Managing Diabetes in Native American Communities

A Holistic Approach

Diabetes is a growing health concern among Native American communities, with prevalence rates significantly higher than the national average. This chronic disease, particularly type 2 diabetes, has become a major health challenge due to genetic predisposition, lifestyle changes, and limited access to healthcare in some areas. However, through a combination of traditional knowledge, modern medicine, and community support, Native Americans with diabetes can lead healthier lives and prevent

complications.

Understanding the Impact of Diabetes

Native American populations are more susceptible to diabetes for several reasons. Historically, indigenous diets were rich in natural, unprocessed foods such as wild game, fish, berries, and traditional grains. However, the introduction of processed foods, refined sugars, and unhealthy fats has led to an increase in obesity and diabetes. Additionally, systemic barrier such as limited access to healthcare, socioeconomic challenges, and historical trauma contribute to health disparities. Diabetes can lead to serious complications, including heart disease, kidney failure, nerve damage, and vision loss. However, with proper management, these complications can be minimized. Culturally Relevant Strategies for Managing Diabetes To effectively manage diabetes, Native Americans can incorporate both traditional and modern approaches.

1. Returning to Traditional Foods

Traditional Native American diets were naturally low in processed sugars and unhealthy fats. By reintroducing these foods, individuals can improve blood sugar control and overall health. Consider incorporating:

Lean proteins like bison, fish, and venison

Fiber-rich foods such as beans, corn, and squash

Health fats from sources like nuts and seeds

Wild berries and natural sweeteners like maple syrup in moderation

2. Physical Activity Rooted in Tradition

Exercise is crucial for managing diabetes, and many Native traditions already incorporate physical activity. Activity such as:

Traditional dancing

Hiking and foraging for natural foods

Canoeing or kayaking

Gardening or farming with traditional crops

These activities not only help regulate blood sugar but also strengthen cultural identity and

community ties.

3. Using Traditional Medicine Alongside Modern Treatments

Many Native American healing practices emphasize balance and holistic wellbeing. While

modern medicine, including insulin and oral medications, is essential for managing diabetes,

some individuals find additional benefits in:

Herbal remedies used in traditional medicine (consulting a healthcare provider is

recommended)

Sweat lodge ceremonies for detoxification and spiritual well-being

Smudging with sage or sweetgrass to reduce stress, which can impact blood sugar levels.

4. Community and Family Support

Strong family and community support are vital in managing diabetes. Many tribes have diabetes prevention programs and wellness initiatives that offer:

Nutrition education and cooking classes

Group fitness activities

Diabetes support groups

Mobile health clinics for rural areas

Engaging with these resources can make diabetes management more effective and less isolating.

5. Improving Access to Healthcare

Many Native American communities rely on Indian Health Service (IHS) for medical care. While IHS offers diabetes management programs, expanding access to healthcare through telemedicine, community health workers, and culturally competent healthcare providers is crucial. Advocating for better healthcare policies and increased funding for Native health programs can also lead to improved outcomes.

A Path Toward Healing and Wellness

Diabetes is a serious condition, but it does not have to define the lives of Native American

individuals. By blending traditional practices with modern medical approaches, Native Americans with diabetes can reclaim their health and well-being. Through education, cultural revitalization, and community-driven initiatives, a healthier future is possible for the next generations. If you or a loved one has diabetes, consider reaching out to your local tribal health clinic as they can assist you on your journey to wellness. Laura Hammerel, RN,

Diabetes Education can be reached directly at 715-638-5176. Laura can assist with CGM use, medication questions and assistance, and overall support.