Diabetes Directory of Community Resources

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

Preface This directory was created in partnership by the Central West Ontario leadership centre of the Canadian Diabetes Association (the Association) and the Waterloo-Wellington Diabetes Regional Coordination Centre (the DRCC). It is meant to be used as a community resource for healthcare providers and people affected by diabetes who are living in the WaterlooWellington region. We believe that all individuals and families with diabetes should have:    

The knowledge, skill and support to lead a healthy life with diabetes, free of complications Access to a primary care provider Access to diabetes education programs Information on available resources in their community

Disclaimer Please note that this directory does not replace visits with your doctor and/or the rest of your healthcare team. The listings in this directory are not exhaustive. The Association and the RCC are not responsible for any representation as to quality, value, or effectiveness of any products, healthcare services, or methods referred to in this publication. Services quoted in this directory are subject to change.

Waterloo Wellington Diabetes Regional Coordination Centre 887 Langs Drive, Unit 11 Cambridge, ON N3H 5K4

Canadian Diabetes Association Central West Ontario Region 14 Irvin Street, Suite 1 Kitchener, ON N2H 1K8

519.653.1470 x255

519.742.1481 x225 (KW & Area) [email protected]

[email protected]

519.837.9455 x225 (Guelph & Area) 519.942.1800 x225 (Orangeville & Area)

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Table Of Contents Preface/Disclaimer .…….…...……..………………………………………………..……..……..…1 Introductory Information Who We Are …………………………...………………..……………………….…………………….3 How You Can Help……………………………………………..………….…………………......…...6 Your Diabetes Health Care Team………………………..…………………………………..………8 Endocrinologists…………………………………….………………………………..……………..…9 Southern Ontario Aboriginal Diabetes Initiative…………………………………………………….9 Preparing for a Doctor’s Visit - What to Expect…….……..…………………………………..…..10 Tracking Your Diabetes Management………...……………………. .….………………………...11 Resources and Contact Information Diabetes Education Programs ……………………………………………………………..……….12 Self-Management Programs ………………………………………………..…………………....13 Children with Diabetes………………………………………..……………………………...………14 Community Pharmacy Partners……………………………………………………………..…..….16 Sharps Disposal……………………………………………………………………….……….……..17 Blood Glucose Meters…………………………………………………………………...…………..18 Manufacturers and Distributors of Diabetes Products……………..……….…………………….19 MedicAlert® ….……………...………………….……………………………..………………….…..19 Medical Laboratory Locations ...……………………………………………...…………………….20 Eye Care ………………….…………………………………………………………….…………….22 Foot Care……………………………………………………………………….……………………..24 Physical Activity Resources………...…………...……….………….…………….........................27 Nutrition Resources………………...………...……………………………………………………...28 Dental Assistance ………………………………………………………………….………………...29 Mental Health Programs .….………………………………….………………….…….…………..31 Insurance for People with Diabetes ………………..………………………..………………….....36 Financial Assistance Programs ……………………………………………………………….……36 Transportation Services……………………………………………………..……………………….39 Additional Programs, Products, Services, and Resources ……………………………………...41 Community Services Support Resources………………………………………………………….42 Appendices Glossary of Terms………………………………………………………..….……..………………...43 Referral Form for Health Care Providers……………………………..……………………………47 Referral Form for Patients……………………………………..…………………………………….48

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Who We Are Diabetes Regional Coordination Centre The Diabetes Regional Coordination Centre (the DRCC) is funded by the Ministry of Health and Long-Term Care (MOHLTC) through the Ontario Diabetes Strategy (ODS). The role of the DRCC is to provide regional leadership to integrate and coordinate diabetes care in the region of Waterloo-Wellington, including primary care, diabetes programs, endocrinologists, and the community. The DRCC works closely with the Local Health Integrated Network (LHIN) to provide a clear point of contact within each region for diabetes. The DRCC aims to promote best practices and drive the implementation of provincial priorities while monitoring regional performance. The objective of the ODS is to improve health outcomes for the growing number of Ontarians living with diabetes and to reduce healthcare costs. To find out more about the Waterloo-Wellington Diabetes Regional Coordination Centre, visit www.waterloowellingtondiabetes.ca or www.health.gov.on.ca/en/ms/diabetes/en/.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Who We Are Canadian Diabetes Association The Canadian Diabetes Association (the Association) is a charitable organization that provides people with diabetes resources and support since 1953. The Association has been raising awareness and providing services as we work towards a future in which all people affected by diabetes attain an optimal quality of life. The Association’s mission is to lead the fight against diabetes by helping people with diabetes live healthy lives while working to find a cure. The Association delivers it’s mission by providing people with diabetes and healthcare providers with education and services while advocating on their behalf, supporting research, and translating research into practical applications. To learn more about the Canadian Diabetes Association, Central West Ontario Region contact our office at 519-742-1481 or visit www.diabetes.ca.

Services We Offer Resource Centres There are two resource centres in our region where one of our trained staff or volunteer members will gladly help or direct you to the answers and resources you need. A variety of free printed literature as well as diabetes management books and cookbooks are available for purchase. Please call for locations and hours of operation. For Kitchener and area call (519) 742-1481 and for Harriston and area call (519) 338-3181.

Educational Information Sessions Each year, the Association plans and presents a number of educational sessions. Up-to-date information on various topics related to diabetes is presented through Community Information Nights, where guest speakers make presentations, answer questions and provide printed educational resources.

Learning Series Presentations There are four adult modules available in the Learning Series presentation, including: Diabetes ~ What You Need to Know; Living Well with Diabetes; About the Canadian Diabetes Association and Diabetes for Healthcare Workers. The presentations are an educational tool available to interested groups/organizations so we help raise diabetes awareness and connect with those living with diabetes or at risk.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Who We Are (continued) Canadian Diabetes Association Diabetes Expo The Association also organizes an annual Diabetes Expo to provide individuals living with, or at risk for, diabetes a chance to hear special guest speakers present on relevant diabetes related issues and attend a tradeshow display to stay informed as to new developments or products used in diabetes management. For information on upcoming events, please call our local office or look for postings on the Association’s on-line events calendar.

Health Displays The Association also educates the public through information/health displays at community events such as health fairs. If you are a member of a church group, service club, school, or workplace that would like us to come out and provide an educational display and literature, please call the office for more information.

Membership & Diabetes Dialogue Magazine Published quarterly by the Association, Diabetes Dialogue is Canada’s only health and wellness magazine dedicated to living life to the fullest while living with diabetes. The publication contains informative articles on diabetes management, personal stories, and nutrition and general interest information. Purchasing a Classic Membership entitles you to become a voting member of the Association and a one year subscription to the magazine. Call 1-800-BANTING (226-8464) for more information. An online order form is also available at www.diabetes.ca

Diabetes Family Fun Day The Diabetes Family Fun Day is an annual spring event for children with diabetes, ages 5-12, and their immediate family members. The fun-filled day is free and consists of games, crafts, live entertainment and a lunch. Parents can also participate in discussions and share experiences with each other and diabetes educators. For more information, or to be put on the mailing list for the event, please call our local offices.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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How You Can Help As a charitable organization the Canadian Diabetes Association relies solely on the generosity of individuals, businesses, foundations, community groups, service clubs, etc. in order to raise the dollars needed for implementing and carrying out the various programs and services offered. To help our cause you can volunteer, donate money, raise funds, or contribute to some of the programs listed below. Clothesline® The Clothesline program is an innovative fundraising initiative that involves the collection of used clothing, reusable household items, used cell phones, used cameras, used cars and more from individuals within the communities we serve. To schedule a pick-up or to drop off used items at one of our nearest drop box locations, call 1-800-505-5525 for more information.

Charity Drive—Used Vehicle Donation Program Used vehicles donated through the Car Heaven program are environmentally recycled with the proceeds from the sale of the parts going to the Canadian Diabetes Association. Donors receive a free tow (valued at $200), a tax receipt, and a chance to win great prizes. Call 1-877-363-6354 for more information.

Team Diabetes Walk, run, hike or bike in exciting international and Canadian destinations and become part of a dedicated team that is making a difference! Team Diabetes participants collect pledges as they train for their preferred event. In return the Association provides a staff support person, transportation and hotel costs associated with the race. Training is also provided through the Running Room. For more information on event dates, national/ international locations, sponsorship requirements, and application details, please call or visit us at www.teamdiabetes.ca .

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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How You Can Help (continued) Corporate/Employee Gift Giving Corporations, as well as their associated employee groups, can support the Association in a number of ways. They can hold third party fundraisers such as dress down days and raffles, participate in payroll deduction and gift matching programs, and volunteer time and space to provide local diabetes-related programming. Companies are encouraged to make corporate charitable donations or ask about regional or national level sponsorship opportunities which provide various benefits, including enhancement of their corporate image within the community.

Volunteer – Make a Difference! Can you spare a few hours a week, month, or year, to support a good cause? Have you been thinking about giving back to your community but you aren’t sure how? Are you looking for a way to meet new people and have some fun? Why not volunteer for the Canadian Diabetes Association? Volunteer roles can include:  Speakers’ Bureau Presenters

 Administrative Support

 Special Events Planning & Support

 Third Party Fundraising

 Team Diabetes Participants

 And much more

For more information on all of volunteer opportunities available in your area, call your local Association office: For Kitchener and area, call: (519) 742-1481 For Harriston and area, call: (519) 338-3181

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Your Diabetes Healthcare Team Diabetes is a lifelong condition that can result in complications if not managed well. People with diabetes should have regular appointments with their doctor to maintain control of their diabetes as well as receive education and support from a diabetes education program (DEP). DEPs are available to teach you and your family to better understand and manage your diabetes by providing tools and resources to support you in self managing your diabetes. Who should be on my team? Your diabetes healthcare team may consist of your family doctor, a registered nurse, a registered dietitian, a certified diabetes educator, a social worker, a pharmacist, an endocrinologist, and other medical specialists. For more information about each of these providers, see the glossary of terms located at the back of this directory on page 35. How do I access a diabetes education team? Talk to your primary care provider who will refer you to a diabetes education program. If you do not have access to a primary care provider you can access the diabetes education programs by using the self-referral form on page 48.

Did you know… StatsCan found that in 2008, 4.1 million Canadians were living without a family doctor.

How do I find a family doctor? If you do not already have a family doctor, you can register with Health Care Connect at www.health.gov.on.ca/en/ms/healthcareconnect/public/ or call 1-800-445-1822 (your OHIP card is required). Health Care Connect attempts to find a provider but priority is given to those with the most need for family health care. For more information on finding family health care providers accepting new patients in your community, see the list below. City of Cambridge

519-622-2221

www.cambridgechamber.com/community-doctors.php

City of Guelph

519-822-1260

www.guelph.ca/doctor

Centre & North Wellington

519-843-2010

www.gmch.ca/index.php/need-a-doctor

City of Kitchener & Waterloo

519-576-5000

www.greaterkwchamber.com/en/workingForYou/ findaphysician.asp

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Endocrinologists An endocrinologist is a medical doctor who specializes in diseases of the endocrine system, including diabetes. To access an endocrinologist, a referral from your family doctor is required. Below is a list of endocrinologists and their fax numbers. Endocrinologist / Specialist

Fax Number

Dr. Usman Chaudhry……………………………..

…………………………………519.748.9733

Dr. Mirjana Gulan………………………………….

…………………………………519.745.1015

Dr. Nadira Husein………………………………….

…………………………………519.585.7528

Dr. Joanne Liutkus………………………………...

…………………………………519.624.2864

Dr. Glenn Loy Son (Pediatrics)…………..……...

…………………………………519.767.5167

Dr. Luciana Parlea………………………………...

…………………………………888.266.6452

Dr. Cameron Purdon & Dr. Liviu Danescu………

…………………………………519.763.7615

Dr. Ann Sirek………..……………………………..

…………………………………519.840.1963

Dr. Phoebe Bishara………………….……………

…………………………………519.624.2864

Southern Ontario Aboriginal Diabetes Initiative– SOADI The Southern Ontario Aboriginal Diabetes Initiative is funded by the Ontario Ministry of Health and Long-term Care, for the development, and enhancement of programs and services focusing on the education, prevention, and management of diabetes in Aboriginal communities, both on and off-reserve. SOADI supports Aboriginal communities working to decrease the high incidence of Diabetes and its complications through prevention, intervention and management activities.

SOADI values include:  Respect for autonomy and diversity  Community-based and responsive services  Wholistic wellness (i.e. physical, spiritual, mental and emotional balance)  A spirit of sharing and cooperation  Personal choice and the right to privacy For more information about SOADI and services available, visit www.soadi.ca or call 1.888.514.1370.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Preparing For A Doctor’s Visit — What To Expect It is important that certain visits with your doctor or healthcare team focus specifically on your diabetes. When you book doctor’s appointments, book separate visits for diabetes, general checkups, and other medical needs. What to Expect  To be seen four times a year for diabetes care  Review of recent laboratory tests  Review of your log-book  Measurement of your blood pressure  Examination of your feet at least once a year  Referral to an eye care professional (usually once a year)  Assessment of your risk for complications related to diabetes  Conversation about exercise, food choices, smoking, mood, and sexual function How to Prepare  Have your laboratory tests done about two weeks before your appointment  Bring blood glucose records with you (written down or printed from a meter)  Bring a list of all medications including non-prescription drugs and note which need to be refilled  Write down any questions about your diabetes

When to Contact Your Healthcare Team  When you have more than two low blood sugars in a week  When you have unexplained high blood sugars more than two days in a row  If you change your diet or exercise pattern  If you have any tests or procedures planned that require you to be fasting  If you are planning travel that involves travelling to a different time zone  If you are experiencing negative side effects caused by your medication  If you are having trouble coping with the effects of diabetes  If you have any concerns or questions about your diabetes

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Tracking Your Diabetes Management Diabetes Passport and Goal Card The Diabetes Passport and Goal Card are to be used to support the management of diabetes. In partnership with health care providers, Ontarians with diabetes can use the Diabetes Passport and Goal Card to record, track and monitor important health information.

How to Use the Diabetes Passport and Goal Card People with diabetes are advised to take their Diabetes Passport and Goal Card to every health care appointment. By using it you can track your goals, key diabetes tests, and self-management education in order to better manage your lifestyle.

How to Order the Diabetes Passport and Goal Card The My Diabetes Passport and Goal Card can be ordered from www.serviceontario.ca or by calling ServiceOntario Publications at 1-800-668-9938. The Passport and Goal Card are available in English and French and come enclosed in a plastic sleeve designed to fit into a purse or a pocket. A print copy of the Diabetes Passport and Goal Card can be downloaded and is available in 16 different languages.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Diabetes Education Programs Medical professionals such as registered dietitians and registered nurses offer free classes and individual consultations at diabetes education programs. Diabetes education programs are excellent learning environments who offer specialized knowledge for both adults and youth to properly manage their diabetes. To attend a program, ask your physician or nurse practitioner to send a referral (form available on page 47) or you can refer yourself using a self-referral form (form available on page 48).

Cambridge Langs CHC…………………………….. 1145 Concession Rd…….. ….....519.653.1470 ext 285 *Cambridge Memorial Hospital………. 700 Coronation Blvd……... …….519.621.2333 ext 345 Two Rivers FHT……………………….. 350 Conestoga Rd, Unit 12 ….....519.740.5010 ext 236 Fergus *Groves Memorial Community Hospital…………………………………. 235 Union St. East……….. …..519.843.2010 ext 3265 Guelph *Guelph General Hospital…………….. 115 Delhi St………………. ..…519.837.6440 ext. 2784 *Diabetes Care Guelph………………... 83 Dawson Rd……………. …...………….519.840.1964 Rockwood East Wellington FHT…………………... 175 Alma St………………. …...………….519.856.4611 Erin East Wellington FHT………………….. 6 Thompson Cres, Unit 1... ….………….519.833.9396 Kitchener *Grand River Hospital…………………. 835 King St West………... ..….519.749.4300 ext 2622 Kitchener Downtown CHC……………. 44 Francis St South……… ......………….519.772.0192 Mount Forest *Louise Marshall Hospital……………... 630 Dublin St…………...… .......519.323.2210 ext 2332 Palmerston *Palmerston & District Hospital…………………………………. 500 Whites Rd……………. ..….519.343.2030 ext 4446 St. Jacobs Woolwich CHC…………………………. 10 Parkside Dr……………. ....…………..519.664.3794

*Indicates facilities with a designated Insulin Pump program. Please call the Diabetes Education Program for specifics. Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Self-Management Programs The Waterloo Wellington Self-Management Program is funded by the MOHLTC and provides coordination and delivery of Self-Management education and skills training through group workshops.

“Take Charge!” is a free workshop that helps people with any chronic or ongoing health conditions such as diabetes, heart disease, stroke, anxiety, pain, depression and arthritis, manage their symptoms. Workshops are provided throughout the Waterloo Wellington LHIN region and meet once a week for 2 ½ hours over 6 weeks. The workshop groups are led by peer leaders. “Take Charge! workshops include the following topics:        

Healthy eating Exercise Dealing with pain and fatigue Managing stress How to talk to your doctor or healthcare provider Managing medications and making treatment decisions Planning and problem solving Sharing experiences with other members

All participants (including family members and caregivers) must pre-register for a workshop. For information on future workshops, or if you are interested in becoming a trained Peer leader, please contact us at 1-866-337-3318, email at [email protected] or visit our website at www.wwselfmanagement.ca

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Children With Diabetes With the help of your diabetes management team you, your family, and your child will learn to successfully manage diabetes. At diagnosis, your family doctor or pediatrician will refer you to a Pediatric Diabetes Education Centre. They will continue to support you and your family until you are 18 years old, at which time you will transition to an adult program. Pediatric Diabetes Centres Cambridge Memorial Hospital…………………………... ………………………….519.621.2333 Grand River Hospital…………...………………………... ………………………….519.749.4300 Guelph General Hospital…..……………………………. ………….……519.837.6440 ext. 2831

Diabetes Organizations and Websites Juvenile Diabetes Research Foundation This program provides support and resources for parents of a child or teen living with type 1 diabetes.

Diabetes Hope Foundation The Foundation’s mission is to improve and enhance the quality of life for Ontario children and adolescents living with type 1 and type 2 diabetes and help them achieve their full potential in education, self management and future independence.

Children with Diabetes The online community for kids, families and adults with diabetes.

www.jdrf.ca Waterloo-Wellington Office: 684 Belmont Ave. W., Unit 103 Kitchener, ON 519.745.2426

www.diabeteshopefoundation.com 6150 Dixie Rd, Unit 1 Mississauga, ON 905.670.0557

www.childrenwithdiabetes.com

Northern Diabetes Health Network (NDHN) The Network of Ontario Pediatric Diabetes Programs (NOPDP) is a network of diabetes programs administered by the NDHN with 35 specialized pediatric diabetes programs. Contact information and details of services provided by the programs are outlined in their directory.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

http://ndhn.com

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Children With Diabetes (continued) Summer Camps The Canadian Diabetes Association operates camps for children with diabetes to help foster independence in youngsters managing their diabetes. At camp, children ages 8 to 15 enjoy a variety of fun outdoor activities enhanced by education and training in successful diabetes management. Activities range from swimming, hiking, canoeing, archery, arts and crafts, and campfire sing songs to opportunities for children to learn to care for their diabetes on a day-to-day basis. Please visit our website at www.dcamps.ca for a list of camps in your area, information and our on-line application.

The Diabetes Hope Foundation offers Diabetes Sport Camps at York University to youth with Type 1 diabetes. For youth ages 8-16, who choose to specialize in one sport for a week; soccer, basketball, tennis or track & field. The camp runs for two weeks every year in July at the York University Keele campus. For more information visit www.diabeteshopefoundation.com or call 905-670-0557.

Canadian Diabetes Association School Presentations Cellbertons ~ What’s Diabetes? (ages 6 to 9) This program was developed by The Canadian Diabetes Association to promote healthy eating and regular physical activity to encourage children, and their families to adopt healthy lifestyle choices for life. As the number of adults, and children, diagnosed with type 2 diabetes increases dramatically, the Association has developed the program to encourage and promote chronic disease prevention at an early age. The program features a presentation that includes a six-minute cartoon, fun educational and interactive activities, and take home packages for the kids.

Growing Up Well (ages 9 to 14) This program is a fun and interactive educational presentation for children. The program features a video starring youth who share their stories of what it’s like to live with type 1 diabetes. An Association representative also provides information on what diabetes is, how it affects the body and answers any questions. Please contact the office if you would like more information on this program or to schedule a visit to your child’s school.

Care Provider Presentations are available for schools, nursery schools and daycares. A power point presentation and educational resources to teachers are presented to help them better understand type 1 diabetes, how they can support children living with diabetes in their school and what steps can be taken to provide a safe and healthy learning environment.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Community Pharmacy Partners Your local pharmacist can be a great resource and valuable member of your diabetes management team. The MedsCheck Diabetes Program is an annual medication review by a community pharmacist for Ontarians living with diabetes. MedsCheck aims to provide education and optimize drug therapy. It is conducted in the community pharmacy in person with the patient or patient’s care-giver. For more information contact your pharmacist. Other areas where your pharmacist can help provide support and information, are:     

Advice on your diabetes medications Support with your insulin pen Selecting a blood glucose meter Safe “over-the-counter” medications Sharps disposal

Community Pharmacy Outreach Program (CPOP) If you do not have a regular pharmacy or you are looking for specific information on diabetes, the Canadian Diabetes Association has created the Community Pharmacy Outreach Program, comprised of pharmacies recognized by the Association as providing exemplary service and a high standard of care in the area of diabetes management. The following pharmacies have been recognized by the Association as providing exemplary service and a high standard of care in the area of diabetes management in the Waterloo Wellington region. Cambridge Preston Medical Pharmacy…………. 125 Waterloo St. S………... ...…...……...519.653.1994 Kitchener Riepert Pharmacy……………………. 98 Highland Rd. W………… ……………..519.578.1210 The Medicine Shoppe………………

296 Highland Rd. E……….. ……………..519.571.7050

Waterloo Cook’s Pharmacy……………………. 520 University Ave., W……. ……………..519.744.2200 Shoppers Drug Mart…………………. 468 Albert St……………….. ……………..519.884.3860 The K-W Pharmacy………………….. 65 University Ave., E……

……………..519.746.6133

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Sharps Disposal Always store needles and lancets (sharps) in a sealed, hard plastic container – never throw them in the garbage, blue box or flush down a toilet. Used needles and sharps are considered biohazardous waste and improper disposal of these articles may cause serious injury to others and contribute to environmental problems. Safe Disposal of Sharps and Needles It is recommended that sharps and needles be:  placed in a rigid, puncture-proof plastic container (such as a bleach bottle) or metal coffee can with a lid which must be labeled SHARPS. Do not use glass bottles as they are breakable.  Contents must be soaked in bleach for 24 hours, then drained and sealed tightly for disposal. Some pharmacies have a disposal system available for sharps or sell special medical biohazard containers. Please ask at your local pharmacy for more information. The Orange Drop Program Most local municipalities participate in the Orange Drop Program. This program provides Ontario residents with a free and safe way to dispose of household products that require special handling, called Household Hazardous Waste (HHW). Note: this is a residential program only. Visit www.makethedrop.ca to find your closet municipal HHW Depot, participating pharmacy or upcoming collection event to find the most convenient Orange Drop location. Please contact your local pharmacy to see if they participate in the program. Note: you must be a patient registered with the pharmacy to use this service.

You can also contact your local municipality for needle and sharps disposal information. Region of Waterloo

www.regionofwaterloo.ca

Wellington County

http://county.wellington.on.ca

City of Guelph

http://guelph.ca

Dufferin County

www.DufferinCounty.on.ca

519.941.2816 ext. 4

Grey County (Township of Southgate)

http://town.southgate.on.ca

1.800.560.6607

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

519.883.5100 519.837.2601 or 1.866.899.0248 519.767.0598

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Blood Glucose Meters Blood glucose meters are available at your Diabetes Education Program and at your Pharmacy, and are generally free with the purchase of strips. Ask your educator or pharmacist to help you choose a meter that is best for you and have them show you exactly how it works. For the visually impaired, talking meters, such as the EZ Health Oracle Blood Glucose Monitoring System are available. The Oracle is covered by Ontario Drug Benefit (ODB), private insurance, and Non-Insured Health Benefit (NIHB). Contact 1-866-759-9664 or visit www.oraclediabetes.com for more information. The Digi-Voice Contour is designed for use with the Ascensia Contour meter by Bayer. Available in either French or English, it is suitable for both blind and visually impaired people with diabetes. One of its advantages is that it tells the user when there is a test error. Currently, it is available only through Danielle Desroches Pharmacy in Montreal. For more information call 450-447-9280. Accu-Chek Voicemate Plus enables blind and visually impaired people to manage their diabetes more independently. This effective voice unit comes with the easy-to-use Accu-Chek Compact Plus blood glucose monitor and provides maximum convenience and safety by using spoken, detailed instructions to explain each step of blood glucose testing and announce results. For more information call 1-800-363-7949 or visit www.accu-chek.ca.

Tip! Try to keep your blood glucose levels between 4.0 mmol/L and 7.0 mmol/L or at a level recommended by your doctor.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Manufacturers and Distributors of Diabetes Products If you have questions about your meter, or diabetes products , you can contact the following list of manufacturers and distributors in Canada for more information. Abbott Diabetes Care

888.519.6890

www.abbottdiabetescare.ca

Animas Canada

866.406.4844

www.animas.com

Auto Control Medical Inc.

800.461.0991

www.autocontrol.com

Bayer HealthCare

800.268.7200

www.bayerdiabetes.ca/en

BD Medical Diabetes Care

800.268.5430

www.bddiabetes.com

Digi-Voice Contour

450.447.9280

Eli Lilly Canada Inc.

888.545.5972

www.lilly.ca

GSK Omni Pod

855.763.4636

www.mypmnipod.ca

LifeScan Canada Ltd.

800.663.5521

www.onetouch.ca

Medtronic Diabetes of Canada Ltd.

866.444.4649

www.pumptherapy.ca

NeedleAid Ltd.

902.435.4829

www.needleaid.com

Novo Nordisk Canada Inc.

800.465.4334

www.novonordisk.ca

Oracle

866.289.7926

www.oraclediabetes.com

Roche Diagnostis

800.363.7949

www.accu-chek.ca

Sanofi-Aventis

888.852.6880

www.sanofi-aventis.ca

MedicAlert® MedicAlert® is the leading provider of emergency medical information services linked to customized bracelets and necklets for Canadians with medical conditions and special medical needs including diabetes. MedicAlert® membership combines the universal recognition of the custom-engraved MedicAlert® identification with the MedicAlert® 24-hour Emergency Hotline for a monthly fee. In the event of an emergency or non-critical medical situation, MedicAlert® ensures immediate access by emergency responders and health professionals to a member’s medical record, anytime and from anywhere in the world. A partial subsidy is available for eligible individuals. For a membership application or more information, call 1.800.668.1507 or visit www.medicalert.ca

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Medical Laboratories Locations It takes several days for the labs to send your doctor your test results so be sure to go to the lab at least two weeks before your doctor’s appointment.

Canadian Medical Laboratories Cambridge 12 George St South……………….…………...

..….………………………………...519.623.3860

697 Coronation Blvd…………………….……… ….…………………………………..519.623.7077 167 Hespeler Rd………………………………... ….…………………………………..519.621.8850 246 Dundas St South…………………………... ...…………………………………..519.622.1820 Kitchener 535 Belmont Ave, Suite 104…………………… ....…………………………………..519.576.1340 751 King St West, Unit 104……………………. ..….………………………………...519.576.2460 421 Greenbrook Dr……………………………... ..…………………………………...519.569.8592 385 Frederick St, Unit 20A…………………….. ...…………………………………..519.749.9555 564 Belmont Ave, Units 101 &102……………. ….. .....……………………………519.576.8760 Guelph 83 Dawson Rd., Unit 209………………………. ...…………………………………..519.823.5279 21 Surrey St. W., Suite 109……………………. ...………………………………….519.767.2165 55 Wyndham St. N., Suite 214………………... ..…………………………………..519.767-0501

Life Labs Cambridge 350 Conestoga Blvd…………………………….. ….………………………………1.877.849.3637 Fergus 245 Union St East………………………………. …..………………………………1.877.849.3637 Guelph 281 Stone Rd East………………………………. ...………………………………..1.877.849.3637 85 Norfolk St, Suite 101…………………………. ..………………………………...1.877.849.3637 Kitchener 200 Lorraine Ave, Suite 5-6…………………….. .....………………………………1.877.849.3637 564 Belmont Ave West, Suite 105……………... ..………………………………...1.877.849.3637 751 Victoria St South, 2nd Floor………………... ..………………………………...1.877.849.3637

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Medical Laboratories Locations (continued) Life Labs New Hamburg 10 Waterloo St…………………………………… .…...……………………………..1.877.849.3637 Waterloo 65 University Ave………………………………... ….………………………………..1.877.849.3637

Meter and Lab Tip! Remember to take your blood glucose meter with you to do a lab-meter comparison. This should be done once a year and must be done with fasting bloodwork.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Eye Care Retinopathy may occur in people with diabetes and can be prevented by regular eye exams. All people with diabetes are covered by OHIP for a yearly eye exam. Optometrists can provide an eye exam, covered by OHIP, but may charge an additional fee for special tests to look at the retina. Please ask when booking your appointment. Ophthalmologists are medical doctors specializing in diseases and conditions of the eyes. Their services are covered by OHIP, but require a referral from your physician. Below is a list of Ophthalmologists and their contact information.

Ophthalmologist

Address

Phone Number

Baden Dr. Jerzy Szeps……………….. 86 Foxboro Dr……..…………….. ……………..519.634.1040 Cambridge Dr. Nimesh Desai (Ocular Health Centres)*…….. 260 Holiday Inn Dr., Suite 7……. ……………..519.658.6800 Dr. John Wilkinson……………

111 Franklin Blvd…………..……. ……………..519.623.4333

Guelph Dr. Robert Johnson…………… 89 Dawson Rd., Suite 214…..…. ……………..519.822.5500 Dr. William Hutchinson……….. 8 - 14 Macdonell St……………... ……………..519.766.0820 Dr. Marian Thompson………… 220 Victoria Rd. S………………. ……………..519.824.0733 Kitchener Dr. Richard Weinstein (Ocular Health Centres)*……... 564 Belmont Ave., W., Suite 411 ..……………519.742.1313 Dr. Anthony Kiskis…………….. 385 Frederick St…………………. .……………..519.746.1583 Dr. Aftab Zafar………………….

715 Fischer Hallman Rd……… ...……………519.745.3690

Dr. Hugh Jellie…………………. 564 Belmont Ave., W., Suite 306 .……………..519.579.2020 Waterloo Dr. Peter Waind……………….. 131 Union St. , E., Suite 105…… ….…………..519.746.1040

*For more information on Ocular Health Centres, please see page 23.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Eye Care (continued) Additional Eye Care Resources Ocular Health Centres Ocular Health Centres partner with the Ontario Telemedicine network (OTN) and local ophthalmologists to provide timely access to screening and treatment to patients with diabetes. Your retinal screening is done by qualified technicians, and is viewed by an ophthalmologist remotely. If treatment is required, it is performed locally. This service is covered by OHIP.

University of Waterloo Optometry Clinics & Centre for Sight Enhancement The Waterloo Optometry Clinics offer patient care services to people from the community, the province and other parts of Canada. Patient examinations are performed by 3rd and 4th year interns working under the direct supervision of licensed Doctors of Optometry. To make an appointment with the clinic or for more information call 519-888-4062 or visit http://optometry.uwaterloo.ca/clinics.

Low vision services are available at the University of Waterloo’s Centre for Sight Enhancement. Contact the Centre by calling 519-888-4708 to book an appointment for a low vision assessment or for more information visit https://uwaterloo.ca/sight-enhancement/.

Canadian National Institute for the Blind Canada’s National Institute for the Blind provides services and support for individuals with vision loss. Visit www.cnib.ca or contact 1-800-563-2642 for more information.

Did you know… Approximately 2 million Canadians have some form of diabetic retinopathy.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Foot Care If you have diabetes, it is important to look after your feet. Diabetes can affect your nerves and your circulation which can result in foot problems. A good daily foot care routine can help to prevent these conditions. For more information on good foot care consult your primary care provider, diabetes education team, call your local pharmacy, or contact a foot care provider from the list below. Please note that service fees apply to most services listed. Ayr Foot Care Nurse Jenuine Care...………………………..

33 Northumberland St…. .....……….…..519.632.8122

Cambridge Chiropodist / Podiatrist Achilles……………………..………….. 366 Hespeler Rd………. .………………519.624.4122 Anthony Zamojc……………………….. 56 Grand Ave N………... ..….………….519.623.4410 Cambridge Foot Clinic………………... 14 George St. ………….

...…………….519.653.5444

Roshni Patel…………………………... 3 - 697 Coronation Blvd

……………….519.623.3000

York Foot Health & Orthotics Clinic…. 5 - 209 Pinebush Rd….

...…………….519.623.0222

Foot Care Nurse Feet First Foot Care…………………... 424 Eagle St……………. ..……………..519.650.6079 Mobile Feet…………………………..… 56 Carter Crescent…….. ..……………..519.716.4481 We Care Home Health Services ..….. Cambridge & Ayr………. ..….………….519.576.7474 Guelph Chiropodist / Podiatrist Wellington Foot Clinic…………...…… 10 Dunhill Cres.. ……...

…..…………..519.763.1741

Anthony Zamojc………………………

218 Speedvale E. ……..

……..………..519.836.1142

Shael Weinberg………………...…….. 202-55 Cork St. E. …….

……..………..519.836.2740

Feet for Life……………………..….….

245 Edinburgh Rd. S….. ..……………..519.821.0297

Custom Foot Clinic…………..……….. #203 - 806 Gordon St…. ..……………..519.823.1450 Guelph Complete Foot & Ankle Clinic. 10 Yorkshire St. N….....

…..…………..519.823.3668

Foot Care Nurse We Care Home Health Services ……. Guelph………………….

...…………….519.576.7474

Foot Patrol…………………………...… Guelph………………..…

…..…………..519.341.0268

Heidelberg Chiropodist / Podiatrist Firm Foundations ……………………

2960 Lobsinger Ln……

...…………..519.669.6178

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Foot Care (continued) Kitchener Chiropodist / Podiatrist The Centre for Family Medicine….. 25 Joseph St………….……. …..…………..519.578.2100 Podiatric Consultants………………. 1354 King St E…………….. ..……………..519.576.8960 Family Foot & Orthotics Clinic……. 120 Ottawa St. N., Unit 117

…..…………..519.954.4415

Grand River Hospital ………….…..

…..…………..519.742.3611

835 King St. …………..…..

Foot Care Nurse Complete Foot Clinic Inc…………… 105 - 751 Victoria St. ……..

..……………..519.579.9223

We Care Home Health Services … Kitchener…………………… ……………….519.576.7474 Feet on the Go……………………… 372 Carson Drive………

..……………..519.654.6363

Happy Feet Complete Foot Care… 6 Cray Crescent……….…

……………….519.498.7978

Karin Mielke RN Foot Care Nurse… 63 Wren Place…………..…

..……………..519.893.5459

Sunrise Centre, 1400 Shopper Drug Mart ………………... Ottawa St. S……………….

……………….519.742.6160

New Hamburg Chiropodist / Podiatrist Physiotherapy Alliance…………….. 10 Waterloo St., Unit 4……. ..……………..519.662.4676 Waterloo Chiropodist / Podiatrist Foot Works…………………………

200 King ………………….... ..……………..519.888.6274

KW Foot & Orthotics Clinic………… 279 Weber St. N., Unit 17...

...…………….519.884.4200

Sarah Ferguson Chiropody……..… 99 Northfield Dr., Suite 202

…..…………..519.725.9941

Dr. Stephen Hoke…………………… 130 Weber St. N…………… …..…………..519.885.1511 Foot Care Nurse Susan Jarosz RN Footcare Services………………………...…… Waterloo…………………....

..……………..519.884.8954

Karen Doyle Foot Care…………….. 512 Cairncroft Pl………...… …..…………..519.884.3668 We Care Home Health Services ..

Waterloo.…………………...

...…………….519.576.7474

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Foot Care (continued) Waterloo Region Chiropodist / Podiatrist Elmira Medical Centre - Jane Warner

2 Park Ave., W., Elmira…

……………..519.669.5493

Just Feet with Kathleen………………

Elmira…………………..

……………..519.669.5835

We Care Home Health Services …

New Hamburg, Baden…

……………….519.576.7474

Sherrie the Footcare Nurse…………

Waterloo Region………

………………519.893.2272

Foot Care Nurse

Centre Wellington Chiropodist / Podiatrist Groves Memorial Community Hospital 235 Union St. E., Fergus. …….519.843.2010 ext 3205 Foot Care Nurse Foot Patrol……………………………

Aberfoyle, Elora, Fergus

……………..519.341.0268

We Care Home Health Services …

Fergus, Elora……………. ……………….519.576.7474

Rural East Wellington Chiropodist / Podiatrist Erin Physio Fitness………………….

6 Thompson Cresent, Erin……………………….

……………..519.833.0606

Acton’s Head 2 toe Healthcare…...…

65 Mill St. E., Acton…….

……………..519.853.8557

Foot Care Nurse We Care Home Health Services …...

Rockwood, Erin…………. ……………….519.576.7474

Rural North Wellington Chiropodist / Podiatrist Groves Memorial Community Hospital 235 Union St. E., Fergus. …….519.843.2010 ext 3205 160 King St. W., Betty McTague………………...……… Mount Forest……………. ……………….519.323.3668

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Physical Activity Resources If you decide to start a new exercise program, you should consult your doctor and remember to watch for symptoms of hypoglycemia while, and after exercising. Always know what your blood glucose is prior to exercise and, if necessary, have a snack to raise the level to your own individual “safe” zone. There are a variety of ways you can be physically active in your own home or community, please find a list of resources below.  YMCA & YWCA  WWDRCC website with physical resources www.waterloowellingtondiabetes.ca  Yellow pages under health, fitness, and exercise services  Health Canada’s Physical Activity Guide to Healthy Active Living www.phac-aspc.gc.ca/hp-ps/hl-mvs/pa-ap/index-eng.php  Local community and senior centres  Local mall walking group  City or Town office for a local Parks and Recreation Leisure Guide

Below is information for local city guides to parks and recreational activities. Cambridge

519.740.4681

www.cambridge.ca/community_services/activities_guide Guelph

519.822.1260

www.guelph.ca/living.cfm Kitchener

519.741.2345

www.kitchener.ca/en/livinginkitchener/ParksTrailsUrbanForestry.asp www.kitchener.ca/en/livinginkitchener/SportsAndRecreation.asp Waterloo

519.886.1550

www.waterloo.ca/DesktopDefault.aspx?tabid=595 North Wellington

519.848.3620

www.wellington-north.com/leisure-living/ Centre Wellington

519.846.9691

www.centrewellington.ca/departments/parksandrecreation/default.aspx

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Nutrition Resources It is important to eat healthy and monitor your blood glucose levels. Below is a list of nutrition resources. Dietitians of Canada www.dietitians.ca

416.596.0857

EatRight Ontario www.eatrightontario.ca

1.877.510.5102

Five to Ten a Day for Better Health www.5to10aday.com Foodlink Waterloo Region www.foodlink.ca

519.513.8998

Glycemic Index and GI Database www.glycemicindex.com Canada’s Food Guide http://hc-sc.gc.ca/fn-an/food-guide-aliment/order-commander/index-eng.php Healthy Ontario - Healthy Eating www.mhp.gov.on.ca/en/healthy-eating/default.asp Health Canada - Nutrition Labelling - Interactive Tools www.hc-sc.gc.ca/fn-an/label-etiquet/nutrition/cons/dv-vq/interact-eng.php

Did you know... Canada’s Food Guide recommends you eat at least one dark green and one orange vegetable each day.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Dental Assistance Programs The International Diabetes Federation Guidelines Task Force recommends that people with diabetes get regular dental care. Below is information on financial assistance programs for dental services available in Waterloo Region. Ontario Works (OW) OW provides emergency and select dental care for adult clients and their dependent children 18 years and older.

……………………..Cambridge: 519.740.5700 ………………Waterloo Region: 519.883.2100 …………...Wellington County: 519.837.26570

Ontario Disability Support Program (ODSP) ODSP provides basic dental care for clients, their spouses, and their dependent children who are under 18 years of age.

……………………..Cambridge: 519.623.1230 ………………………….Guelph: 519.822.7500 ……………Kitchener/Waterloo: 519.886.4700

Children in Need of Treatment (CINOT) CINOT provides free urgent dental services and essential dental care to low-income children and youth age 17 and under. Services can include: emergency extractions, fillings and sedation, fluoride, cleaning and dental health information. Contact your local Public Health Unit for more information and to see if you are eligible. Region of Waterloo Public Health

www.region.waterloo.on.ca/ph …………………………………..519.883.2225

Wellington-Dufferin-Guelph Public Health

www.wdgpublichealth.ca …………………….1.800.265.7293 ext. 2661

Grey Bruce Public Health Unit

www.publichealthgreybruce.on.ca …………...……………………1.800.263.3456 …………………………………..519.376.9420

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Dental Assistance Programs (continued) Healthy Smiles Ontario This program provides free regular dental services for children and youth who do not have any type of dental coverage. If you qualify for the program, your child will receive free regular services and any participating dental provider or dentist. Services include: regular cleanings, fillings, x-rays, and scaling. Orthotics and cosmetic dentistry are not covered. Contact your local Public Health Unit for more information and to see if you are eligible. Region of Waterloo Public Health

www.region.waterloo.on.ca/ph ……………………..519.883.2222, option # 1

Wellington-Dufferin-Guelph Public Health

www.wdgpublichealth.ca …………………….1.800.265.7293 ext. 2661

Grey Bruce Public Health Unit

www.publichealthgreybruce.on.ca …………...……………………1.800.263.3456 …………………………………..519.376.9420

Region of Waterloo Public Health Adult Emergency Dental Clinic This program provides emergency dental care for Waterloo Region adults aged 18 and older who do not have any form of dental insurance, who are not eligible for any financial assistance programs, and who cannot ……………………………..……...519.883.2222 afford to pay for dental treatment.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Mental Health Programs Symptoms of depression are common in people with diabetes compared with the general population and major depressive symptoms are present in approximately 15% of people with diabetes. Many Diabetes Education Programs have Social Workers on staff to provide counselling for those dealing with the effects of diabetes. For more information you can contact your local diabetes education program to inquire about access to counselling services.

General Mental Health Resources Mental Health Service Information Ontario The Mental Health Helpline provides information about mental health services in Ontario. Information and referral service will answer your call, email or web chat 24/7. Service is confidential and free.

………………………..1.866.531.2600 http://mentalhealthhelpline.ca

They can: • provide information about counselling services and supports in your community • listen, offer support and provide strategies to help you meet your goals • provide basic education about mental illness

Canadian Mental Health Association Grand River Branch Promotes the mental health of all and supports the recovery of people experiencing mental health issues.

Cambridge: 519.740.7782 Guelph: 519.836.6220 1.888.255.2642 Kitchener/Waterloo: 519.744.7645 1.877.627.2642 Orangeville: 519.938.8776 1.866.938.8776 www.cmhagrb.on.ca

Self Help Alliance Waterloo-Wellington The Self Help Alliance provides services offered by people for people who have experienced a mental health and / or addiction issue.

Cambridge: 519.623.6024 Guelph: 519.763.4014 Kitchener/Waterloo: 519.570.4595 www.self-help-alliance.ca

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Mental Health Programs (continued) Crisis / Distress Lines Kids Help Phone A bilingual national telephone counselling service for children and youth. Anonymous and confidential, lines are open 24 hours a day. Parent Help Line 24 hour telephone counselling and referral line providing parents with information and support related to parenting issues. Crisis Services of Waterloo Region The Distress Centre provides confidential listening and support, crisis response and intervention for anyone in Waterloo Region. Telephone lines operate 24 hours a day, 365 days a year and are answered by trained volunteers as well as staff who offer non-judgmental listening, and confidentiality. • Crisis Line The Crisis Line links callers with the Mobile Crisis Team. This Team operates 24 hours a day, 365 days a year throughout Waterloo Region offering prevention, assessment, intervention and resolution for urgent mental health and psychosocial crisis situations. Community Torchlight Guelph/ Wellington/ Dufferin Offers free, telephone-based listening, support, referral, and crisis assistance (offered 24/7) by trained staff and volunteers. All calls are confidential. Unless requesting emergency services, you do not need to identify yourself or your location. • Crisis Line Call if you are experiencing a mental health challenge or suicide crisis, or if you’re a concerned family member, friend or professional support worker. • Distress Line: Call to connect to a caring, empathic listener. Help to support people who are lonely, confused, in distress about their circumstances and need someone to talk to.

……………………...1.800.668.6868

……………………...1.888.603.9100

Distress Centre Line:519.745.1166 Youth Distress Line: 519.745.9909

Crisis Line: 519.744.1813 or 1.866.366.4566

www.communitytorchlight.com

Crisis Line: 519.821.0140 or 1.877.822.0140

Distress Line: 519.821.3760 or 1.888.821.3760

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Mental Health Programs (continued) If you are experiencing a medical emergency please go to the nearest Emergency Department or call 9-1-1.

Hospitals Grand River Hospital • Mental Health and Addiction Services Grand River Hospital is a key provider of mental health and addictions treatment for Waterloo Region patients. We offer a wide range of mental health and addiction services to meet the specific needs of individuals and families, across generations. • Mental Health Services in an Emergency Grand River Hospital provides emergency mental health and addiction assessments 24 hours a day in the emergency department, located at the hospital’s KW Site at 835 King Street West in Kitchener.

Cambridge Memorial Hospital • Mental Health Services Emergency Mental Health Services are available though Cambridge Memorial Hospital’s emergency department, which provides emergency assessment and crisis intervention between 9:00 a.m. and 9:00 p.m. CMH provides supportive and therapeutic services to people in Cambridge and North Dumfries who are experiencing mental health difficulties.

……………………………519.749.4310 www.grhosp.on.ca/Mentalhealth

www.grhosp.on.ca/Careemergency

……………………………519.621.2300 www.cmh.org

Counselling Services Mosaic Counselling and Family Services Mosaic is a full-service, professional counselling agency, providing individual counselling, couples and marriage counselling, group programs, credit counselling and community outreach to children, men, women, seniors, families and new Canadians. Mosaic provides programs at various locations throughout the Region of Waterloo.

……………………………519.743.6333 www.mosaiconline.ca

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Mental Health Programs (continued) Counselling Services Trellis Mental Health & Developmental Services Assist people with developmental and mental health challenges. Services for children to seniors.

General: 519.821.2060 or 1.800.265.7723 Referral: 519.821.3582 www.trellis.on/ca/en/

Family Counselling Centre of Cambridge & North Dumfries Provide counselling for issues relating to family violence, child poverty, and personal counselling for individuals, couples, and families. Services offered in different neighbourhood sites in the city of Cambridge, as well as the Township of North Dumfries.

KW Counselling Services A multi-service agency providing individual, family, group and outreach supports to the community. Offer individual and group counselling, LGBTQ services and training, mediation, youth justice services, workshops and professional training, outreach workers, domestic violence services, as well as multicultural programs and training.

……………………………519.621.5090 www.fcccnd.com

…………………………519.884.0000 or [email protected] http://kwcounselling.com/counselling

The Community Mental Health Clinic Fergus Clinic: 519.843.6191 The Community Mental Health Clinic has two clinics Mount Forest Clinic: 519.323.4004 located in Fergus and Mount Forest providing mental health services. Services offered for adults, Toll free: 1.800.265.7723 include help with depression, mental illness in the family or having suicidal thoughts. Services also available for children, adolescents and seniors. www.mapleton.ca The Mental Health Team is made up of social Information can be found under the link workers, nurses, psychologists and psychiatrists. A referral should be made by your family physician. ‘Community’ and then ‘Health Services’

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Mental Health Programs (continued) Counselling Services Lutherwood Family Counselling Service Lutherwood provides a range of services to assist children and their families coping with mental health challenges. Provide residential treatment and assessment services, family crisis and prevention counselling, community and school-based interventions and operate a youth shelter. Lutherwood provides services to people in Waterloo Region and Wellington County.

www.lutherwood.ca

Children’s Mental Health Centre…………………… ……………………………..519.884.1470 Betty Thompson Youth Centre…………………….. ……………………………..519.749.8305 Child & Parent Place Program……………………...

Guelph & Area: 519.822.4141 ext 1532 Waterloo Region: 519.743.1460 ext 298

Front Door Child & Youth Mental Health Services for Families………………………………… ……………………………..519.749.2932 Family Counselling Services……………………….. ……………………519.622.1670 ext 200

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Insurance For People With Diabetes People with diabetes often have difficulty finding insurance. The Canadian Diabetes Association works with Ingle International to help people with diabetes access a reputable source of insurance and information. Note that individual health insurance is subject to limitations and exclusions based on pre-existing conditions. Be sure to read the fine print. Ingle International & Imagine Insurance represents many of the major insurance companies in Canada. They provide access to insurance products and services to suit your needs and budget. Coverage is based on individual health conditions and is not guaranteed. If they are not able to provide an insurance product or service, depending on your health condition, they will provide advice. Information and alternatives may be available to you. To find out more call 1-866-266-0166 or visit www.diabetes.ca/insurance. There may be other insurance options available, please check the yellow pages under Insurance.

Financial Assistance Programs In Ontario, there are a number of financial assistance programs to help offset some of the cost associated with diabetes care. For more information on a plan or program talk to your diabetes team or contact the numbers listed below. Ontario Drug Benefit Plan (ODB) - Ministry of Health Your prescription medications, insulin and strips are covered under ODB if you belong to any one of the following categories: receiving social assistance, Senior 65+, resident of a long-term care facility or Trillium Drug Program recipient. The ODB plan covers the majority of drugs and some medical supplies. Speak to your pharmacist for details.

....………………………1.888.405.0405

Trillium Drug Program (TDP) - Ministry of Health If you are not on social assistance and you do not have private health insurance, or your private health insurance does not cover 100% of your drug costs, you can apply to the program to help pay for the cost of prescription medications, insulin and strips. You will have to pay a deductible based on your household income. Speak with your local pharmacist or diabetes educator for application requirements.

…………………………1.800.575.5386

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Financial Assistance Programs (continued) Monitoring for Health Program (MFHP) If you are dependent on insulin and have no other coverage, you can apply for a 75% reimbursement of the cost of your strips and lancets, up to a maximum of $820 per year. You can also get a 75% reimbursement of the cost of a meter, up to a maximum of $75. MFHP can also help with the cost of a ‘talking meter’ if you are visually impaired.

....………………………1.800.361.0796 www.diabetes.ca

Insulin Pump & Supplies Program—Ministry of Health & Long Term Care Assisted Devises Program (ADP) This program assists individuals who have type 1 diabetes and are not having success managing …………………………1.800.268.6021 multiple daily injections and are willing and able to use an insulin pump. This program may enable you to purchase an insulin pump and help pay for the supplies. The program provides 100% coverage for the cost of the pump and a $2400 yearly grant for insulin pump supplies. You must attend a designated Diabetes Program to be eligible - refer to page 11. Your Diabetes Team will do an assessment and help you fill out an application form. Syringes for Seniors—Ministry of Health & Long Term Care Assisted Devises Program (ADP) If you are over 65 years of age and use insulin on a daily basis, you can apply for a yearly grant of $170 for needles and syringes.

…………………………1.800.268.6021

Lilly Canada Cares Insulin & Glucagon Program If you are using insulin and have low income and your …………………………1.888.545.5972 insulin is not covered by any private health plan or government program, you may be eligible to receive a 3 month supply of Eli Lilly insulin. The program can also provide Glucagon and an insulin pen, if needed. Ask your diabetes educator for more information and they can apply for you.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Financial Assistance Programs (continued) Diabetes Hope Foundation Assists families of children and youth with type 1 diabetes. The Foundation’s Medical Assistance Program assists children living with diabetes whose families are not covered by third party health plans and who struggle to obtain the necessary medical supplies and drugs needed to control their diabetes. Scholarship opportunities are also available.

……………………………905.670.0557 www.diabeteshopefoundation.com

Assisted Devises Program (ADP) Assists individuals with a long-term physical disability and need help with purchasing specific equipment and supplies, the program may be able to cover 75% of the cost (or a fixed amount). The program covers over 8,000 pieces of equipment and supplies. A full list is available online or by calling the program.

…………………………1.800.268.6021 www.health.gov.on.ca

Non-Insured Health Benefits (NIHB) - for First Nations and Inuit only Assists to cover the cost of those prescription drugs and medical services that are not covered by any other provincial or federal government programs.

…………………………1.800.225.0709 www.hc-sc.gc.ca

Veterans Health Benefits Program—Veterans Affairs Canada Assistance to cover the cost of prescription drugs and a variety of medical services for Veterans, released …………………………1.866.522.2122 and still serving CF members, RCMP members and certain civilians, as well as their dependants and www.veterans.gc.ca survivors.

Tax Credits & Deductions—Revenue Canada Agency To find out about tax credits and deductions, including Medical Expense Tax Credit, the Disability Tax Credit and the Child Disability Benefit, contact Revenue Canada.

…………………………1.800.959.8281

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

www.cra-arc.gc.ca

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Transportation Services If you are unable to operate a motorized vehicle, below is a list of transportation services that you may find useful. Contact the services, as some fees may apply. Kitchener / Waterloo / Cambridge Grand River Transit Mobility Plus Special transit service in the urban service of Waterloo Region provided for persons who are physically unable to climb or descend steps on conventional public transportation facilities, unable to walk 175 meters as registered by the CNIB or affected by a temporary disability.

………….To register: 519.585.7597 ext 7290 ………………………..Bookings: 519.744.2241 www.grt.ca - under Accessibility

Waterloo Waterloo Home Support Transportation service if offered to Waterloo ………For Waterloo residents: 519.579.6930 residents 65 years or older who are living in their own home and do not have a www.waterloo.ca/seniors wheelchair. Dedicated and reliable volunteers provide rides to medical appointments, social and recreational activities and shopping. *Note: Victoria Street is the boundary between Waterloo and Kitchener* Kitchener, Waterloo & Guelph Seniors for Seniors Drivers transport and accompany seniors to …………Kitchener & Waterloo: 519.585.0845 and from medical and financial appointments, ………………………….Guelph: 519.836.3893 grocery store etc. www.srs4srs.org Cambridge & North Dumfries People Assisting in Transporting Elderly Residents Program (PATER) Volunteer drivers take seniors 65 years or older to appointments. This program is intended for those who are unable to take public transportation, have no one else to drive them and are able to get in and out of a vehicle with minimal help. *Note: clients must be registered to use the system.

…………………………………….519.622.3136

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Transportation Services (continued) Woolwich, Wellesley & Wilmot Kiwanis Transit Specialized transportation service within the townships and to Kitchener-Waterloo is available for seniors 65 years or older, and individuals physical or mental disabilities.

…………………………………….519.669.4533 …………………………………..1.800.461.1355 www.k-transit.com

Harriston & Palmerston C.R.E.A.T.E. Program A non-profit volunteer run program, which provides transportation services and support to seniors and individuals with disabilities.

………...Harriston; Janice Gray: 519.338.2995 ……….Palmerston; Doug Gray: 519.343.3443

Dufferin County Dufferin County Community Support Services Transportation services available for seniors 65 years and older or disables individuals 18+ years in Dufferin County area.

…………………………………….519.925.5452 www.dufferincounty.on.ca

Guelph St. Joseph’s Community Outreach Programs This program provides escorted transportation …………………………519.824.6000 ext. 4651 in Guelph to various activities and www.sjhh.guelph.on.ca/ appointments for those who are unable to use public transit because of physical limitation, frailty, or cognitive impairments.

City of Guelph Mobility Services This program provides transportation for …………………………………….519.822.1811 physically challenged persons who are unable to climb or descend steps or use the www.guelph.ca/living.cfm conventional transit. This service is - under Accessibility wheelchair accessible and the walking assistance is provided to ambulatory passengers.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Additional Programs, Services and Resources Canadian Diabetes Association Waterloo Wellington Diabetes Regional Coordination Centre Stand Up to Diabetes

www.diabetes.ca www.waterloowellingtondiabetes.ca www.health.gov.on.ca/en/ms/diabetes/en/

Waterloo Wellington Self-Management Program

www.selfmanagement.ca

Diabetes Ontario

www.diabetesontario.org

Canadian Diabetes Care Guide Juvenile Diabetes Research Foundation Canada Children with Diabetes The Diabetes Hope Foundation Health Canada Government of Ontario

www.diabetescareguide.com www.jdrf.ca www.childrenwithdiabetes.com www.diabeteshopefoundation.com www.hc-sc.gc.ca www.health.gov.on.ca

Canadian Institute for Health Information

www.cihi.ca

Canadian Institute for Health Research

www.cihr.ca

Canadian Medical Association

www.cma.ca

TeleHealth Ontario

1.866.797.000

Heart and Stroke Foundation

www.heartandstroke.ca

Kidney Foundation of Canada

www.kidney.ca

Canadian National Institute for the Blind

www.cnib.ca

Ontario Association of Optometrists

www.optom.on.ca

Dietitians of Canada

www.dietitians.ca

American Diabetes Association

www.diabetes.org

International Diabetes Federation Joslin Diabetes Centre

www.idf.org www.joslin.harvard.edu

NEHA Diabetes Education Resource

www.neha-diabeteseducation.ca

National Diabetes Education Program

www.ndep.nih.gov

Behavioral Diabetes Institute March of Dimes Canada Southern Ontario Aboriginal Diabetes Initiative

http://behavioraldiabetesinstitute.org www.marchofdimes.ca www.soadi.ca

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Community Services Support Resources Community Care Access Centre (CCAC)

www.ccac-ont.ca/

Community Support Connections - Meal on Wheels and More

http://communitysupportconnections.org/

YMCAs of Cambridge & Kitchener-Waterloo

www.ymcacambridgekw.ca

YMCA Immigrant Services Cambridge & KW

www.ymcaimmigrantservices.ca

YMCA-YWCA of Guelph Region of Waterloo Public Health Wellington Dufferin Guelph Public Health Grey Bruce Public Health Unit The Literacy Group of Waterloo Region Guelph Action Read Community Literacy Centre

www.guelphy.org/ http://chd.region.waterloo.on.ca

www.wdgpublichealth.ca/ www.publichealthgreybruce.on.ca http://theliteracygroup.com/ www.actionread.com/

Canadian Red Cross

www.redcross.ca

House of Friendship

http://houseoffriendship.org

Cambridge Self Help Food Bank The Food Bank of Waterloo Region

www.cambridgefoodbank.on.ca www.thefoodbank.ca

Guelph Food Bank

www.spiritwind-christian-centre.ca/ guelphfoodbank.html

Arthur Food Bank

519.848.3272

Mount Forest Food Bank

519.323.9218

Fergus Food Bank

519.787.1814

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Glossary Of Terms A ABDOMINAL OBESITY: Fat stored around the abdomen and waist. People with abdominal obesity are at higher risk for diseases such as diabetes and atherosclerosis (hardening of the arteries), which can lead to heart attack and stroke. A1C: A lab test that is done every 3 months. It provides your result in a percentage that indicates your average blood sugar over the past 3 months. Your A1C should be under 7%. B BLOOD GLUCOSE METER/MONITOR: A hand-held machine designed to test blood glucose levels. A drop of blood (usually from the fingertip) is placed on a small test strip that is inserted into the meter. The meter displays the amount of glucose in the blood. Blood glucose meters allow people with diabetes to play an active role in monitoring their own blood glucose levels. BLOOD GLUCOSE: The concentration of glucose in the blood. In Canada, blood glucose is measured in mmol of glucose per litre of blood (mmol/L). The normal range before meals is 4.0 - 6.0 mmol/L, while the normal range two hours after a meal is 5.0 - 8.0 mmol/L. C CERTIFIED DIABETES EDUCATOR: See diabetes educator. CARBOHYDRATE: One of the main sources of calories for energy. Sources of carbohydrates include starches such as breads, cereals, rice, pasta, potatoes, corn and legumes. Sources also include sugars naturally found in honey, fruits, vegetables and milk; refined sugars such as table sugar and sugars added to candies, jams and soft drinks. All forms of carbohydrate are broken down into glucose during digestion. COMA: A state of unconsciousness. In diabetes, it may result from a variety of causes including severe hypoglycemia or diabetic ketoacidosis. D DIABETES EDUCATION PROGRAM: A program where professionals such as diabetes educators, dietitians, etc. offer classes and consultations. DIABETES EDUCATOR: A healthcare professional trained to teach patients about diabetes and how to make adjustments to diabetes treatments. He or she may also be trained as a nurse, dietitian, pharmacist, psychologist or other healthcare professional. DIABETES: A disease in which the body either cannot produce insulin or cannot properly use the insulin it produces. This leads to high levels of glucose in the blood, which can damage organs, blood vessels and nerves. See type 1 diabetes and type 2 diabetes.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Glossary of Terms DIABETIC KETOACIDOSIS: An acute and severe complication of diabetes that is the result of high levels of blood glucose and ketones. It is often associated with poor control of diabetes or occurs as a complication of other illnesses. It can be life threatening and requires emergency treatment. Signs and symptoms include fruity odour on the breath, shortness of breath, confusion, nausea, vomiting and weight loss. DIABETES NURSE EDUCATOR: A nurse who has expertise in diabetes, and who teaches and advises people about diabetes care and management. DIETITIAN: A healthcare professional who teaches and advises people about the kinds and amounts of foods that promote good health. E ENDOCRINE DISEASE: Any disease of the endocrine system. Diabetes is an endocrine disease because it affects the pancreas, a gland that produces the hormone insulin. ENDOCRINE SYSTEM: The system of glands in the body that produce hormones. ENDOCRINOLOGIST: A medical doctor who specializes in diseases of the endocrine system, including diabetes. To access, a referral from your doctor is required. F FAMILY DOCTOR: A medical doctor, often a general practitioner, who looks after the health of family members, keeps their medical histories, and provides referrals. G GLUCOSE: A simple form of sugar that acts as fuel for the body. It is produced from digestion of carbohydrate and carried in the blood to the body’s cells. GLYCEMIC INDEX: A scale that ranks carbohydrate-rich foods by how quickly they raise blood glucose levels. H HYPERGLYCEMIA (also HYPERGLYCAEMIA): Higher than normal levels of glucose in the blood. Symptoms depend on how high the blood glucose level is, but can include thirst, frequent urination, blurred vision and fatigue. HYPOGLYCEMIA: Lower than normal blood glucose. Symptoms depend on how low the blood glucose level is and include sweating, trembling, hunger, dizziness, moodiness, confusion, headache, blurred vision and nausea.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Glossary of Terms I INSULIN PEN: An injection device the size of a pen that includes a needle and holds a cartridge of insulin. It can be used instead of syringes for giving insulin injections. INSULIN PUMP: A portable, battery-operated device that delivers a specific amount of insulin through a small needle inserted under the skin. It is programmed to deliver constant doses of insulin throughout the day and deliver extra insulin at meals and as required. Also called continuous subcutaneous insulin infusion (CSII). INSULIN RESISTANCE: A condition in which the body’s cells and tissues do not respond properly to the effects of insulin. It is a key feature of type 2 diabetes. INSULIN: A hormone produced by the beta cells of the pancreas that controls the amount of glucose in the blood. Insulin lowers blood glucose by helping move glucose into the body’s cells, where it is used as fuel. K KETONES: Products created when fat is broken down to be used for energy. The body normally gets rid of excess ketones in the urine. However, if levels of ketones get too high, they accumulate in the body and can lead to ketoacidosis, coma and even death. L LANCET: A fine, sharp-pointed blade or needle for pricking the skin, used to obtain a blood sample for blood glucose testing. O OPTOMETRIST: A healthcare professional who examines the eyes to detect and treat eye problems and some diseases by prescribing glasses and/or other visual aids. OPHTHAMOLOGIST: A medical doctor/surgeon who examines and treats eye problems. P PEDORTHISTS: Certified Pedorthists are orthotic and footwear experts who are trained in the assessment of lower limb anatomy and biomechanics. PHARMACIST: A healthcare professional who is qualified to dispense medication. A pharmacist can advise about insulin, oral antihyperglycemic agents and other medications, and diabetes supplies such as glucose meters, syringes and lancets.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Glossary Of Terms R REGISTERED DIETITIAN: See dietitian. REGISTERED NURSE PRACTITIONER: A registered nurse with additional expertise who looks after the health of family members. RETINOPATHY: A disease in which the small blood vessels (capillaries) in the back of the eye (retina) bleed or form new vessels. This condition usually occurs in people with long-standing poorly controlled diabetes. Regular eye examinations are an important part of diabetes management. S SOCIAL WORKER: A healthcare professional who can cares for people with social or emotional problems. Social workers are often members of the diabetes healthcare team. T TYPE 1 DIABETES: An autoimmune disease that occurs when the pancreas no longer produces any insulin or produces very little insulin. Type 1 diabetes usually develops in childhood or adolescence and affects approximately 10% of people with diabetes. There is no cure. It is treated with lifelong insulin injections and careful attention to diet and physical activity. Formerly called insulin-dependent diabetes or juvenile diabetes. TYPE 2 DIABETES: A disease that occurs when the pancreas does not produce enough insulin to meet the body's needs and/or the body is unable to respond properly to the actions of insulin (insulin resistance). Type 2 diabetes usually occurs later in life (although it can occur in younger people) and affects approximately 90% of people with diabetes. There is no cure. It is treated with careful attention to diet and exercise and usually diabetes pills (oral antihyperglycemic agents) and/or insulin. Formerly called non-insulin-dependent diabetes or adult-onset diabetes. Tip! Visit www.diabetes.ca for a more complete diabetes dictionary. Fun fact! An Ancient Greek Physician named Aretaeus thought that diabetes was caused by a snakebite.

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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Supporting people with diabetes in the Waterloo Wellington Region

Waterloo Wellington Diabetes Regional Coordination Centre 887 Langs Drive, Unit 11 Cambridge, ON N3H 5K4

Canadian Diabetes Association Central West Ontario Region 14 Irvin Street, Suite 1 Kitchener, ON N2H 1K8

519.653.1470 x255 [email protected]

519.742.1481 x225 (KW & Area) [email protected] 519.837.9455 x225 (Guelph & Area) 519.942.1800 x225 (Orangeville & Area)

Printed October 2012

Canadian Diabetes Association ~ 519-742-1481 Waterloo-Wellington Diabetes Regional Coordination Centre ~ 519-653-1470 x255

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