Author: amcewen

An often under looked aspect of living with a chronic condition like type 1 diabetes (T1D) is the stigma that can accompany it. Generally, diabetes stigma can be defined as negative perceptions, judgment, discrimination, or a prejudice against someone because of their diabetes. The majority of T1D stigma derives from a lack of understanding of the disease itself, and a belief that lifestyle factors such as diet or lack of exercise – or eating too much sugar ‘caused it’.  

T1D is an autoimmune disease that cannot be prevented, but there remains a belief among many that simply changing habits can reverse or ‘cure’ T1D. And it can be exhausting for someone with T1D to have to repeatedly explain the mechanisms of their condition or experience undue attention on their diet, exercise habits and overall health and lifestyle.

Over the long-term, diabetes stigma and discrimination can affect T1D management and self-esteem, to the point that it may lead to hiding visible cues of their condition, such as covering up diabetes devices like advanced glucose monitors, or pumps, performing less frequent checking of blood glucose levels, or injecting insulin in private to avoid being seen as having a chronic disease. It may even cause someone to avoid seeking healthcare when needed, which could lead to potential diabetes-related complications.
Experiencing this type of stigma can have implications both internally and externally. Absorbing the negative perceptions that come from diabetes stigma can lead to feelings of shame, failure and guilt. This can impact familial relationships, the workplace, relationships with friends and mental health.

“Sometimes, being open about my T1D can be challenging because I never know what preconceptions or assumptions others may have. More than once, people have asked me, “Should you be eating that?” or “You must have been overweight before your diagnosis?” These negative experiences often create a barrier to disclosing my disease and make me hesitant to share my journey with T1D for fear of being ridiculed, ostracized or shut down. But I do my best not to internalize ignorant comments and instead try to use them to educate on what life with T1D is really like! “- Lauren (29-years-old, diagnosed age 11)

Many teens and young adults with type 1 diabetes have acknowledged experiencing diabetes stigma and that it resulted in them taking less good care of their health, according to a Research Institute of the McGill University Health Centre in Montreal study from 2019, which included 380 participants found via the social media channels of Diabetes Canada (which also supported the study), as well as diabetes clinics and organizations across the country.

During the study, (380 participants) between the ages of 14 and 24 completed an online survey that asked whether they told others they had diabetes, and whether they dealt with their diabetes care (or felt embarrassed about doing so) when with friends and other people.

Two-thirds had felt embarrassed about their diabetes and were more likely to have poor blood glucose control than the one-third who did not experience stigma. Over the previous year, this larger group was also more likely to have had either one or more events of dangerously low blood sugar that required help from another person, or an A1C level above 9% (A1C is a measure of average blood glucose levels over the last two or three months; the target for most people with diabetes is 7% or less.) The study, which was published in the Journal of Medical Internet Research, also found that feelings of stigma were slightly more common among females (68%) than males (59%).

“I found it hard at times to be open about living with T1D in work and school settings because of how many misconceptions are out there about this disease. Multiple teachers and coworkers often took an infantilizing approach after I shared my diagnosis with them, often telling me what I should and shouldn’t be eating and different ways I should be living my life according to their preconceived notions about T1D. Although these situations are hard to respond to, I try to take the opportunity to educate and not take these comments personally!” – Alicia (25-years-old, diagnosed age 7)

Unlike most chronic conditions, T1D is nearly completely self-managed. Diabetes distress, the feelings of frustration, guilt, shame and worry – (what some people with T1D experience when they’re overwhelmed by the relentlessness of diabetes) can be exacerbated by external diabetes stigma. And diabetes distress can lead to diabetes burnout, and a reluctance to manage the condition.

Diabetes stigma can particularly affect people who have diabetes and struggle with maintaining a weight that is comfortable for them. Blaming or shaming someone with diabetes, particularly by watching or commenting on what they eat, or how much activity they are doing, could lead to disordered eating or resistance to discussing changes in diet and blood glucose levels with healthcare providers.

 “Although doctors are the ones who should help you the most with your T1D, they can often be the ones inflicting blame and shame if they don’t like the numbers they’re seeing at your appointments or feel that your HbA1c/time in range should be lower. I struggled with that until I found a more supportive endocrinologist and started seeing a psychotherapist living with T1D. I’ve learned that the best way to combat these feelings is to be more self-compassionate and remind myself that no matter what my blood sugars are doing, as long as I am trying my best, it’s enough!” Lauren (29-years-old, diagnosed age 11)

Although I love being open about T1D and the challenges that come along with it, it is hard to be vulnerable sometimes as there is still so much misinformation and misconceptions out there about this disease. I have had multiple people react in shock when I share that I am diabetic as they say, “but you aren’t fat!” Responses like this perpetuate the wrong idea of what T1D is supposed to look like or what a person living with T1D should look like. Although comments like this can be hard to respond to, I do my best not to internalize them and always try to take an empathetic and educational approach in my response. I truly believe most people mean well, they just aren’t always knowledgeable about the nuances of T1D.” Alicia (25-years-old, diagnosed age 7)

How people think and talk about T1D, including healthcare providers, colleagues, loved ones and friends is essential to improving health outcomes for people with the condition, and to reducing the negative perceptions and judgement surrounding it. Having good support and people willing to listen and learn is key to reducing diabetes stigma and empowering people to feel open and comfortable sharing about what it’s like to live with T1D.

Finding a community of people also living with T1D can help. JDRF Canada offers connection and support through its volunteer and community engagement program. Learn more about community resources and volunteer opportunities that connect the T1D community.

Most importantly, there is never shame in having type 1 diabetes. You may need to be prepared to educate others or correct common misconceptions. But be proud of who you are and acknowledge to yourself daily that you are doing your best, and that is all that can be asked of you.

Additional Resources:
The End Diabetes Stigma: https://enddiabetesstigma.org/

 https://breakthrought1d.ca/life-with-t1d/mental-health/free-mental-health-resources/

https://directory.breakthrought1d.ca

People living with type 1 diabetes (T1D) are more likely to experience mental health challenges compared to those without diabetes. This includes disordered eating and eating disorders: those with T1D are 3-4 times more likely to experience these conditions.

Eating disorders include anorexia, bulimia, binge eating disorders, and insulin omission or restriction to lose weight, commonly referred to as “diabulimia.” Eating disorders are serious in any individual but are particularly dangerous to people living with T1D. In particular, insulin omission can induce hyperglycemia or diabetic ketoacidosis (DKA) (dangerously high blood glucose levels), which can be very dangerous, in some cases leading to severe diabetes related complications, coma, or death.

The close relationship and strict monitoring of food, such as carbohydrate counting, required as part of T1D management can cause stress that may increase the tendency to develop eating disorders in people with T1D. As well, existing treatments for eating disorders may not be ideally suited for people living with T1D, as there are many special considerations, such as the fact that starting or changing insulin treatment can result in weight gain. Accompanying this, there are often feelings of guilt and shame associated with living with a condition that requires careful self-management, and people living with T1D are further at a greater risk of experiencing depression, anxiety, and diabetes distress – a clinical condition that refers to the negative emotions that comes with the burden of diabetes self-management. Although nearly 1 in 5 children with T1D show signs of disordered eating, the signs are often missed.

On January 23, 2024, a Parliamentary Inquiry report in the United Kingdom on the risks of type 1 diabetes eating disorders (T1DE) was released, chaired by Global Health Ambassador The Right Honourable Theresa May MP and The Right Honourable Sir George Howarth MP, both who have a personal connection to T1D.

The parliamentary inquiry, funded with support from JDRF International, identified several systemic gaps and barriers that fail to provide effective support and care for people affected by T1DE (type 1 diabetes specific eating disorders). This includes gaps in diagnostic criteria and terminology for T1DE, the effect of stigma, limited research and evidence in this area, lack of knowledge and training of healthcare professionals, and lack of funding and access to mental health providers and eating disorder support services. There are clearly many areas that must be addressed to improve the experiences of people who are affected by T1DE.

A clear finding from the report is the need for integrated mental health support into diabetes care, with a recommendation to introduce mental health checks along with the existing physical health checks and screening during annual diabetes care appointments, and a need for mental health providers to have training on diabetes and T1DE. People living with T1DE often receive mixed messages and advice from different care providers with conflicting care plans. This latter finding suggests a need for greater communication, collaboration, and integration of different health services within health systems.

Sara, who lives with type 1 diabetes and T1DE, in the Parliamentary Inquiry report shared:

“I was diagnosed with type 1 diabetes at the age of three in 1990 and have had no psychological support in those 32 years. The expectation of how I was supposed to control my diabetes was so high from other people it was unachievable and unrealistic. I couldn’t reach perfect, so the only thing I felt I could achieve was being uncontrolled, so I developed an eating disorder and that became a coping mechanism. My first signs of T1DE were in year eight of secondary school, where I started omitting insulin, and things got worse after leaving pediatric care, as I struggled with bulimia as many as four times a day. I would hide how I felt but underneath my smile I hated myself, my body and the stress that my type 1 diabetes caused my loved ones. By omitting insulin, I could numb the relentless burnout that managing type 1 diabetes brought. I could also eat any food I wanted, and without taking insulin, I would lose instead of gain weight.”

As research is lacking in this area, JDRF International has identified T1D and eating disorders as a key priority and are currently funding three projects to support this. These projects will explore innovative interventions, testing the efficacy of an Acceptance and Commitment Therapy (ACT) intervention delivered via a mobile app, a guide for healthcare providers to see warning signs of eating disorders, and a virtual eating disorder prevention program. This research will support reducing gaps in evidence and interventions for people affected by T1DE.

What can we learn from this report?

• Greater investment in research in the area of T1D and disordered eating is needed to generate evidence-based best practices
• Evidence needs to be integrated into practice – this means training our health teams to recognize early signs of T1DE and explore prevention initiatives
• There is an opportunity for greater collaboration and communication among healthcare providers and care teams to improve patient care
• Funding in mental health is sorely needed to allow people living with T1D the ability to have improved access to mental health treatment
• Greater awareness of T1DE and the experience of stigma in diabetes and eating disorders must be addressed

What does this mean for Canadians with T1D?

Since JDRF Canada launched its mental health strategy in late 2021, we have been working to close gaps in mental health and T1D by creating the Mental Health + Diabetes Training Program to train mental health providers to have a greater understanding of diabetes, and recognize the need to further support eating disorders in this area. In late 2023, we co-hosted a webinar with the National Eating Disorder Information Centre (NEDIC) to introduce this important topic to healthcare professionals.

The Parliamentary Report recognizes the important role that peer support can play in treatment and recovery of T1DE, and “recommends the availability of in-person and online moderated peer support”. JDRF Canada is currently funding research in mental health and some studies are working to address the vulnerable years of transitioning from pediatric to adult care. These research projects are exploring peer support as a mechanism of reducing the feelings of isolation that often arise from living with a chronic condition, and to explore what impact that may have on mental health and diabetes related distress. As the risk of developing eating disorders is especially high during teenage years, it is vital that positive emotional and social support are made available during this time.

If you live with T1D, or have a loved one who does, and are struggling with disordered eating, or are restricting insulin to manage your weight, know that you are not alone, and reach out to your diabetes care team or someone else you trust. Help is available. Finding a mental health provider that is knowledgeable about diabetes can also help.

Supports and Resources

• To connect with a mental health provider, visit our Mental Health + Diabetes Directory
• For support with eating disorders, visit the National Eating Disorder Information Centre (NEDIC) or access their provider directory (English only).
• For Quebec residents, you can visit Anorexia and Bulimia Quebec (ANEB), access the Montreal based Douglas Institute Eating Disorders Program or BACA Eating Disorders Clinic
• For more information on mental health and diabetes, including eating disorders, learn more at JDRF Canada
• BETTER also has information related to T1D and eating disorders
• If you are a healthcare provider that wants to learn more about mental health and diabetes, including eating disorders, click here

---

Hi, I’m Joanna! Born and raised in Ottawa, I now call Toronto my home. I’m passionate about health and fitness, PR/communications, all things food, travel and family!

When were you diagnosed with type 1 diabetes, and can you share a little about what that was like?

On March 16, 1998, I vividly remember looking down at my bruised arms where two IVs dripped into my veins to help bring my blood glucose levels back into a normal range. Nearby machines beeped relentlessly. Doctors and nurses gathered around. I had been rushed to the hospital ER from a family vacation, where I was immediately diagnosed with type 1 diabetes (T1D). I was also told we were lucky we came when we did. It was a moment that will be ingrained in my memory forever.

Over the next week, the hospital became my home—as well as my family’s—where we learned how to manage my newly diagnosed condition. Those early days laid the foundation for my journey with T1D, teaching me that while diabetes is a part of me, it doesn’t define me.

How has fitness impacted your daily management?

Being active and incorporating fitness into my life has been a game-changer for my overall T1D management. The routine of exercise—the planning, the commitment, the follow-through—it all strengthens my resolve to manage my T1D with intention. With every movement, I’m reinforcing habits that keep me on track: monitoring my blood levels, adjusting insulin, being mindful of my eating.

But it’s more than that. It’s about the mornings I wake up feeling unstoppable and the evenings I go to bed knowing I’ve done something good for myself. This positive feeling spills over into other areas of my life, making me a more focused, more present individual. In a way, managing T1D with the help of fitness is one of the best ways to take care of myself.

Can you share what has impacted your daily management the most?

Honestly, my daily management got a lot brighter when I started using a continuous glucose monitor. I can see what’s happening with my blood glucose levels in real time, and it means I can live my life with a lot less stress about my diabetes. I’m forever grateful for the advancements in diabetes technology—it’s come a long way since my diagnosis.

(Learn more about JDRF’s advocacy program to ensure universal access to diabetes devices like advanced glucose monitors here: https://www.breakthrought1d.ca/advocacy/access-for-all/)

Why is supporting the T1D community so important to you?

There’s something profoundly human about being part of the T1D community. It’s a place of courage, resilience, and an unspoken understanding that we’re all in this together. Living with T1D can be isolating, as I quickly learned after my diagnosis. As soon as I found a support system, my life, and my outlook living with T1D completely changed. It’s a community of hearts and hands ready to catch you, lift you, and celebrate with you. That’s what being part of the T1D tribe is all about and I want to give back to this incredible community as much as I can.

Anything else you would like to share with the T1D community?

At the end of the day, T1D has been my greatest teacher in life. Living with this chronic condition for 26 years has taught me to listen to my body better than ever before, it’s encouraged me to be patient—especially on the tough days, and it’s proven that I’m strong and can conquer anything, even when people have doubted me. I’ve completed several triathlons and cycling races, have traveled solo overseas numerous times and have lived and worked abroad. Accomplishing these goals, and many more, has proven that nothing’s off limits.

My advice to those living with T1D: Your T1D has shaped your life, and, it has inevitably developed your resilience, sense of independence and confidence along the way. Don’t let it prevent you from living life on your terms. With the right attitude, you can conquer anything you put your mind to.

You can follow Joanna on her Instagram page here: https://www.instagram.com/joannamariefit/

Learn more about JDRF’s support services to connect the T1D community: https://www.breakthrought1d.ca/support

People who live with diabetes are at an increased risk of mental health conditions such as anxiety, depression, eating disorders and diabetes distress (the feelings of stress, guilt and being overwhelmed that can result from diabetes management). There are diverse mental health needs across the type 1 diabetes (T1D) community in Canada, and a common theme among members is that greater mental health supports are needed. This need varies widely, from dealing with feelings of being overwhelmed when newly diagnosed, to battling the loneliness and isolation that may come from living with a chronic condition for years, and that it can feel like no one understands.

As part of JDRF Canada’s Mental Health Strategy for T1D launched in 2021 and a key fundraising pillar of the $100M Campaign to Accelerate, in May 2023 we opened the JDRF Canada Mental Health and T1D Community Grants Program as a new funding opportunity. This incubator initiative is designed to provide seed funding to organizations ready to transform innovative ideas into successful projects to support the mental health and wellness of the T1D community.

We received many excellent applications and are grateful to our diverse review panel made up of Canadians with lived and/or professional experience of T1D who helped decide which projects were to be funded. These projects, awarded up to $20,000 each will take place over an 18-month period. Each is unique, offering creative and interactive ways to improve mental wellness among the T1D community.

Partnerships are a crucial component of JDRF Canada’s Mental Health Strategy, and we are proud to be partnering with a variety of organizations across Canada to support these new community projects, and expand the capacity and diversity of supports for mental health and well-being in the T1D community.

“Mental wellness is central to living well with T1D, but we hear from our community time and time again that there is just not enough support for mental health and diabetes within or outside of the health care system,” said Jessica Diniz, President & CEO of JDRF Canada. “Each of these important new projects is a shining example of much-needed support for the T1D community, and we are excited to be enabling them as part of JDRF Canada’s goal to connect more people with the supports they need for improved mental health and wellness. By working as partners with other like-minded organizations, we can reduce duplication and achieve more for the T1D community.”

Bridging the Gap: Mental Health Integration into 2024’s Slipstream Programming​

Connected in Motion (ON)​

An established and well-respected diabetes camp for adults will add mental health programming to their traditional weekend offerings of outdoor pursuits and workshops on adult-life with T1D held in different locations across Canada. The project will create expert-led workshops as well as tools and resources for participants. Workshops and resources will cover a range of topics relevant to adults living with T1D, including body image, aging, and the impacts of the condition on relationships and family dynamics.

CuriosiT1D: Getting Curious about Diabetes & Mental Health

Edmonton Diabetes & High Risk Foot Clinic partnered with Pineapple Therapy (AB)​

This project will develop an 8-week psychoeducation course to teach people living with T1D about the intersection between their condition and their mental well-being. The self-paced course is based on the practices of Acceptance and Commitment Therapy (ACT). Participants will build skills to increase resilience, reduce anxiety, and better manage their condition with self-compassion.

OPEN – D: Onboarding Platform for the Education of New patients with Diabetes

McGill University partnered with GoldBug Interactive (QC)​

Creation of a bilingual (French/English) webcomic for newly diagnosed children designed to be an engaging resource for kids aged 7-12 adjusting to life with T1D. The webcomic will cover topics including managing the routines of diabetes care, talking about your diabetes with classmates, and will also demonstrate healthy coping skills for managing the ‘big feelings’ that come with T1D.

« Bien dans ma tête et mon diabète »​

Université de Montréal (QC)​

This project will produce a collection of short format French videos for Youtube, Instagram, and Tiktok that combat stigma around mental health and T1D while also sharing reliable information and resources for those managing their own health. Videos will be fact-checked by experts (mental health professionals, doctors, and people living with T1D) to prevent misinformation or biases often found in similar formats.

Enhancing Resiliency for Families Living with T1D through Empowering Mental Health Program​

Langs Community Health Centre (ON)​

A community health hub will be developed to include a variety of in-person programming to address the psychosocial needs of a recent influx of people with T1D in their care​. The project will expand their Diabetes Education Program to cover mental health and well-being supports through educational workshops, peer support, and facilitated group activities to foster self-efficacy for tweens through adults.

If you are interested in learning how to support these projects, or JDRF Canada’s Mental Health Strategy, please contact Jen Bavli at jbavli@jdrf.ca.

For questions about the Mental Health and T1D Community Grants Program, please contact grants@jdrf.ca.

Learn more about our Mental Health Strategy and mental health research projects.

If 2022 was a year of hope, 2023 was one of turning that hope into progress. And thanks to our incredible community of donors, volunteers, and supporters – we saw significant progress across all areas of type 1 diabetes (T1D) research and developed an even closer relationship with the amazing T1D community.   

From the generosity of our donors, JDRF Canada had another transformative year– dedicating substantive funding to research, strengthening our partnerships in academia, continuing to support newly diagnosed families, while never losing focus on our goal of finding cures for T1D while improving the lives of people affected by the disease today. 

Highlights from the past year included: 

• Launching our Mental Health + Diabetes Training Course and Directory in collaboration with Diabetes Canada  
• Building capacity for the future of T1D research in Canada through training the next generation of researchers and clinicians 
• Improved device coverage in New Brunswick, Manitoba and British Columbia through our Access For All advocacy program 
• Advocacy campaigns in Alberta and Nova Scotia for improved access to diabetes technologies like advanced glucose monitors and insulin pumps 
• Reaching thousands of Canadians through our Let’s Talk T1D Education Series, bringing experts into their homes to discuss topics important to them 
• Continued support to newly diagnosed families and adults through our Bag of Hope and No Limits Care Kit programs 
• Bringing our community together at our Walk, Ride, JDRF Golf Marathon and Cocktails for a Cure and Light the Way Soiree events 
• Continued progress with our $100 Million Campaign to Accelerate 
• The T1D Superhero Card campaignlaunched, a unique tool that allowed us to spotlight the T1D superheroes among us through National Diabetes Awareness Month 
• Welcoming our new Board Chair Helena Gottschling 
• Announcing the retirement of Dave Prowten, who provided a decade of leadership as CEO and President and the appointment of Jessica Diniz as his predecessorwho will ably take the reins and continue to steward JDRF Canada’s strategic vision with the care our community has come to expect  

T1D research highlights 

In Cell Replacement: 

• JDRF Canada and Stem Cell Network announced the second recipient of the J. Andrew McKee Fellowship in Type 1 Diabetes with a third fellowship opportunity launched 
• JDRF Centre of Excellence at UBC marks two years of innovation in type 1 diabetes cure research 
• Ontario life sciences startup, Allarta, receives award from JDRF International to advance its work in creating a functional cure for type 1 diabetes 
• New developments in islet cell therapies for type 1 diabetes 
• Exciting updates from Vertex stem cell-based therapy clinical trials 

In Disease-Modifying Therapies: 

• Teplizumab, which was approved by the FDA in the USA in late 2022 (under the name Tzield) was shown to also delay disease progression in youth aged 8-17 years old in stage 3 T1D. 
• Additional funding support towards Zucara, a once-daily drug that may help prevent hypoglycemic episodes in people with T1D 
• New once-daily insulin treatment a possibility 

In Treatments to Improve Lives: 

• The JDRF-CIHR Partnership to Defeat Diabetes announcement of 4 new grants in Precision Medicine, the goal of which is to get the right treatment to the right person at the right time. 
• Funding programs devoted to improving mental health care and outcomes for people with T1D, including the CIHR-JDRF Mental Health grants 

In Screening: 

• In collaboration with CIHR, JDRF announced the development of CanScreen, a new Canadian T1D screening consortium led by Dr. Diane Wherrett.  
• JDRF continues to help facilitate screening for relatives of those with T1D at Sick Kids Hospital via TrialNet 

In Clinical Trials: 

• A renewed focus on helping raise awareness of the importance of clinical trials for moving forward critical T1D research, through a social media campaign and new webpage 
• A new tool to make finding T1D clinical trials recruiting in Canada easier and simpler – due to launch early 2024. 

To read more about research updates, please visit www.breakthrought1d.ca/blog. 

2023 was truly a year of incredible progress and momentum both in type 1 diabetes research and at JDRF. As we head into 2024 and the 50^th anniversary of JDRF Canada, we reflect on how none of this would be possible without the support of our donors, volunteers and the incredible T1D community. Thank you! We truly believe that a world free from T1D is closer than ever. 

Dear Friends, 

As I write this, my heart is overflowing with gratitude.  Today, I am retiring from JDRF and it has been an incredible honour and privilege to be the President and CEO for over 10 years. I feel fortunate to have met so many fantastic people in the type 1 diabetes community – your passion, commitment and perseverance each and every day is inspiring. Thank you! 

I have many great memories, and one that stands out is from a Kids for a Cure event in Ottawa. I remember that we gave the kids a JDRF hockey jersey to wear in their meetings. When I put mine on, it made me feel so proud.  I was proud to be part of a winning team – a team that digs deep each and every day to make lives better for everyone in the T1D family.  And of course, seeing all of these incredible youth champions tell their stories to MPs and Senators is the BEST!   

Another (humbling) highlight occurred in my first few months. We had secured an interview on a national TV morning show during Diabetes Awareness month, and we were going to discuss the many advances that have been made.   

We had all sorts of items – needles that were massive, to the latest pumps and monitors. For me, it was all very new and I had done lots of preparation to do my best to explain it. I was joined by a young boy named Anwar – he was one of the nicest and cutest kids I had ever met. After the interview, a good friend of mine who worked at the TV station came up to me and said I had done fine. Then he paused, looked me in the eye, and said, but Anwar stole the show!  It showed me how important and impactful it is to share your personal stories to bring this relentless condition to life and that our ability to work as a team makes us unstoppable. 

I often used the word “momentum” with our team. I believe it is important to build and keep momentum as an organization and this can happen in many ways – research breakthroughs, fundraising success, wins with governments. 

As a team of staff and volunteers, our momentum is like a snowball that starts rolling down a hill, getting faster and bigger. During my tenure, while several areas have tremendous momentum, I am so excited by the progress we have seen in research.  I remember when the first cell therapy trial was announced by ViaCyte several years ago, and now, there are so many trials and companies involved, and of course, amazing Canadian researchers continue to make global contributions in this area. With a disease modifying therapy, like TZield that can delay the onset of T1D, approved by the FDA, I am extremely encouraged that the next generation of treatments, that will move beyond insulin and give people freedom from T1D are incredibly close.   

I need to thank many wonderful people for making these 10 years the most rewarding and fulfilling part of my career. Thank you to the amazing JDRF team, in Canada and globally, for leaning in every day to make a difference; to our volunteers that multiply our efforts and are our secret weapon; to our Board for their leadership, guidance and trust. Our donors are incredible, fueling the best research in Canada and around the world.  To our partners, thank you for being so collaborative since making lives better and finding cures requires all of us to work in harmony. There is no doubt that together, we are stronger and more impactful! 

As I depart, I want to wish Jessica Diniz, tremendous success as the baton is officially passed to her. You will be a terrific leader! 

So let me conclude where I began.  Thank YOU for allowing me to be part of this incredible JDRF team and T1D community. You inspire me, and I know we are well on the way to turning type one to type none. 

November 25, 2019

The death of beta cells results from an autoimmune attack that is characteristic of type 1 diabetes (T1D). This can lead to low blood sugar (hypoglycemia), complications, and even unawareness among people with a severe form of the disease.

Sernova Corp., a regenerative medicine company based in London, ON., has shown in its JDRF-funded clinical trial that its cell replacement therapy, Cell Pouch^TM, can restore insulin production among people living with T1D.

An alternative to drugs, the Cell Pouch^TM system involves an implantable medical device that forms a highly vascularized environment in the body for the housing, function, and long-term survival of therapeutic cells, which release proteins or hormones to treat chronic diseases like T1D.

The detection of C-peptide, a biomarker of insulin production, in the bloodstream of the trial’s first patient is another important success in the field of beta cell replacement therapy – a strategy which aims to replace lost or damaged beta cells with insulin-producing beta cells in people with the disease. Supporting this area of research is also one of JDRF’s most critical undertakings, with an investment of more than $140 million to date.

JDRF is funding Sernova Corp.’s phase I/II clinical trial in participants with T1D and hypoglycemia unawareness based in Chicago, IL., USA. For more information on this study, please visit the clinical trials registry. For more details on recruitment and enrollment, please click here.

Beta cell replacement therapies aim to provide insulin on demand from cells implanted in the body and have the potential to eliminate insulin therapy and liberate people from the burdens of managing T1D for months or even years at a time. The shortage of donor beta cells and the need for strong immunosuppressive drugs, however, make beta cell transplantation an impractical solution for most people.

JDRF is heeding the call, advancing beta cell replacement technologies that can restore glucose control and deliver long-term insulin independence, without suppressing the body’s immune system and the ability to fight infections. Sernova Corp. is moving another step forward in the development of its Cell Pouch^TM and the technology will hopefully be approved in the coming years.