A strategy to address the diabetes epidemic in Canada

Overview The problem The history The solution The benefits The recommendations The plan

The problem

Diabetes is a problem getting markedly worse

Indigenous people in Canada have much higher prevalence

Canada has been without a dedicated diabetes strategy since 2013 ‘97 ‘99 2001 2005 2013 2017 2021 2016-2019 Strategic Plan (Chronic Disease Prevention) Strategic Framework Defined outcomes are an important element of strategic renewal for diabetes in Canada Coordinating Committee NDS Defined outcomes are an important element of strategic renewal for diabetes in Canada Canadian Diabetes Strategy Global best practice is to have a strategy The WHO’s Global Action Plan for the Prevention and Control of Non-Communicable Diseases, features a goal of halting the rise of diabetes by 2025 and includes voluntary global targets for diabetes. Since 2013, Canada has been without a diabetes strategy or specific target. What we are doing now is not working. Between 2000 and 2010, the prevalence of diabetes in Canada doubled from 1.2 million to 2.4 million. By 2010, one person was being diagnosed with diabetes in Canada on average every 3 minutes. Both the prevalence and costs of diabetes are projected to grow by 40per cent in the next decade. A pan-Canadian strategy can benefit all More people who are at risk of developing diabetes would be able to know their status and take preventative measures, thereby avoiding developing the disease Fewer people with diabetes would develop serious complications like heart disease, kidney disease or amputations, which in turn would reduce the enormous burden of diabetes Anything that reduces the prevalence of diabetes or improves its management will reduce heart disease and many of the interventions will have benefits in obesity, cancer, arthritis, even mental health. Canada as a global leader in diabetes treatment If Canada were to adopt a new strategy for the prevention and management of diabetes based on a 90-90-90 framework, it would be the first in the world to do so. This could be a powerful catalyst to propel Canada back to a position as a world leader in the fight against diabetes by 2021, the 100th anniversary of the discovery of insulin by a team led by a Canadian doctor, Frederick Banting, at the University of Toronto. Provincial and Territorial Initiatives Aboriginal Diabetes Initiative

The solution

The difference: Diabetes 360° Adapted from UNAIDS’ successful “90-90-90” model Greater focus on: Primary prevention Screening and early diagnosis Reduced complications Accessible care and support (e- health, community networks, etc.) Measurable outcomes

The benefits

Diabetes 360˚ can help

Benefits for Canada Highly relevant issue to voters 5 million Canadians know they have diabetes, as do their families and friends Extra help for vulnerable communities: Indigenous peoples Newcomers to Canada Senior citizens Big return on investment Low up-front investment of $150 million over 7 years More efficient spending of the $27 billion Short-term and long-term cost benefits (more than $36 billion in the next decade)

Savings rise to $36 billion with improved care

The recommendations

Prevention and Screening

Treatment and Outcomes

Foundational Elements and Type 1-specific Recommendations

Unique considerations of Indigenous peoples

The plan

Project Timeline 100th Anniversary

Why We Need Your Help Personal stories have greater impact Canadians who are dealing with challenges or have concerns can make a difference The more, the merrier Politicians are more likely to hear us if we are bolstered by Canadian voices Every single voice counts when trying to illuminate the seriousness of an issue We need to cut through the noise When there is competition for mindshare and resources, we need to be clear, concise and compelling

What You Can Do Participate in our e-advocacy campaign Click here to access your toolkit! Participate in our e-advocacy campaign Invite your networks to join in the e-advocacy campaign Promote Diabetes 360˚ to your networks (email them; post on LinkedIn; speak at meetings or conferences) Blog or tweet your perspectives (don’t forget to tag #Diabetes360)!

What You Can Do (cont’d) Click here to access your toolkit! Write an OpEd or share your story with local media Meet your elected officials to tell them why you believe Canada needs to adopt a national strategy to tackle diabetes Participate in Diabetes Canada’s lobby days (email us to find one near you) Hold your own event with your elected officials (think: tea party or strawberry social to raise awareness; rally to call for change)

Thank you! Contact: Kimberley Hanson kimberley.hanson@diabetes.ca