Chronic Disease Prevention & Management

Diabetes Management and Prevention

In response to the diabetes epidemic among American Indians and Alaska Natives, Congress established the Special Diabetes Program for Indians (S.D.P.I.) grant program in 1997. This annual grant program, coordinated by Indian Health Service (I.H.S.) Division of Diabetes with guidance from the Tribal Leaders Diabetes Committee, provides funds for diabetes treatment and prevention to IHS, Tribal, and Urban Indian health programs across the United States.

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  • You’re in Control a Diabetes Self-Management Education (DSME) program is designed to empower people with diabetes to learn how to manage their diabetes care and treatment according to The Association of Diabetes Care & Education Specialists (ADCES) 7 self-care behaviors. Living with diabetes can be successful. In a group setting, participants can share experiences and learn skills to manage diabetes and control blood sugar. The 7 Self-care behaviors to help participants achieve behavior change include: Healthy Eating, Being Active, Monitoring, Taking Medication, Problem Solving, and Reducing Risks.
  • The Diabetes Prevention Program is designed to prevent and delay the early onset of type 2 diabetes.  The PreventT2 lifestyle change program is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC). This proven program can help you make modest lifestyle changes and cut your risk of type 2 diabetes by more than half.

Diabetes Care Management Team

Kimberly Harvey

Diabetes Health Coach

Sheila Walsh

Registered Dietitian Nutritionist

Jordan Mockta

Fitness Specialist

Madison Dreifuss

Fitness Specialist

Indigenous Empowerment for Healthy Lifestyles

The Good Health and Wellness in Indian Country grant is from the Center for Disease Control and Prevention. Our focus/purpose of this grant is to decrease the onset of diabetes, increase the support of breastfeeding mothers, and help manage hypertension. We work with organizations in the Flagstaff area to achieve these goals through policy initiatives and by providing resources to these worksites.

Community Health Program

Through the Indigenous Empowerment for Healthy Lifestyles programs, the Community Health Representatives (CHR) are responsible for providing community health care services that support patients living with chronic disease(s) and connecting patients to the right initiatives and resources.  They are the liaison between patients in the community, our NACA providers, and Health Promotion staff and programs.  They deliver quality health promotion and disease prevention in the community. The concept of the CHR program is to connect on a personal level with the patients and their families.

In other words, they promote a healthy lifestyle to patients and work with the health promotion staff and clinicians (medical providers and behavioral health staff) to ensure a continuum of care.

  • Provides grants to 301 IHS, Tribal, and Urban Indian health programs in 35 states to implement diabetes treatment and prevention services.
  • Focuses on effective evidence-based intervention strategies using the SDPI Diabetes Best Practices.
  • Uses a broad, community-based public health approach to diabetes treatment and prevention for American Indian and Alaska Native people.
  • Identifies and develops services and activities that address local concerns and needs.

Healthy Heart and RD

We have a Registered Dietitian Nutritionist on staff ready to assist you to meet your health goals, whether it is glucose control, high blood pressure, or Crohn’s Disease, etc.  There is no condition too big or too small, to ask for a dietitian’s help.  In addition to one-on-one sessions, we offer an Honoring the Gift of Heart Health class series for anyone interested in learning how to improve heart health or support a loved one’s journey to better heart health (each class will offer a taste of a fun recipe).