MISSION STATEMENT: To help prevent and manage diabetes for all White Eagle Health Center patients through total body wellness that encompasses a strong mind, body, and spirit. Empowering individuals to build healthy families and communities.

The Ponca Tribe Special Diabetes Program for Indians (SDPI) is located within the White Eagle Health Center in Ponca City OK and is operated through the SDPI community directed grant. Toma Hunter, MS, RD/LD is the Diabetes Program Coordinator and Beverly Brown, LPN is the Diabetes Nurse for the program.  Our target group for the past year has been diabetic patients and their families and those patients at risk for diabetes and their families and/or support system. There are 3 areas of care that we chose to focus on this past year which included the following: BMI Category: Obese 30.0 or above, Blood Sugar Control with an emphasis on A1C over 9, and Mean Blood Pressure: 140/90 - <160/95 since these audit items showed increased prevalence rates from the 2015 to 2016 Audit Report in our population.  We collaborate with the medical clinic through diabetic day which is offered every Thursday morning. Our role in the diabetic clinic is to provide diabetes self care education, a balanced breakfast, fasting labs, and diabetes supplies. We also receive referrals for individual consults from our medical staff for patients in our target group. We have had 453 patients come to the clinic for diabetic day in the past year which was an increase from 311 last year. Patients that complete their diabetic day check-up are eligible to receive incentives such as a voucher for walking shoes, prescription eyewear, healthy cooking items, diabetic socks and lotion, exercise items, and diabetes supplies to support self management. We are also very happy to offer community outreach and educational events aimed at diabetes prevention and management.



Diabetes Program Sponsored Events and Activities



Walking Program : The walking program is an ongoing walking program, and there have been 41 participants that have signed up over the past year that participated continuously.  Participants complete an assessment, receive a pedometer, and track their walking logs to monitor their steps or distance. Participants turn their walking log in every two weeks and check-in quarterly to track their progress and receive incentives for participation. Participants are given a physical activity assessment before and after starting the walking program, and they receive an individualized exercise and/or wellness goal.

Event Walks : There were 5 event walks this past year to help promote physical activity in the community and the use of the walking track behind the wellness center.  We utilize these walks to promote physical activity in the community, provide health information on the event topic (disease prevention and wellness), promote healthy foods and increase information in the community about the diabetes program. This past year we have had between 160-301 participants at each walk and we hope to increase that number each year to get more people involved and using the walking track. When we started these walks three years ago, we only had about 50-60 participants so it has been great to see more of the community get involved with walking and being more physically active.

Group Education Classes :  The diabetes program has continued to offer group diabetes education classes using an evidenced based curriculum called DEEP (Diabetes Empowerment and Education Program). This program covers the following topics: Diabetes and the body, nutrition, exercise, monitoring diabetes, medicines, and coping with stress. Participants receive incentives for class attendance and these items are given to help them meet their health goals regarding nutrition and physical activity. These classes were offered at the Ponca Indian Baptist Church and local Standing Bear museum over the course of 5 months and had 36 participants. In addition, this class was offered for a month at the Senior Center with about 12 participants for each class.  Each set of classes consists of 6 sessions, and participants must attend each weekly session to complete the program and receive their wellness incentives.

Senior Center :   The diabetes program offered a “Walking Strong” program to the seniors each month which involved a chair exercise program playing chair exercise bingo that was held bi-monthly with exercises to improve flexibility, balance, strength, and cardiovascular conditioning. We also held activities throughout the year to promote healthy eating habits such as fruit and veggie days, cooking demonstrations, and taste tests for recipes. We have had about 10-12 participants at each activity.

Youth OutreachThe diabetes program has held activities aimed at diabetes prevention with the youth program. We attended the summer block party for the youth and had a nutrition booth with information on healthy snacks, trail mix, and ziplock bags for participants to create their own trail mix out of nuts, seeds, and dried fruits. We handed out sport bags and Frisbees to promote physical activity.

For the summer youth lunch program, we taught classes that incorporated nutrition and wellness.  The kids enjoyed the cooking portion of our classes the most and we hope to be able to offer more cooking classes next year.