health Sciences Center Medical Director, Healthy Futures Clinic, OU Health

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The American Academy of Pediatrics (AAP) published its first clinical practice guideline on pediatric obesity in 2023. This presentation will provide an overview of the recommendations for clinicians on the evaluation and treatment of pediatric obesity for children and adolescents.

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Julie Ralston Aoki JD
HEAL Director
Public Health Law Center

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Tribes are using policy in many ways to advance access to traditional, healthy, affordable food and protect the integrity of their food systems and ecosystems. These are core functions of governance and public health, and these efforts can be a powerful tool to support work to prevent and address diabetes. Julie will share learnings from the Public Health Law Center's work with Tribal partners and Native-serving organizations on Tribal food policies. She will share examples of how Tribes are using policy as a tool to promote food for healing and to protect traditional foodways, and how these efforts connect with and complement programs to address diabetes and other diet-related chronic diseases.

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Eric Jewell DDS, MDS
National IHS Periodontal Consultant
IHS Division of Oral Health

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Periodontal (gum) disease is recognized as the "sixth complication" of diabetes. However, the relationship between periodontal disease and diabetes is bi-directional: the risk of developing periodontal disease is increased three-fold in people with diabetes, while the severity of periodontal disease – and treatment – affects glycemic control in patients with diabetes. This webinar will explore both sides of this complex relationship.

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Brian Laban
Director of Culture and Education
Native American Fitness Council

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This session will explore the history of the Native American Fitness Council (NAFC) and bring awareness to the importance of activity particularly in Native American communities in helping with diabetes management. We will discuss various fitness certifications available through the NAFC.

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Mandy Fretts PhD MPH
Associate Professor
Department of Epidemiology University of Washington School of Public Health

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Present findings from the Strong Heart Study--a large epidemiological study of cardiovascular diseases and its risk factors in 12 American Indian communities in the USA. Much of the presentation will highlight diet, physical activity, and other potentially modifiable risk factors. We will also outline major barriers and facilitators to healthy diet quality, and present findings from the Cooking for Heath Study--a National Heart, Lung, and Blood Association-funded intervention focused on improving diet quality and diabetes outcomes among American Indians with diabetes from the North-Central USA.

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Ralph La Forge MSc, FNLA
Hill Group Contractor, DDTP
Duke University Endocrine Division University of North Carolina Chapel Hill Program on Integrative Medicine

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This presentation is part two of a two-webinar series that will explore mindful exercise practices in the primary and secondary prevention of chronic health conditions including cardiometabolic disease.

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Ralph La Forge MSc, FNLA
Hill Group Contractor, DDTP
Duke University Endocrine Division University of North Carolina Chapel Hill Program on Integrative Medicine

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This presentation is part of a two-webinar series that will explore the purpose, supportive science, and application of mindful exercise practices in primary and secondary prevention of chronic health conditions, such as diabetes.

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Dara Shahon MD
Director
IHS/JVN Teleopthalmology Program
Dawn Clary OD
Director
IHS/JVN National Reading Center

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This session will provide information; past, present and future regarding the Indian Health Service's Joslin Vision Network (JVN) Teleophthalmology Program. It will review evidence-based medicine related to the latest guidelines for Diabetes Eye Care. Recommendations for application of these guidelines in Indian country will be discussed in terms of preventing avoidable vision loss due to diabetic retinopathy among AI/AN using the IHS/JVN program.

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Andrew Narva MD
Adjunct Associate Professor of Medicine
Uniformed Services University School of Medicine

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This webinar will describe a pragmatic approach to help patients and their families understand kidney disease and its' treatment to promote self-management of progressive kidney disease.

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Richard Arakaki MD
Clinical Consultant
IHS Division of Diabetes Treatment and Prevention (DDTP)
Karen Sheff MS
Biostatistician

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Results from the IHS Diabetes Care and Outcomes Audit ("Audit") provide valuable information to participating facilities for evaluation and improvement. Each year, these facilities gather data on their American Indian and Alaska Native diabetes patients and submit it to the IHS Division of Diabetes for review and analysis. This webinar will provide an overview of the Audit process and national results from the 2023 Annual Audit.

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Anthony Fleg MD, MPH
Family Medicine Physician
Sister Sky, Inc.

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Motivational Interviewing (MI) has become a great interest in the diabetes behavioral health field. MI is an evidence-based approach to behavioral change counseling and has been shown to aid in diabetes care within integrated care settings. Its patient-centered approach and focus on empathy and reflective skills provide an opportunity for improved care and outcomes.

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Alberta Becenti MPH
Public Health Advisor, Health Promotion/Disease Prevention Consultant

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It is essential to provide clear health information to enable our patients to find, access, and act on information to maintain wellness. Health literacy is multidimensional and involves the interaction of individuals, providers, caregivers, and complex healthcare systems. This session will provide an overview of the role of organizational health literacy, share strategies and techniques to improve patient understanding, locate practical tools, and discuss the current ongoing efforts of the IHS Health Literacy Workgroup to advance health literacy. We all have a role in advancing health literacy to support patients in making informed health decisions to maintain health and wellness.

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Jane K. Dickinson RN, PhD, CDCES
Program Director/Senior Lecturer
Teachers College Columbia University

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This webinar will provide background on the problem with the current language in diabetes. Dr. Dickinson will present examples that highlight problem language and strategies for replacing it with person-centered, strengths-based, empowering messages.

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Jill Breyen MS, RDN, CDCES
Health and Wellness Coach
Red Lake Comprehensive Health Services Red Lake Indian Hospital

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This presentation is designed to explore the beliefs and practices of health practioners working in AI/AN communities who were trainied as Health and Wellness Coaches. The group of health coaches included a wide variety of health professionals including nurses, dietitians, exercise therapists, physical therapists, community health representatives, dental hygienists, pharmacists, and nurse practitioners. This session will provide insight into how the group integrated their health coaching skills into their real-life practices, their perceptions on it's effectiveness, and which skills they used most often.

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Carla Knapp

National Vice President of Native Services
Boys Girls Clubs of America
Kelly Crowe

Sr. Director Federal Grants Impact and Performance
Boys & Girls Clubs of America

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On the T.R.A.I.L. (Together Raising Awareness for Indian Life) to Diabetes Prevention – is an innovative combination of physical, educational, and nutritional activities. The program is presented with four themes: About Me, My Health, & Being Part of a Team; Healthy Eating; Making Smart Food Choices and My Healthy Community. Woven throughout the program are self-esteem and prevention activities utilized by Boys and Girls Club of America, including contributions from national evidence-based programs such as SMART Moves. Programs draw from Tribal traditions and history to learn about nutrition, food choices, media influences and the impact of diabetes. The program also emphasizes the importance of teamwork and community service. Members apply decision-making and goal-setting skills when completing physical activities and engage in community education projects to improve healthy lifestyles in their communities. Club sites implement Club-wide participation in fun physical activities and games for 60 minutes every day.

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Ralph La Forge MSc, FNLA
Hill Group Contractor, DDTP
Duke University Endocrine Division University of North Carolina Chapel Hill Program on Integrative Medicine

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This session will review the current evidence base for the quantity of physical activity required for weight loss. We will also review new information on total daily energy expenditure as the primary factor in weight loss, fat loss without weight loss, energy conservation and compensation, why do we get less than expected weight loss from exercise, and the impact of GLP-1 agonists plus exercise.

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Dr. Hai Tran DPM
Podiatrist
Butler VA Health Care System

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Patients with diabetes are at increased risk for foot ulcers and amputation. This webinar describes how to perform a complete foot examination, which is recommended annually, and discusses recommendations for risk assessment and interventions to prevent foot complications.

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Lani Desaulniers MD
Clinical Consultant
IHS Division of Diabetes

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Cardiovascular disease affects the health of many people with diabetes. This session will review current ADA guidance for cardiovascular risk reduction in people with diabetes including lifestyle intervention, hypertension diagnosis and treatment, lipid management, and recommendations of use of SGLT-2 inhibitors and GLP-1 receptor agonists.

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Dr. Hai Tran DPM
Podiatrist
Butler VA Health Care System

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Patients with diabetes are at increased risk for foot ulcers and amputation. This webinar describes how to perform a complete foot examination, which is recommended annually, and discusses recommendations for risk assessment and interventions to prevent foot complications.

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Carol Greenlee MD MACP

Western Slope Endocrinology

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This presentation will discuss care fragmentation and how modifying the referral process can reduce care fragmentation and improve coordinated care. We will also examine the value of tele-mentoring to help address barriers to care and improve access for American Indians and Alaska Natives (AI/AN) in Indian Country.

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Rachel Blair MD

Associate Physician and Instructor of Medicine
Margo Hudson MD

Associate Physician and Assistant Professor of Medicine Brigham and Women's Hospital, Harvard Medical School

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This session will examine the use of insulin in the body. We will discuss what factors impair insulin action. We will also describe strategies to improve insulin action to improve health outcomes.

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Richard Arakaki MD
Clinical Consultant
IHS Division of Diabetes Treatment and Prevention (DDTP)

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Advanced technology is available to clinicians to manage patients with diabetes to minimize labile and persistent hyperglycemia, prevent hypoglycemia, and reduce the burden of intensive therapy. The use of continuous glucose monitors and insulin pumps, separately and together has improved diabetes management, especially in children and adolescents.

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Alithea Gabrellas MD
Infectious Diseases Physician
Gallup Indian Medical Center

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This presentation will discuss the post-acute complications of COVID and some management strategies for patients with diabetes. We will also review some ongoing research that is being conducted around Long COVID.

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Chandima Deegala B.S., PharmD, cTTS
Pharmacist Practitioner/Health Educator
Northern Navajo Medical Center

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This motivational Interviewing presentation is designed for pharmacists and other healthcare professionals in all practice settings. Through lecture and discussion, you'll explore the foundations of MI and how it can empower people with diabetes to improve their own health. In this one-hour presentation, you'll learn step by step how to refine your communication style to increase positive outcomes with your patients. Through lecture, analysis, and discussion, you'll learn to use a compassionate, curious effort to elicit your patient with diabetes own arguments for change.

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Dr. Valerie Segrest BSN, MA
Muckleshoot Tribal Member
Owner - Tahoma Peak Solutions

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Ancestral diets were nutrient dense and dictated by the ripening and returning of our foods. In return, our Ancestors lived free of common nutrition-related diseases like diabetes and heart disease, which are now among the top causes of mortality in our communities. While it may seem impossible for these diets to exist in a modern world, the principles of Native diets are just as applicable today as they were generations ago. In this training, we cover these topics and principles to support health interventions that are culturally centered and relevant. We also discuss the nutrient density of these foods as the remedy for common pervasive maladies.

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Michelle Archuleta MA, MS
Public Health Advisor, CHR Program Lead
HQs Indian Health Service
Alyssa Fine RN, MSN, CDCES, CNL
Wellness & Diabetes Program Coordinator
Cowlitz Indian Tribe Health Clinic LCDR, US Public Health Service

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An Indian Health Service (IHS) National Health Coach Pilot Project (NHCPP) is underway providing health coach training to practitioner and health professionals to understand how to integrate health and wellness coaching into the IHS Tribal, Federal and Urban health care systems. Results from the NHCPP will provide information on program development and health care integration. This webinar will provide an overview of the state of health coaching in healthcare, describe the purpose and background of the NHCPP, and share how health coaching can be incorporated into diabetes programs to meet the updated 2023 ADA Standards of Care in Diabetes around supporting positive health behaviors.

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Richard Arakaki MD
Clinical Consultant
IHS Division of Diabetes Treatment and Prevention (DDTP)

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The prevalence of diabetes among the diverse adult US population approximate 11.3% with the highest rate in AI/AN of 14.5%. Encouragingly, the incidence rates of newly diagnosed diabetes and diabetes-related complications has decreased in the past 2 decades. New clinical trial evidence has shaped the treatment of hyperglycemia and complications with oral agents in patients with type 2 diabetes.

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William Lee Thibodeaux OD, FAAO
GIMC Eye Clinic Chief

Alicia Thibodeaux OD, FAAO
GIMC Eye Clinic Residency Coordinator
IHS Optometry Residency Coordinator

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This presentation is designed to educate attendees on ophthalmic manifestations of diabetes.

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Tami DeCoteau PhD
Licensed Clinical Psychologist

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This presentation is designed to help attendees understand how trauma, including genocidal policies such as boarding school and intergenerational trauma can affect the health of Native people today. How the body responds to trauma can have long lasting effects on the individuals, including chronic diseases such as diabetes. Similarly, developing brain resiliency can buffer against the negative effects of traumatic experiences. The presenter will discuss strategies for developing resiliency from both modern and traditional perspectives.

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Erica Dean MS, RDN, CDCES, FMNS
Diabetes Educator
Claremore Indian Hospital

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Anxiety and depression has been on the rise, and can prevent individuals with diabetes from conducting self-care. Nutrition psychology is the study of the role nutrition plays in mental health. Long-term stressors and a poor diet can cause a depletion of nutrients that support neurotransmitters vital for feelings of well-being. Ongoing inflammatory processes have been shown to exacerbate depression and the anti-inflammatory diet is explored in research as an intervention. An anti-inflammatory diet is also ideal to prevent long-term complications of diabetes and therefore, can be a part of the diet plan to help patients improve mood and motivation for a better quality of life. The dietitian-nutritionist plays an important role in supporting patients in their mental health within their scope of the nutrition assessment, diagnosis, and intervention.

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Amy Richards PhD, RDN, LN
Associate Professor and DPD Director
University of Tennessee at Martin

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This presentation is designed to provide an overview of the research on plant-based diets and diabetes outcomes as well as provide strategies and resources to assist with the transition to a more plant-based diet.

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Kibbe Brown MS, RD
Nutrition Consultant
Division of Diabetes Treatment and Prevention
Wendy Castle MPH, RD, LD, CDCES
Clinical Training Coordinator
Division of Diabetes Treatment and Prevention

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Patients come from diverse cultural backgrounds and to optimize patient learning, health educators need to have access to a variety of tools and educational approaches when teaching nutrition. This session includes interactive diabetes management teaching techniques for simple to advanced carbohydrate counting that can be used in individual and group settings. This presentation will demonstrate various approaches for carbohydrate counting, adapted for numeracy and literacy.

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Whitney Sawney
Director of Communications and Policy
Native American Agriculture Fund
Katie Jacobs MPH, RDN
Program Manager
Early Childhood Programs and Food Systems Food Research & Action Center

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This presentation is designed to disseminate current research on the linkages between hunger and health across Indian Country and explain the results of a recent food access survey among Native American communities. The presentation will provide an overview of food security and its connection to diabetes; outline the prevalence of food insecurity found among the survey respondents; describe changes in food access during COVID-19 among survey respondents; provide examples of resilient Native-led initiatives to address food insecurity across Indian Country; and conclude with steps for health care providers to connect their clients/patients to food security supports within their communities and opportunities to advocate for improvements to federal food and nutrition programs.

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Dr. Lori Raney M.D.


Dr. Andre Peri Ph.D.

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This webinar will focus on ways to work in integrated settings with patients to manage stress and in particular diabetes distress and burnout.

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Ralph La Forge MSc, FNLA
Hill Group Contractor, DDTP
Duke University Endocrine Division University of North Carolina Chapel Hill Program on Integrative Medicine

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This presentation is designed to disseminate current research and practical perspectives on National Lipidemia Association and Indian Health Services dyslipidemia guidelines, familial hyperlipidemia, statin intolerance, overview of acute coronary syndrome, exercise and post prandial lipemia, and recognition of exercise-induced cardiac arrhythmias

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Dr. Lori Raney M.D.


Dr. Andre Peri Ph.D.

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Depression and anxiety are common mental health conditions that can be concurrent with diabetes. This webinar will focus on the value of integrated care to provide rapid identification and treatment of these mental health conditions in the primary care setting.

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Jason Deen MD
Co-Principal Investigator
Associate Professor of Pediatrics and Medicine Divisions of Cardiology University of Washington School of Medicine

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Much of what we know of cardiovascular disease and its risk factors in American Indian communities comes from the Strong Heart Study (SHS). This presentation will provide lessons learned about cardiovascular disease prevalence and incidence in SHS participants, specific clinical tools developed from the SHS to help medical providers predict and manage cardiovascular risk, and summarize what is known about cardiovascular disease risk in American Indian/Alaska Native youth.

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Dr. Anita Kohli
Director of Clinical Research
Arizona Liver Health

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This presentation is designed to update providers on the epidemiology diagnosis and treatment of Hepatitis C Virus (HCV) and Fatty Liver Disease as it relates to diabetes.

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Dr. Melissa Walls
Bloomberg Associate Professor of American Health

Sid Kellar
Family Health Coach, Teacher at Ojibwe School

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This presentation describes food insecurity in the US and screening for food insecurity in the clinical setting. It then addresses strategies and rationale for addressing food insecurity in the context of diabetes care. Finally, the full spectrum of "food is medicine interventions" will be summarized.

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Hilary Seligman MD MAS
Professor
University of California San Francisco

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This presentation describes food insecurity in the US and screening for food insecurity in the clinical setting. It then addresses strategies and rationale for addressing food insecurity in the context of diabetes care. Finally, the full spectrum of "food is medicine interventions" will be summarized.

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Kristen Nadeau MD, MS
Professor of Pediatrics
Pediatric Endocrinology Children's Hospital Colorado/University of Colorado Anschutz Medical Campus

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This presentation will provide an overview of unique aspects of type 2 diabetes in youth and how that differs from treating adults.

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Dean Schillinger MD
UCSF Professor of Medicine in Residence
Division of General Internal Medicine

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This presentation is designed to inform the audience of recent Congressional recommendations made by a federal diabetes commission, the first in nearly 50 years. The report, for the first time, frames the diabetes epidemic as both a biomedical and societal problem, one that requires an all-of-government approach.

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Krista Haven RN, MSN, CDE
Diabetes Nurse Specialist

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Primary care case management includes activities that integrate additional support to help patients achieve goals within primary care and/or coordinate care needs that are dependent upon services beyond those offered in primary care (e.g.; specialty care, community services). Health coaching is a model of chronic disease health education that can be readily integrated into team-based primary care. Health coaching occurs in a coach-patient relationship, providing tailored, culturally appropriate education and self-management support. In this presentation we present two Chinle IHS programs which health coaches utilize case management to extend their help of patients. For the past 11 years, we provided diabetes education in primary care clinics using bilingual, bicultural health coaches. The coaches target higher risk patients, including individuals with new onset diabetes, poor glycemic control, or insulin use. The health coaches connect patients to other clinical services (e.g.; Medical Nutritional Therapy, Native Medicine). For a selected group of patients, the health coaches provide additional case management services to help patients maintain continuity. With the support of the Diabetes Program, a second program of case management with health coaching was developed, focusing on patients with complex care needs.

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Mark A. Kantor Ph.D.
Nutrition Scientist

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This presentation is designed to highlight some important features and recent updates of the Nutrition Facts label that can be used to help people with diabetes achieve a healthy diet. The session will also provide an overview of the Healthy People 2030 public health program, with an emphasis on nutrition-related goals and objectives. The session is designed to increase understanding of the critical role that diet and nutrition play in helping to achieve the nation's public health mission and helping people with diabetes choose healthier foods.

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Aimee C. Reinhard

Pharm D, NCPS, Clinical Pharmacist, Diabetes Care and Education

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An interprofessional approach is important to the successful management of diabetes. Pharmacists can play a significant role in achieving positive patient outcomes through disease management and can contribute to interprofessional teams with their extensive training in chronic disease. This session will explain the role of pharmacists at different levels of diabetes care and examine the skills pharmacists can offer to the interprofessional team.

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Carol Greenlee MD MACP

Western Slope Endocrinology

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This presentation is designed to improve the confidence of attendees in appropriately selecting and initiating treatments for diabetic kidney disease (DKD) to ultimately slow the progression and improve outcomes for patients with DKD.

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Ralph La Forge MSc, FNLA
Hill Group Contractor, DDTP
Duke University Endocrine Division University of North Carolina Chapel Hill Program on Integrative Medicine

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This presentation will provide an update of select diabetes exercise science research and their impact on physical activity and health outcomes. Additionally, several practical physical activity strategies ready to implement will be presented, such as the Gym Inside Your Door, that is now used in primary and secondary prevention programs.

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Jana Towne RN, BSN, MHA
Nurse Consultant
Division of Diabetes Treatment and Prevention

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This session will provide an overview of what the social determinants of health are and how they affect the AI/AN tribal areas. We will discuss the frameworks that encompass the social determinants of health and examine their relationship between the disparities in the SDOH and diabetes.

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Carol Greenlee MD MACP

Western Slope Endocrinology

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This presentation is designed to improve the confidence of attendees in appropriately screening for, diagnosing and monitoring diabetic kidney disease (DKD) to ultimately slow the progression and improve outcomes for patients with DKD.

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Uzo Chukwuma MPH
IHS Immunization Program Manager
Division of Epidemiology and Disease Prevention

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Immunizations are important for keeping people of all ages healthy. Specific immunization needs are determined by factors such as age, lifestyle, health conditions, locations of travel, and previous immunizations. This seminar will address the specific immunization needs of adults generally, as well as the needs of adults with diabetes. Comprehensive information on immunization recommendations, schedule, and documentation will also be provided.

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Caroline Badeer MD
Neurologist
Phoenix Indian Medical Center

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Neurologic complications of diabetes are frequent. This talk will describe the range of diabetic neuropathies, including symmetric polyneuropathy, autonomic neuropathy, mononeuropathies, polyradiculopathies and some less common syndromes. This session will provide an overview of the presentation, diagnosis and treatment of these issues.

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Isaac E. Hall MD, MS
Assistant Professor of Medicine
University of Utah School of Medicine Division of Nephrology and Hypertension Kidney and Pancreas Transplant Program

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This presentation is designed to assist primary and diabetes care providers and educators in counseling people with kidney transplants. The session will provide diagnostic criteria and management strategies for common long-term complications of transplantation along with recommendations for educating and assisting patients with kidney transplants. The benefits of care coordination for patients with kidney transplants will also be addressed.

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Jonathan Vilasier Iralu MD, FACP
IHS Chief Clinical Consultant for Infectious Disease
Gallup, NM

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Infectious diseases are more frequent and/or serious in patients with diabetes. Pneumonia, urinary tract infection and soft tissue infections are special challenges. This session will provide an overview of some of the more common infectious diseases seen in patients with diabetes, along with discussion of prevention, monitoring and treatment for the diseases. The presentation will also include discussion of COVID-19 and diabetes.

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Richard Arakaki MD
Clinical Consultant
IHS Division of Diabetes Treatment and Prevention (DDTP)

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This webinar will cover the latest information on insulins and its use in managing blood glucose in patients with diabetes. Working with patients on individualized treatment targets, and intricacies of needing and using insulin with or without other medications will also be addressed. Furthermore, the use of self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGMs) with insulin therapy will be discussed.

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Jonathan Q. Purnell MD
Director, Center for Preventive Cardiology
Professor, Department of Medicine Knight Cardiovascular Institute Division of Endocrinology, Diabetes, and Clinical Nutrition Oregon Health & Science University

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This seminar will provide an overview of developmental origins of health and disease with a focus on preconception factors that lead to an offspring's increased vulnerability for obesity and diabetes later in life and trans-generationally. Strategies to mitigate these risks will also be discussed both at the individual and community level.

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Maria Kofas MSPH, RDN, LN
Public Health Nutritionist
Billings Area Telenutrition Program Specialist

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This session will provide an overview of the principles of a. healthy eating for optimal kidney health and b. medical nutrition therapy for kidney disease. Moreover, the presentation will include a review of various dietary patterns, foods, and nutrients of importance for kidney disease prevention and management.

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Tonya S. Wapskineh MPH

Center for Indigenous Health Research and Policy Oklahoma State University Center for Health Sciences

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Indigenous communities experience significant rates of food insecurity, which is associated with obesity, diabetes, and hypertension. Food sovereignty is a concept that can be described as a community's access to and control over their own food system. This presentation provides an overview of food sovereignty and the ways in which food impacts health in Indigenous communities.

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Flora Deacon
Indigenous Chef, Alaska

Melissa A. Chlupach MS, RD, LD
Assistant Professor, Dietetics and Nutrition
University of Alaska Anchorage

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This session will provide information on various indigenous food ways in Alaska. It will also discuss the use of indigenous foods and the therapeutic value of providing access to these foods. Finally, this presentation will provide insight into the Alaska Native Traditional Foods Movement and recommendations that empower people to create a movement for their own communities.

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Sarah Stotz PhD, MS, RDN, CDE
Research Assistant Professor
Centers for American Indian and Alaska Native Health Colorado School of Public Health

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This presentation will provide information on the What Can I Eat (WCIE) diabetes nutrition education curriculum for use with AI/AN adults with type 2 diabetes (T2D). WCIE was developed to meet the unique needs of AI/AN communities. The curriculum includes 5 interactive, theory-based, diabetes nutrition education classes for adult AI/ANs who have T2D and their family members/support persons. The presentation will include: key findings from needs assessment used to develop WCIE, a brief description of the development process, our pivot to remote-WCIE lessons due to the COVID-19 pandemic, an overview of the pilot protocol for WCIE, and the next steps in evaluating WCIE.

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Velliyah Craig RPh, NCPS
Director, Tobacco Cessation Clinic
Phoenix Indian Medical Center

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Commercial Tobacco abuse is the most prevalent health risk factor adversely affecting our Native American/Alaska Native patients today. This session will provide information on how commercial tobacco increases risk of diabetes and can also impede blood sugar control, contributing to other co-morbidities and mortality. Find out how to successfully help patients stop using commercial tobacco for good.

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