Local Impact - California


Case Manager
Sac n Fox, Kewa Pueblo
Case Manager
United American Indian Involvement

“We are able to support our clients by changing the way they prepare food, make better choices, and eat healthier.”
- Karen

As a Case Manager Supervisor I have worked many years on our Diabetes Management Team. We have had to work diligently to make sure our community is aware of things they can do to minimize and prevent complications from diabetes. We give educational workshops once a month. We also work with clients on a one-on-one basis with follow up.

I think this makes a huge difference in how our client's view their own health. We are able to support our clients by changing the way they prepare food, make better choices, and eat healthier. We also make sure that they are aware of self-care, and that they have control over their own health. It is important to support them as they make positive changes. We need to keep this program going so that we see even more changes in how diabetes effects our community.

About United American Indian Involvement

United American Indian Involvement, Inc. is the largest one -stop provider of human and health services for American Indians Alaskan Natives living in the County of Los Angeles, California.

Diabetes prevention and management is a high priority for the health project. The diabetes prevention program screened and tracked 765 AI/AN patients at high risk of developing Type 2 diabetes. Outcomes showed that 71.6% of participants graduated from the program, and only 8.6% developed type-2 diabetes over an 11 year period. For the 74 diabetes patients that are currently active, 96% have an A1c<8.1 and 78% maintain a blood pressure less than 140/90 (within the recommended guidelines for diabetes care). Under GPRA,

  • 86% had access to care for foot exams
  • 70% had dental exams
  • 92% were screened for depression
  • 97% were screened for tobacco use
  • 77% received flu immunizations, and 68% received the Hepatitis B vaccine series.

Diabetes in California

According to 2008 CDC data, approximately 2,220,000 people in California – 8.3% of the state’s population – had diagnosed diabetes, and many of them suffer from serious complications or conditions. In addition to the human toll diabetes places on people in California, the financial burden diabetes places on the health care system in the state is staggering – in 2007, the approximate direct and indirect cost of diabetes in California was approximately $24.42 billion.

Stories & Progams

Diabetes Program Participants
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Diabetes Care Providers
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The Poarch Creek Indian Community
Community Diabetes Support Group


Charlotte McConnell
SouthEast Alaska Regional Health Consortium (SEARHC) Lifestyle Balance and Diabetes Prevention Program

Bristol Bay Area Health Corporation
Annual Diabetes Walk

Southcentral Foundation Special Diabetes Program for Indians


Celia Milner
CHR Department, Kaibab Band of Paiute Indians

Marlene Valentine -
Navajo Special Diabetes Project

Rudy Clark
Hualapai Healthy Heart Project


Case Manager
United American Indian Involvement

Jackie Patton
Chapa-De Indian Clinic

Amy Lemmer
Sonoma County Indian Health Project

Alberta Manuel
Sonoma County Indian Health


Mohegan Tribe
Uncasville, CT


Anela Lautalo


Christie Lussoro
Nimiipuu Health Diabetes Program


Becky Youngbear-Alvarado
Meskwaki Diabetes Prevention Program


Stephanie Crawford
Haskell Health Center Diabetes Prevention Program


Jena Band of Choctaw Indians


Aroostook Band of MicMac


Tracy L. Sagataw
Hannahville Indian Community Clinic Diabetes Program

Sault Ste. Marie Tribe of Chippewa Indians
Sault Ste. Marie, MI

Rebecca Price
Pokagon Health Services Special Diabetes Program for Indians


Arne Vainio, MD
Fond du Lac Human Services Diabetes Prevention Program


Pastor Thomas Ben
Fond du Lac Human Services Diabetes Prevention Program

Samuel Amos
Fond du Lac Human Services Diabetes Prevention Program


Faye Filesteel
Fort Belknap Healthy Heart Project


Clarissa Hoffman
Ho-Chunk Hope Diabetes Prevention

New Mexico

Judy Reuter
Santa Ana Pueblo
Elsie R. Pino
Ramah Navajo Heart Saver Project
Erlene Sandoval
Navajo Special Diabetes Project

New York

St. Regis Mohawk Tribe
Let’s Get Healthy Program

North Carolina

Ulela Harris
Cherokee Diabetes Program

Eastern Band of Cherokee Indians
Cherokee, NC

North Dakota

Cheryl Donoven
On Eagles Wings Diabetes Prevention Program


Terry Williams
Black Hawk Health Center

Allen Dale
Oklahoma City Indian Clinic (OKCIC) Get SET & Fight Diabetes program

Read more about OKCIC (PDF)

Glendine Blanchard
Absentee Shawnee Tribe Healthy Heart Program


Dylan Jones
NARA Northwest

Taylor David
Klamath Diabetes Prevention Program Cow Creek Consortium

Shirley Heath
Warm Springs Oregon Diabetes Prevention Program

Jennifer Smith
Warm Springs Oregon Diabetes Prevention Program

Larry Smith
Warm Springs Oregon Diabetes Prevention Program

Rhode Island

Mary Lou Stanton
Narangansett Indian Health Clinic-Diabetes Program

South Carolina

Catawba Indian Nation
Special Diabetes Program for Indians

South Dakota

Pete Fills the Pipe
Pine Ridge IHS Diabetes Prevention Program


Reggie Martinez
Uintah & Ouray IHS Clinic - Healthy Heart Project


Christina Hicks
SDPI-Community Direct Diabetes Grant
Confederated Tribes of the Chehalis Reservation

Buddy and Les Hoptowit (Brothers)
Yakama Indian Health Center Healthy Heart Project


Marion Reynolds
St. Croix Healthy Heart Program

Wanda McFaggen
St. Croix Healthy Heart Program

Wendell Waukau
Menominee Diabetes Program


Regina Whiteplume
Eastern Shoshone Diabetes Program