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The Marshall Islands Diabetes Project by Joseph Gonzales

The Marshall Islands Diabetes Project by Joseph Gonzales

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Brenda Davis and Jacque Spence

Brenda Davis and Jacque Spence

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Who is Brenda Davis R.D.?Who is Brenda Davis R.D.?

Lead Dietitian, Health Educator of the Marshall Islands Diabetes Project (2006-present)

Board of Advisors, Institute of Nutrition Education and Research, Hawaii (2000-present)

Food and Nutrition Director – TRACS – Kelowna (2004-present)

Co-Director of the Okanagan Health Forum (2004-present)

Chair of the Vegetarian Nutrition Dietetic Practice Group of the American Dietetic Association (2000-2001)

Scientific Advisory Council of the American Humane Society (1999-2000)

Renown author of several books:

Lead Dietitian, Health Educator of the Marshall Islands Diabetes Project (2006-present)

Board of Advisors, Institute of Nutrition Education and Research, Hawaii (2000-present)

Food and Nutrition Director – TRACS – Kelowna (2004-present)

Co-Director of the Okanagan Health Forum (2004-present)

Chair of the Vegetarian Nutrition Dietetic Practice Group of the American Dietetic Association (2000-2001)

Scientific Advisory Council of the American Humane Society (1999-2000)

Renown author of several books:

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Where are the Marshall Islands?Where are the Marshall Islands?

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5 degrees Latitude from equator

5 degrees Latitude from equator

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United States InvolvementUnited States Involvement

U.S. Department of Defense issues grant to Canvasback Missions to launch project in 2006

Nuclear testing - Kwajalein from 1948-1956

66 nuclear tests within that time

Largest nuclear test the United States ever conducted, Castle

Bravo.

Student Missionaries, churches, schools, first-aid

Top food supplier for Marshall Islands

U.S. Department of Defense issues grant to Canvasback Missions to launch project in 2006

Nuclear testing - Kwajalein from 1948-1956

66 nuclear tests within that time

Largest nuclear test the United States ever conducted, Castle

Bravo.

Student Missionaries, churches, schools, first-aid

Top food supplier for Marshall Islands

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Growing areas of the few

Scarce land for crop production

Coral rock bottom

Population 33, 000

Sedentary Lifestyle

Problems Faced

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Island Overview

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Shipped Goods = New DietShipped Goods = New Diet

Pigs blood, turkey necks, turkey tails, Beef liver, pigs feet ,SPAM, Corned beef hash, hot dogs, Canned fish Refined white flour and sugar Donuts, pancakes, cookies, crackers.

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Breakfast of Champions?Breakfast of Champions?

Children eat kool-aid sprinkled over Ramen noodles, soda pop, popsicles, and candy.

School lunch consists and canned meatand white rice.

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Diabetes EpidemicDiabetes Epidemic

1 in 2 people over 35 develop diabetes Half of surgical procedures are amputations

due to diabetes No renal dialysis on islands Most are unaware of the correlation between

diet and diabetes

1 in 2 people over 35 develop diabetes Half of surgical procedures are amputations

due to diabetes No renal dialysis on islands Most are unaware of the correlation between

diet and diabetes

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Diabetes Epidemic

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Purpose of the Wellness CenterPurpose of the Wellness Center

Purpose of the Wellness CenterPurpose of the Wellness Center

“We are hoping to reverse diabetes in the experimental group. People with diabetes get very sick very young and require a lot of treatment. It’s a fast downward spiral ending in renal failure. If we’re successful, the Marshall Islands government has every intention of setting up an intervention program. We must convince them that they can save an awful lot of money by doing so.”

- Brenda Davis

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The 4th Diabetes Lifestyle Intervention Program The 4th Diabetes Lifestyle Intervention Program

22 participants

6 week intensive lifestyle intervention

All meals provided and prepared

5 blood sugar readings/day, 5 days/week

3 pedometer readings/day, 5 days/week

Exercise class daily (1 hour)

Cooking Demos

Education Classes in Lecture hall

Clinical Staff controlling medications

Anthropometric recordings

FFQ

22 participants

6 week intensive lifestyle intervention

All meals provided and prepared

5 blood sugar readings/day, 5 days/week

3 pedometer readings/day, 5 days/week

Exercise class daily (1 hour)

Cooking Demos

Education Classes in Lecture hall

Clinical Staff controlling medications

Anthropometric recordings

FFQ

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Program ScheduleProgram Schedule

Participants record BS before and after breakfast at home

30 min. physical activity in morning (walking primarily)

11:30am: Arrive at clinic for lunch

3:00pm: 2 BS recordings pre/post 1 hour exercise class

4:30pm Begin cooking demo

5:30pm Dinner followed by 30min group walk

6:30-7:30pm education lectures

7:30-8:00pm final BS reading

Take breakfast home, see you tomorrow

Participants record BS before and after breakfast at home

30 min. physical activity in morning (walking primarily)

11:30am: Arrive at clinic for lunch

3:00pm: 2 BS recordings pre/post 1 hour exercise class

4:30pm Begin cooking demo

5:30pm Dinner followed by 30min group walk

6:30-7:30pm education lectures

7:30-8:00pm final BS reading

Take breakfast home, see you tomorrow

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5 blood sugar tests daily5 blood sugar tests daily

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Variety of Healing FoodsVariety of Healing Foods

Breakfast: Cooked whole grains (barley, oats, millet, wheat berries), muesli mix, tofu scramble with vegetables, beans and greens, fruit. nuts, seeds

Lunch: Vegetable Soup with rice, roasted vegetables, spinach salads, quinoa salad

Dinner: Garbanzo and vegetable Stew, Chili. Spicy Eggplant, brown rice, Lentil loaf with mushroom gravy, black bean and corn soup,

Breakfast: Cooked whole grains (barley, oats, millet, wheat berries), muesli mix, tofu scramble with vegetables, beans and greens, fruit. nuts, seeds

Lunch: Vegetable Soup with rice, roasted vegetables, spinach salads, quinoa salad

Dinner: Garbanzo and vegetable Stew, Chili. Spicy Eggplant, brown rice, Lentil loaf with mushroom gravy, black bean and corn soup,

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Indigenous food of the Islands

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Goal

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HOPE FOR THE FUTURE !!!HOPE FOR THE FUTURE !!!

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Kommol Tata : Thank You