Tannis M. Richardson: T1D Champion Gives Back to the Community

May 5, 2020

Tannis Richardson is a spirited woman who has devoted much of her life to local and charitable causes while touching countless lives. A founding member of JDRF’s Winnipeg chapter (1971) and founder of its annual A Starry Starry Night Gala, the nonagenarian is renowned in Western Canada for her extraordinary volunteerism and dedication to arts, health and cultural associations.

Giving back to others has been a way of life since Tannis was a young girl growing up in Winnipeg. Her parents were always community-minded, with her surgeon father establishing the first collective medical facility, the Winnipeg Clinic, and her mother lending support to various organizations. “My parents were extremely wonderful role models,” recalls Tannis.

Tannis’s first volunteer experience was with the Humpty Dumpty Club at the Winnipeg General Hospital. Each Saturday she would accompany her father to the hospital to play with, and read to, the young patients in the children’s ward while he completed his rounds. She would later become a volunteer nurse’s aide during WWII, which was also very rewarding.

“I’ve had experiences that I treasure,” remarks Tannis. “Through the journey in life one experiences encounters with strangers that you don’t expect to have, which enrich your own life and hopefully does the same for them.”

When it was discovered that one of their four children had type 1 diabetes (T1D), Tannis and her husband, George, found themselves thrust into unfamiliar territory, which would soon see them become catalysts of change. Diagnosed at the age of nine, their daughter, Pamela, fought a valiant battle against a disease that was not well known at the time and had few supports in place within Canada’s healthcare system.

“It is high time we had coverage because it is a dreadful burden to put on people. I am encouraged by the support that JDRF is giving to families and that type 1 diabetes is better understood by the general public.”

“There was very little communication about Pamela’s treatment in the medical field back then,” Tannis recalls. “We were required to go from one hospital to another and there were few to support us besides our family and friends because communication between different health services was lacking regarding type 1 diabetes.”

Pamela died at the age of 29 from complications of T1D. Not long after, Tannis and George attended a Toronto gala for JDF (now JDRF) where they met Helaine Shiff, another JDRF Canada founder, who challenged them with: “What are you going to do in Winnipeg?”

Shortly after returning home, Tannis and George attended a function where they met CBC entertainer, Donald Ferguson. In conversation he turned to Tannis to ask, “What are WE going to do about JDF in Winnipeg?” Tannis replied with, “Who are WE?” To which Donald replied, “CBC and you.”

In 1987 CBC was bringing the Royal Canadian Air Farce to Winnipeg and Donald suggested that JDRF should sell the tickets with the proceeds going to support juvenile diabetes research.

“With the Canadian Air Farce as entertainment we made $64,000 that night,” Tannis remembers fondly. “About half the committee had no diabetes in their family, and I was amazed by how many friends came to help. They were incredible people and it was a very special time.”

The following year the committee organized Winnipeg’s first JDRF gala, A Starry Starry Night, which was held at the plaza at City Hall. Today, some 33 years later, the annual gala remains one of Winnipeg’s premier events.

Tannis has chaired JDRF’s local fundraising committee and served on the National Executive Committee and Board of Chancellors, as well as with JDRF International. Forever keen, she remains committed to helping those with T1D. Currently, Manitoba only covers insulin pumps for people with T1D under 18 years of age. As a result, Tannis continues to work towards securing free coverage for insulin pumps for all Manitobans.

“It is high time we had coverage because it is a dreadful burden to put on people,” she says. “I am encouraged by the support that JDRF is giving to families and that type 1 diabetes is better understood by the general public.”

Asked about the social footprint she would like to leave, Tannis keeps it simple. “I would like to be remembered as being approachable and caring about others’ well-being. I don’t like to be called a philanthropist because everyone can be aphilanthropist by giving of their time and support to others.”

Which brings Tannis to one of her favourite memories that she has “treasured in  her heart” throughout the years. It was in 1988, the morning of the first A Starry Starry Night Gala, and committee members were setting up at City Hall. A woman making her way down the steps to the plaza asked Tannis what was happening. Tannis replied “…that a wonderful evening was in store and that everyone attending would be donating towards finding a cure for type 1 diabetes.” The woman hesitated a moment before opening her well-worn purse. Taking out a dollar bill, she handed it to Tannis and said, “I hope this helps you find a cure for diabetes.”

“I remember thinking, philanthropy comes in many forms,” says Tannis. “As the woman walked away, tears came to my eyes and I thought that this person has given what she was able for the betterment of others, which is the definition of philanthropy.”

 

Advancing cell replacement therapies to treat more people with type 1 diabetes

May 5, 2020

Islet transplantation is offered at selected, specialized hospitals as a treatment option for patients with difficult-to-control type 1 diabetes (T1D). The procedure involves isolating islet cells from one or more donor pancreases and transplanting them into the liver of a person with severe T1D. This therapy has been ground-breaking in recent years, and up to 50% of recipients are reportedly free from insulin injections up to five years post-transplant. Unfortunately, factors such as the scarcity of healthy human donor pancreases and the requirement of lifelong anti-rejection drugs pose great challenges to islet graft survival and patient quality of life. However, a new research project headed by Dr. Andrew Pepper – the recipient of JDRF’s 2019 Career Development Award – may help overcome some of the barriers that prevent islet replacement from becoming a readily available treatment for T1D. 

Dr. Pepper is a promising young Canadian scientist and a new assistant professor in the Department of Surgery at the University of Alberta. Along with his team, he is examining the underlying mechanisms that govern pancreatic beta cell survival and function, with the ultimate goal of developing islet replacement therapies that could become a universal treatment for a broader range of people living with T1D. This will be achieved through continued innovations in novel strategies to preserve beta cell mass, enhancing transplant therapies outside the liver and using stem cell-based insulin-producing cell sources.

“With the critical support of JDRF, my laboratory will strive to preserve the legacy of the Edmonton Protocol while ushering in a new era of cellular transplantation,” says Dr. Pepper.

“With the critical support of JDRF, my laboratory will strive to preserve the legacy of the Edmonton Protocol while ushering in a new era of cellular transplantation,” says Dr. Pepper.

“By reducing and potentially eliminating the need for life-long systemic immunosuppression, we hope to broaden the spectrum of T1D patients that can benefit from this life-alternating cellular therapy.”

Dr. Pepper was a JDRF postdoctoral fellow in the lab of Dr. James Shapiro, who pioneered the Edmonton Protocol for islet transplantation, first reported in 2000. If successful, Dr. Pepper’s research could lead to further exciting contributions in the field of beta cell replacement such as improved efficiency of islet engraftment and the development of minimal immunosuppressive and tolerance approaches for implantation. At the same time, his work could foster a better understanding of islet death early in the course of T1D and contribute to approaches that aim to stop disease progression in recent onset disease. 

I have type 1 diabetes (T1D) and am worried I’ll have to go into the hospital during the COVID-19 outbreak. How can I prepare?

I have type 1 diabetes (T1D) and am worried I’ll have to go into the hospital during the COVID-19 outbreak. How can I prepare?

April 22, 2020

Over the last few weeks we have been sharing tips on how to best manage your T1D at home during the COVID-19 outbreak when physical distancing is essential and self-isolation may be necessary. We understand that the thought of a hospital stay right now could be especially worrisomewhen facilities may be overburdened and there is concern around the risk of COVID-19 exposure. Below are a few tips to help you better cope in case a hospital visit is required:
Don’t delay visiting the hospital if you are worried about acute health concerns, especially diabetic ketoacidosis (DKA). DKA is a serious complication of T1D that can be life-threatening if not treated promptly. In general, emergency departments and hospital wards are implementing all measures possible to prevent the spread of infection and are highly organized in terms of dealing separately with patients with established COVID-19, presumptive COVID-19, and without COVID-19.
Notify your own healthcare team if you can. If possible, have your doctor call ahead of your arrival to ensure staff know that you have T1D, the medical issue you are going to the hospital for, and your arrival time.
Accept that T1D management will change during a hospital stay. Hospitals have policies for diabetes management that will mean changing your T1D regimen. Protocols vary by hospital, and some facilities may not allow the use of your own supplies and T1D technology, but experts advise that you bring your own supplies and be prepared to use them if possible.
If you use an insulin pump, remember that it is a self-management tool. If you are unable to self-manage your T1D (because of confusion or loss of consciousness), the pump will probably be temporarily discontinued and you will receive injections of long-acting and short-acting insulin instead. Be ready to relinquish this control, if it is necessary to provide you with the best care.
Continuous glucose monitors (CGMs) are not approved for use in hospitalized patients in Canada. You may be permitted to wear it to monitor trends and benefit from alarms, but readings will likely not be used by hospital personnel to adjust medication or insulin doses.
If you are receiving food at the hospital, you will likely be prescribed a diet appropriate for your age. In adults, this is usually an 1800 kcal “diabetes diet”. The typical meal on this diet has approximately 60g of carbohydrate per meal – but be sure to check with the hospital staff for more information on what is provided to you.
During infection, injury, or acute stress, insulin needs can increase, and blood glucose control can be challenging during a hospital stay. Glucose targets in hospitals are usually 4-10 mmol/L.
To assist in communicating your needs related to T1D to medical staff, you can consider preparing information about your treatment regimen to bring with you – whether you use an insulin pump or multiple daily injections. While these communication tools were developed with advice of practicing endocrinologists, they do not replace the personalized medical advice that you will receive in a hospital setting.
Don’t be shy to advocate for yourself. Most hospitals will have an endocrinology or diabetes team on call who can provide advice to physicians with less experience in prescribing insulin and caring for people with T1D. Don’t be afraid to ask, and take advantage of this resource.
Bring your own T1D supplies. Medical experts and many hospital staff are recommending that anyone with T1D bring at least two weeks of supplies with them if the are headed to the hospital.
What should I bring?
      1. Blood glucose monitoring equipment
 If you have one, take your CGM and a sufficient supply of sensors, transmitter and back-up transmitter, adhesives/tapes, pre-insertion wipes, batteries and/or charging device, cables.
OR
 Standard blood glucose monitoring supplies: glucose meter, lancing device and a sufficient supply of lancets and strips. You may need to use the hospital’s meter, but could ask to use your own lancing device as it likely has smaller gauge needles.

2. Insulin and injection or pump supplies

If you use a pump: sufficient supplies (including reservoirs and filling mechanism (or pods if you use OmniPod), infusion sets, inserter devices), charging cable and/or battery

OR
 If you use pens or syringes: a sufficient supply of pens and pentips, or syringes. Syringes are typically available, but, if permitted, you may feel more comfortable using what you are accustomed to
       3. Vials of all insulins used, with back-up vials. Many hospitals do not carry all types of insulins, so if you would prefer not to change, bring your own.
      4. Supply of treatments for non-severe lows (glucose tablets, juice etc.)
      5. Glucagon (if available) 
      6. Ketone test strips (should be available, but good to take with you)
      7. Copies of your healthcare team’s contact information
      8. If possible, a copy of your last prescription
      9. Details of your insulin regimen to share with medical staff: if medical staff need to manage your T1D on your behalf, this is information that they need communicated clearly and quickly. For example, if you use an insulin pump, try to download and bring a printout of the device settings, showing the basal profile, the profile of your carbohydrate-to-insulin ratios, the profile of your insulin sensitivity factor, targets for correction doses and active insulin time. Also include your typical total daily dose of insulin.
Consider virtual options to stay connected to family and other caregivers to minimize risk of exposure to COVID-19. Keep in mind that hospitals have a responsibility to prevent the spread of infection – more than ever during the COVID-19 outbreak. This means that hospitals may require testing and self-isolation of family caregivers who have symptoms of COVID-19, or of patients in the hospital. If usual caregivers can’t be present for their family member with T1D in the hospital, alternate caregivers may be asked to help out. In addition, options to connect virtually with family members and members of your healthcare team can help to support your time in the hospital.
For more information, visit www.breakthrought1d.ca/t1d-and-covid-19.
Do you have questions about T1D and COVID-19? Email us at T1Dquestions@jdrf.ca.

Type 1 diabetes (T1D) and COVID-19: Frequently Asked Questions

March 31, 2020

The COVID-19 pandemic is a very worrisome time for everyone, especially those with additional health concerns. To support and inform the T1D community, JDRF Canada consulted a panel of Canadian endocrinologists (listed below) to provide answers to some of your most frequently asked questions.

First and foremost, the importance of good hygiene and social distancing in reducing the risk of infection or spreading infection to others cannot be stressed enough.   

Each person with T1D is different, and we would encourage you to discuss your needs with your healthcare team – the answers below should not be taken in place of medical advice. In addition, the situation with COVID-19 is changing rapidly, with new evidence emerging every day. This information is current as of March 25th, 2020.

Q: Are people with T1D at higher risk of being infected with the virus that causes COVID-19?

There is no evidence that people with T1D are at increased risk of being infected by SARS-CoV-2, the virus that causes COVID-19. Reports from other countries that have implied that people with diabetes may be at higher risk of coming down with COVID-19 might be explained by the fact that people with diabetes had more frequent interactions with other patients and healthcare providers early during the outbreak, when the importance of social distancing was not yet known.

Q: Why do people with diabetes have a worse prognosis when they get COVID-19?

Based on what is known about other viral infections, if a person with T1D comes down with COVID-19, the consequences might be more severe, particularly if they have other health concerns or complications from diabetes (such as heart disease, heart failure, kidney disease) and/or are above the age of 70. In addition, managing blood glucose during an infection is difficult and adds an additional layer of complexity to treatment. If someone with T1D is struggling with illness management when sick with COVID-19, they could be at increased risk of ketosis and diabetic ketoacidosis (DKA), of other (bacterial) infections if they have very high blood sugar, or of hypoglycemia.

A large proportion of people who have died from COVID-19 in China had diabetes – but most of these were likely people with type 2 diabetes, who are on average older than people with type 1 diabetes. It is also not yet clear whether diabetes itself causes worse outcomes, or whether worse outcomes are seen because people with diabetes often have other medical conditions (such as heart or kidney disease) that increase risk. Research in progress will hopefully provide more information on these uncertainties soon. As with any disease, each individual is different, and we encourage you to consult your healthcare team to discuss your risks.

Q: Do people with T1D need to take extra precautions to avoid getting COVID-19, above and beyond those recommended for the general population?

Social distancing is crucial at this time to protect yourself and others from exposure. We all have a part to play in minimizing the impact of the COVID-19 outbreak in Canada, and each of us can set a good example: stay home as much as possible, use virtual options for work or socializing, ask a delivery service or a friend to bring groceries, and keep 2 m away from others if you must go out. For clinic visits, please check with your healthcare team about options for video or phone visits, and delay routine lab work unless there is a clear and urgent need.

If you struggle with your glucose control and have a complication such as heart or kidney disease, or if you are older (~60 years or older), we would encourage you to consider taking all steps possible to minimize potential exposure. If you have high HbA1c (>9%), you may also wish to monitor blood sugar closely and work with your healthcare team (by phone or video) to safely reduce this over the coming weeks when COVID-19 may remain a problem, as lowering your HbA1c could mean a lesser impact of COVID-19 if you do become sick.

Q: My child has T1D – is he or she at high risk compared with a child who does not have T1D?

In general, children who become sick with COVID-19 have mild disease. There is still no published evidence about COVID-19 in children with T1D, but anecdotal evidence from Europe suggests that children with T1D who become ill usually have mild disease and that many children can be managed safely at home with appropriate management of illness.

However, children and youth are not immune to serious illness and in this situation it is important to prevent possible DKA (a serious and life-threatening condition), severe hypoglycemia, and dehydration. During times of illness, it is important to monitor blood glucose and ketones as indicated, follow guidelines as well as connect with your local diabetes team as needed. We recommend ensuring that ketone testing supplies (urine and/or blood strips) have not expired, and being ready to give extra rapid-acting insulin, if required, if your child has elevated glucose and ketones  ̶ as often as every 3-4 hours if indicated. Following illness management guidelines through your diabetes clinic is recommended. For example, here is a useful link to information on illness management from Ontario’s Provincial Council for Maternal and Child Health. Additional details in English and French can be also accessed here.

Q: Is our insulin supply in Canada under threat? How about diabetes supplies or devices?

Thus far, we are aware of no disruptions to the supply chain for medications including insulin, or for diabetes devices. For a list of notices from specific manufacturers, please visit www.breakthrought1d.ca/t1d-and-covid-19/. However, the availability of some medicines (including insulin) in individual pharmacies is being affected as many consumers have been requesting more medicines than usual. We are continuing to monitor the situation and provide information and support. If you cannot obtain insulin, we encourage you to reach out directly to your insulin manufacturer’s customer care team.

Q: I’ve heard that certain blood pressure-lowering medications (ACEis and/or ARBs) might increase my risk of coming down with COVID-19. Is it safe to keep taking these medications?

There is no good evidence to tell us that these drugs worsen the risk of getting COVID-19 or the consequences once infected (see a statement from Hypertension Canada from March 13th, 2020 here). If your doctor started one of these drugs to protect your heart or kidneys you should keep taking it, unless you have diarrhea, vomiting, or are dehydrated, in which case consult your healthcare team for advice.

Q: How about ibuprofen?

Despite some suggestions in the media that ibuprofen should be avoided with COVID-19, as of yet there is no evidence to suggest it is unsafe, although some health authorities (such as the NHS in the UK) are recommending acetaminophen as a first choice to treat a fever with suspected COVID-19. However, for anyone that takes ibuprofen for other conditions (such as arthritis), there is no need to stop at this time. Patients with advanced kidney damage should be cautious about using ibuprofen in general and this situation also applies to the current situation. Some CGM sensors (including Dexcom G4 and G5, Medtronic Enlite, and possibly others) are affected by acetaminophen and cause the sensor to show a higher reading than the true blood glucose level over the 3-4 hours after taking a typical dose. Thus, if you use one of these sensors and suspect you may have COVID-19, we encourage you to use a back-up glucose monitoring method (fingersticks) if taking acetaminophen.

Q: How can I support my family in learning about and preparing for COVID-19?

Families must find appropriate ways to speak to their children about the pandemic and teach or reinforce important health behaviours that lower risk of exposure. Each family must find their own solutions to adapt to restrictions such as social distancing or quarantine. A helpful resource can be found here.

Q: Should I avoid attending in-person medical appointments right now?

It’s best to contact your local healthcare team for advice. Many clinics are offering appointments by phone or video call to minimize the risk of contracting COVID-19, as well as delaying routine lab work. Rest assured, if there is an urgency to be seen, your teams will be able to see you. It is just not wise to have large groups of people congregating at health care facilities right now.

For additional information on preventing COVID-19, being prepared, and what to do if you think you might have symptoms of COVID-19, please visit breakthrought1d.ca/coronavirus.

We sincerely thank Dr. Farid Mahmud (Associate Professor, Pediatrics, Endocrinology, Hospital for Sick Children), Dr. Remi Rabasa-Lhoret (Professor of Medicine and Nutrition at the L’Institut de recherches cliniques de Montréal (IRCM) and Le Centre hospitalier de l’université de Montréal (CHUM)), Dr. Bruce Perkins (Professor of Medicine, Endocrinology, University of Toronto), and Dr. Peter Senior (Professor of Medicine, Division of Endocrinology, University of Alberta) for offering insights.

A letter to the T1D community from JDRF President and CEO Dave Prowten

March 26, 2020

 

Dear JDRF family,

Over the last few weeks, I have been blown away by the strength, resilience and generosity demonstrated by you, our JDRF family. I am reminded of how privileged we are to have your continued support. Thank you for everything you do.

Because of you, JDRF is providing people living with type 1 diabetes (T1D) resources and support to navigate these challenging times. Here’s what has been done so far:

  • We have set up an information page about T1D and COVID-19, as well as a mechanism to answer your questions via email.
  • We are hosting regular online events so you can ask experts your questions about T1D and COVID-19. Check out our Facebook Live with one of our researchers, endocrinologist Dr. Rémi Rabasa-Lhoret.
  • We are working with industry partners to ensure people with T1D can continue to get the diabetes supplies they need.
  • We have created a panel of medical experts from coast-to-coast to consult on the virus and T1D.

While we all do our part to stop the spread of COVID-19, the day-to-day challenges of living with T1D remain. Our commitment to better health and quality of life for people living with T1D is stronger than ever and, with your help, we will continue to champion the short and long term needs of people living with T1D and their families.

In a time when social distancing is required, it is more important than ever to feel connected. We are working to find the best ways to remain engaged with you during this exceptional time. We are here for you and thinking of you.

Please stay safe,

Dave Prowten
President & CEO
JDRF Canada

Severe lows? Spray it in the nose! New Nasal Glucagon for severe hypoglycemia available in Canada!

March 24, 2020

Sponsored Content by Ei Lilly Canada 

Eli Lilly Canada is pleased to announce the approval and availability of BaqsimiTM, a new rescue treatment for severe hypoglycemia, demonstrating Lilly’s commitment to simplifying the management of severe hypoglycemia through medicines and patient solutions. The formulation was invented in Canada and is changing the lives of people with diabetes around the world. Baqsimi (glucagon nasal powder 3 mg) was approved by Health Canada with ethical status, making it available at the pharmacy with or without a prescription. Baqsimi is indicated for the treatment of severe hypoglycemic reactions when impaired consciousness precludes oral carbohydrates, which may occur in the management of insulin-treated patients with diabetes mellitus, whether type 1 or type 2.i Baqsimi is a compact nasal spray that is portable and does not require reconstitution. It is indicated in children 4 years and above and is now widely available in pharmacies across Canada.

For Canadians who have diabetes and who are treated with insulin, the fear of going ‘low’ (hypoglycemia) never goes away. When an individual has a severe low (severe hypoglycemia), they are unable to treat themselves, and they need help from someone else to recover. For people with type 1 or type 2 diabetes who are on medications like insulin, there can be many causes of severe hypoglycemia. These include not eating enough, over-exercising, drinking alcohol, or even using diabetes medications incorrectly.ii

“The daily worry of a ‘severe low’ and the complexity of using injectable glucagon creates an emotional toll for both the person living with diabetes and their caregivers,” says Dave Prowten, President and CEO at JDRF Canada. “Having a new rescue option that is easy to administer with a single nasal puff by a caregiver will alleviate a significant burden, and it has the potential to save lives.”

Baqsimi is a ready-to-use form of glucagon, which requires no reconstitution or priming. It is administered in a single fixed dose that is sprayed in the nose, where it is passively absorbed. Baqsimi does not need to be refrigerated and can be stored at temperatures up to 30°C/86°F in its shrink-wrapped tube.

For more information about Baqsimi and how you can be prepared for an unexpected severe hypoglycemic event, please visit, www.baqsimi.ca.

REFERENCES

[i} Baqsimi Canadian Product Monograph – September 2019.

[ii} Diabetes Canada – Severe Hypoglycemia – Last accessed on January 17 – https://www.diabetes.ca/health-care-providers/clinical-practice-guidelines/chapter-14#panel-tab_FullText

Novel dual-hormone artificial pancreas offers hope for better management of T1D

March 5, 2020

Type 1 diabetes (T1D) is an autoimmune disorder that is often difficult to manage. Despite recent advances in innovative medical devices and educational tools, many people with T1D often experience blood sugar swings that can put them at risk of complications including hypoglycemia and hyperglycemia. Adding adjunct therapy to existing insulin treatment regimens could soon change that.

The artificial pancreas (also known as a closed-loop) is a promising technology consisting of a system of devices that closely mimics the glucose-regulating function of a healthy pancreas. It comprises a continuous glucose monitor (CGM), an insulin pump, and a computer algorithm that enables these devices to communicate and automate insulin delivery according to a person’s needs in real time. The artificial pancreas systems that are currently available automate basal insulin, and still require the user to give manual boluses via their insulin pump, but research working to develop a fully automated system. One approach towards a fully automated system is incorporating additional hormones or drugs.

Dr. Haidar
Dr. Legault
Dr. Yale
Dr. Tsoukas

Drs. Ahmad Haidar, Laurent Legault, Michael Tsoukas and Jean-Franҫois Yale are a team of JDRF-funded researchers at McGill University (Montreal) who are the first to test the addition of pramlintide (a synthetic form of amylin, which is a hormone co-secreted with insulin by the healthy pancreas) to an artificial pancreas system – a combined treatment they hypothesize would help patients achieve optimal glucose control during the day. Previous studies have shown that pramlintide prevents blood sugar spikes following a meal through affecting digestion and the release of other hormones. Pramlintide – which is already approved and available in the USA – can be taken by injection, but is rarely used. In this study, the researchers set out to test the effects of pramlintide when delivered together with insulin in an artificial pancreas system.

Blood sugar levels in people wearing an artificial pancreas (AP) with insulin alone vs an AP with insulin + pramlintide.
Starting blood sugars were 5-10 mmol/L. Adapted from Haidar et al, Diabetes Care 2020; 43: 597-606.

To test their hypothesis, the researchers conducted a clinical trial in adults with T1D who wore artificial pancreas systems with or without pramlintide during inpatient visits at the Research Institute of McGill University Health Centre. The results of the trial showed that adding pramlintide to rapid-acting insulin in an artificial pancreas system improved glucose control compared to rapid-acting insulin alone, without increasing hypoglycemia. In the next stage of their research, Dr. Haidar and his team are conducting another clinical trial to test whether the insulin-plus-pramlintide artificial pancreas system can eliminate the need for carb-counting in adolescents and adults with T1D.

This exciting research into insulin adjunct therapy brings us closer to less burdensome management of T1D and a better quality of life.

Meet the 2020 Manitoba Lobby Day Delegates!

March 4, 2020

On March 11, 2020, advocates living with type 1 diabetes (T1D) will share with Manitoba Members of the Legislative Assembly their experience living with T1D and the importance of extending insulin pump coverage to people of all ages. Currently, in Manitoba, to qualify under the current insulin pump program, you must be under the age of 18.

Our Manitoba Lobby Day has been fundamental in securing government funding for T1D research and raising awareness. The delegates raise their voices as advocates, representing the millions of people living with T1D, and are empowered to continue to use their voice to make change. 

We’re so happy to share our 8 finalists with you – meet our 2020 Manitoba Lobby Day Delegates!

Click to view video submission

Tyler Polonuk

Age: 17

From: East Saint Paul, MB

 

Ashlynn Argo​

Age: 16

From: Sunnyside, MB

Click to view video submission

Julia Hird

Age: 19

From: Winnipeg, MB

 

Ellen Karr

Age: 71

From: Winnipeg, MB

 

Click here to view video submission

Leah Wiebe

Age: 54

From: Steinbach, MB

 

Jenna Basson

Age: 34

From: The Pas, MB

 

Spencer Christie

Age: 19

From: Winnipeg, MB

Click here to view video submission

Noah Silvaggio

Age: 17

From: Winnipeg, MB

Take part in our lobby days by signing up to become a JDRF AdvocateYour voice will help advocate for T1D research and raise awareness about the T1D community.

For more information about JDRF 2020 Manitoba Lobby Day visit breakthrought1d.ca/advocacy

A Look into the 2020 Pre-Budget Consultations

March 3, 2020

*Note: as of March 3, JDRF Canada welcomes the release of the Standing Committee on Finance’s report and its recommendations to address the diabetes epidemic. Read the press release here*

JDRF President and CEO Dave Prowten testified recently in front of the Standing Committee on Finance as part of their 2020 Pre-Budget Consultations. Also appearing on JDRF’s behalf was Angie Sullivan, parent of a child with type 1 diabetes (T1D).

The pair delivered a powerful and compelling testimony in support of our 2020 budget recommendations as well as a new CIHR proposal from the Canadian Institutes of Health Research (CIHR) to celebrate the 2021 anniversary of the discovery of insulin by creating a $100 million diabetes research fund.

Check out their testimonies below!

#AccessforAll recommendation presented to Ontario’s Minister of Finance

March 4, 2020

She was the youngest person in the room, and her presentation was met with resounding applause from the entire audience. Fourteen-year old Anne Pettigrew made an impressive and compelling presentation at last month’s Ontario pre-budget consultations in Scarborough.

Anne presented JDRF’s #AccessforAll recommendation to the Minister of Finance Rod Philips,  Minister for Seniors and Accessibility Raymond Cho, and local Member of Provincial Parliament Aris Babikian by telling her story of how the continuous glucose monitor (CGM) has saved her life on more than one occasion. 

“My family is able to make sacrifices to choose to afford this [device] for me. But not everybody has that luxury. Type 1’s who cannot make the sacrifices still need the technology, still need health security and still deserve life. And CGM’s save lives.”

What is the pre-budget submission process and why is it important?

Ahead of the Budget cycle each year, Ontarians are invited to submit their thoughts, ideas, and recommendations to inform the provincial budget. The government provides several opportunities where individuals, businesses, and organizations can engage in this process. Written submissions, oral presentations, survey responses, and general comments are accepted in late Fallearly Winter, before the official Budget is released in the Spring. This is an important opportunity to tell the government directly about what matters most to the over 96,000 people who live with T1D in the province.

Recognizing this as an opportunity to have our collective voice heard, JDRF also submitted a written recommendation to ensure our request is considered.

Anne’s remarks not only indicated the importance of how advanced glucose monitors help people live better, but how this investment makes financial sense for the government as well. Severe hypoglycemia alone costs our Ontario health care system more than $5 million annually, adding to the hallway health care problem. Funding these technologies addresses an unmet medical need and is crucial to ending hallway medicine by reducing the economic burden that diabetes imposes on our healthcare system.

Anne’s full presentation below.

Now it’s your turn. Tell your representative how provincial funding for CGM and FGM devices will help people with type 1 diabetes live healthier, easier, safer lives. Click here to send them a message now – and join the movement.

Finding strength in adversity: Newly diagnosed teen competes in 2020 Youth Olympics

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February 27, 2020

Fifteen-year-old Kamilla Kozuback recalls fighting back tears as she successfully landed her final jump at the 2020 Youth Olympic Games this past January, placing eighth as one of the youngest snowboarders in the competition to ever represent Canada. 

It was only two years before this when she was given her first dose of insulin, receiving an official diagnosis of type 1 diabetes (T1D), and asking the doctor if she’d ever be able to snowboard again.

“It was the first thing I wanted to know…whether I’d be able to snowboard or compete again,” she said. “It was all I could think about.”

Fifteen-year old Kamilla landed in 9th place at the 2020 Youth Olympic Games
Fifteen-year-old Kamilla represented Canada at the 2020 
Youth Olympic Games this past January.

With the support of her mother, Brigitta – who as a nurse was able to diagnose her daughter after observing her symptoms back in 2017 – Kamilla did everything in her power to take control of her disease, ensuring that nothing would get in the way of her dream of being a competitive snowboarder.

“She was not afraid… after we got home from the hospital, she grabbed the syringe from my hand and said ‘let me do it,’” her mom recalls. “That was when I knew she’d be okay.”

Kamilla’s life did a 180 degree turn that July 1st. She was met with incredible amounts of adversity, but says she saw it as an opportunity to work harder towards her aspirations of being a professional snowboarder. She woke up every morning, trained at the gym – lifting weights, maintaining her cardio – all with her new diagnosis of T1D on her back.

With her mother being a nurse, she was able to talk openly about her disease and track her blood sugar levels with her support – monitoring how different activities affected her diabetes.

It wasn’t until her trip to Switzerland in January, though, where she felt her hard work and determination paid off. Kamilla had been selected to represent Canada in the Youth Olympic snowboarding games.

“I was hit with a wave of happiness, I don’t even have the words,” she said. “It was the most amazing thing, to be there, to compete and be one of the youngest girls in the competition.”

All while managing T1D.

“I tell Kamilla all the time, it’s ok to have bad days, it’s ok to be upset. But turn that into motivation…I was so happy to see her land that jump and compete in Switzerland…It was unbelievable.”

Today, Kamilla continues to work on managing her disease alongside her mom, and a Syberian Husky who also has T1D.

“I want to be in the next Olympics,” she says. “I’m going to keep working hard, and training all I can…despite my diabetes.”

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