Native American Nutrition and Diabetes

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By Patty Inglish, MS

Heritage and Health

Diabetes seems to be attacking everyone in the 2010s. Two families I know are seeming opposites in nationalities, one British and the other Eastern European, but a great many in each family suffers insulin-dependent diabetes within Type II. I know several people of a partial First Nations or Native American heritage as well that are taking insulin daily. At the same time, I know others of a range of diverse heritages (including Cherokee) that have controlled Type II Diabetes with diet and exercise. Nationality does not seem to be a deterrent in these particular cases.

Native Americans and First Nations have separate dedicated health divisions in their federal governments from the "rest of the population", or perhaps in addition to the mainline departments, and their Indigenous heritage has been labeled a risk factor for Type II Diabetes. In fact, Type I Diabetes is rare, more so the farther north on the North American Continent is the home of the Indigenous population examined.

Canada's health services report that in 1960, First Nations showed an almost 0%  of diabetes (it was already a problem in the USA). In 2010, it is epidemic. In many cites and towns outside the Golden Horseshoe of Ontario Province, in areas where transportation is more diffcult, First Nations are confronted with an abundance of junk food at high prices in the grocery stores. Healthy foods are even higher-priced. For example, a 2-litre of milk in Sandy Lake was over $6.50 CND in late October 2010.

Inuits - National Cathedral, Washington DC

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Our Indigenous Peoples Have 230% Higher Chance for Diabetes

National Insitute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Part of the NIH, this health division publishes the related risk factors for our Indigenous Peoples of North America. The risk for Type II Diabetes among these peoples is rising.

In 2004, the NIDDK reported that 40% of all adults aged 40 to 74 in America were in prediabetes and therefore, at higher health risk. The Indigenous Peoples were 2.3 time (230%) more likely than whites who were not Hispanic to develop Type II Diabetes and its associated higher risks of stroke and heart disease. New health promotion education programs were put into place on Reservations around the US, including Chickasaw Nation in Oklahoma. They have their own Diabetes Care Center and one of the recommendations is for the overweight to lose 5 to 7% of their body weight. This small start reduces the risk significantly.

The DCC is housed in a large building with examinaqtion rooms, a physical fitness room, a patient-family education conference room, a teaching kitchen, and office space, along with a certified lab and a pharmacy.

From 2004 - 2010, some positive results have been seen from the DCC, indicating that nutrition, exercise, and a small amount of weight loss can prevent prediabetes from becoming Type II Diabetes.

The percentage of Native Americans from Alaska down to the American Southwest that have Type II Diabetes increases from North to south from 6.0% up to over 29% -- However, one nation, the Pima Nation of the Gila River AZ suffers a 50% rate of Type II Diabetes. The highest rate in Canada is in Sandy Lake, Ontario - 25%. The Pima Nation AZ may have the highest rate of diabetes in the world.

Medicine Man and patient in centuries past.
Medicine Man and patient in centuries past.

Recommendation to North American Indigenous Peoples

  • Lower the amount of fats in the diet.
  • Lower the amount of sugar in the diet.
  • Lower the number of calories eaten on a usual daily basis.
  • Eat healthier foods overall and eliminate pop or soda.
  • Exercise 30 minutes daily.
  • If you are pregnant or newly delivered, breastfeed your baby to prevent diabetes in your child. Breastfed babies are LESS likely to become overweight and to have Type II Diabetes later.
  • These are even more important for Native Americans in the Southwestern US States.

Native American Chiefs at the end of the Civil War, 1865.
Native American Chiefs at the end of the Civil War, 1865.

Native American Nutrition

The Backbone of History: Health and Nutrition in the Western Hemisphere
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Tanka Bar - 12 Pack
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The Native Foods Restaurant Cookbook
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Native American Medicine
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Comments

melpor profile image

melpor Level 4 Commenter 19 months ago

Patty, this is a good hub. Type II diabetes is epidemic in this country because of the high incident of obesity. If people stopping eating so much high caloric foods such as sodas and fast food the incident of diabetes will decline dramatically. Also, people must become more activity if they want to consume all these high caloric foods. That is what we have been doing for a while until the last 20 or so years.

prasetio30 profile image

prasetio30 Level 8 Commenter 19 months ago

Good morning, Patty. This is another great hub from you. Again, you inform to us about how this disease looks terrible from day by day. I thought diabetes is also an international problem. Good recommendation for the people who get diabetes. Eating pattern by combining diet and doing exercise regularly is good treatment for diabetes patients. Rating up!

Prasetio

stephhicks68 profile image

stephhicks68 Level 7 Commenter 19 months ago

Hmmmm - didn't know there was a connection. I have diabetes, and both my mom and dad have Native American heritages (making me 1/4 total, or 1/8 of each of their Native American Tribes - Cherokee and Cree). Then again, I have Type 1 (juvenile diabetes) and the connection explored in this hub correlates to Type 2.

Hello, hello, profile image

Hello, hello, 19 months ago

Thank you for such an eye opener. I never suspected the Native Americans would have problems with diabetes. I really learned a lesson here. Great hub.

Patty Inglish, MS profile image

Patty Inglish, MS Hub Author 19 months ago

Thanks for manking all these good comments! We probably think little about Native Americans having diabetes, although I heard about it in public health classes in the 1990s there are not many of the population in Central Ohio. At the same time, many poeple have some native heritage and do not know it.

@stephhicks68 - the Canadian health services have posted that diabetes was almost nonexistant before 1960, so I wonder of they mean also Type I juvenile diabetes? Good news is that some research hospitals are doing partial-pancreas transplants that cure Type I - must be the Isles of Langherhans, which produce insulin. I'll look for news and post it.

UPDATE - Mayo Clinic has a page about it: http://www.mayoclinic.com/health/pancreas-transpla

Veronica Bright profile image

Veronica Bright 19 months ago

Excellent information! I am not familiar with the Canadian government, but I know that here, the government run food programs need to re-think their choices. Those in the Midwest, such as the Sioux on Pine Ridge, receive processed food products, rice, spaghetti noodles, etc. There are never any fresh foods, which only exacerbates the problem.

Good advice, though, as always.

authorfriendly profile image

authorfriendly Level 1 Commenter 19 months ago

Patty,

Great article. I used to be the Director of Behavioral Health for the Eastern Band of Cherokee, and we saw so much Type II diabetes that we had special clinics to target it. I think there were a lot of reasons why we see more, especially on the reservations, but some of it may have been the kinds of commodity foods that were handed out by the government, with foods you could count on to elicit diabetes.

Author Friendly

http://hubpages.com/hub/Diabetic-Retinopathy-and-D

Patty Inglish, MS profile image

Patty Inglish, MS Hub Author 19 months ago

Thanks for the additions. I agree that starchy commodity goods don't help the Type II Diabetes in any way. In fact, I didn't know that the commodities were so widely still in use. Thanks again, authorfriendly and Veronica Bright.

ladyt11 profile image

ladyt11 19 months ago

Another great hub with good information! I'm learning some things just by reading your hubs on diabetes, thanks

purpleangel47 profile image

purpleangel47 19 months ago

Great article Patty. The Native Americans are suffering with the same issues as other communities of color - their cultural habits increase the possibility that they will develop diabetes. My hubmob focused on African-American issues, particularly my Dad's Type 2 battle with diabetes: http://hubpages.com/hub/African-Americans-and-Diab

Thank you for your hub!

shazwellyn profile image

shazwellyn Level 4 Commenter 19 months ago

Diabetes, therefore, is not prejudiced - it can affect each and every culture. Yes, some cultures are more vulnerable to it than others - as you have rightly highlighted here with Native Americans - British Indians/Pakistan are also vulnerable, due to their high fat diet.

Evidence seems to suggest that a mediterraen diet is the best and this is what we, as a family, tend to eat - plenty of good fats from fish, veggies, olives and tasty high fibre breads.

Thanks Patty for taking the time to help raise more awareness :)

Support Med. profile image

Support Med. Level 3 Commenter 16 months ago

Nutrition and exercise is key. Diabetes is no respector of persons, so all of us, no matter the culture, have to eat the right foods and get plenty of exercise. Voted and rated.

annaw profile image

annaw Level 2 Commenter 10 months ago

Great Hub the information you have provided is invaluable and so concise. Well written and researched.I learn something new every single day I live and I am thankful for people like yourself who help to raise awarness. I have bookmarked this Hub,and would like to share it with others.with your permission. Thanks again.

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