Diabetes treatment & prevention at chapa-DE indian health - since at least 1989, chapa-DE indian health has provided culturally appropriate diabetes treatment and prevention services to american…

Diabetes treatment & prevention at chapa-DE indian health - since at least 1989, chapa-DE indian health has provided culturally appropriate diabetes treatment and prevention services to american indian/alaska native (AIAN) patients residing in placer, nevada, sierra, and surrounding counties in california. Funding in the amount of $329,591 per year for five years is requested to fund the comprehensive services provided by the chapa-DE diabetes department. Year one activities will include a special focus on improving rates of completion and documentation of tuberculosis screening to prevent disease amongst AIAN clients and the wider community. In addition, the chapa-DE diabetes team will champion the use of continuous glucose monitoring to help empower patients and allow providers to make customized treatment decisions for optimal diabetes management, partner with the chapa-DE dental department to identify AIAN adult patients at risk for diabetes through annual screening and offer them support and services, complete retinopathy screenings with adult AIAN clients with a diagnosis of diabetes and who have a primary care provider at chapa-DE to prevent vision damage, and deliver medical nutrition therapy by registered dietitians to support AIAN clients to build positive health behaviors and improve glycemic control.