TNDMS - The National Diabetes Management Strategy
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Welcome to the National Diabetes Strategy

A program to evaluate diabetes care in Canada

Diabetes has reached epidemic proportions in Canada. Despite advances in treatments, many Canadians are not receiving optimal care and are at risk for the development of the serious and costly complications of the disease.

Western University and the Canadian Diabetes Association (CDA) joined together to establish the National Diabetes Management Strategy.

Under the leadership of the Dr. Stewart Harris, Canadian Diabetes Association Chair in Diabetes Management, the over-arching goal of the National Diabetes Management Strategy is to evaluate the status of diabetes care in Canada, with an ultimate goal of reducing clinical care gaps and optimizing the management of diabetes


See more on FORGE AHEAD Research Study See more info on Primary Care Diabetes Boot Camp See more on Diabetes Bootcamp for Prescribers  



The New 2018 Clinical Practice Guidelines are now available on the Diabetes Canada website

Indigenous health care leaders meet in London to share successes in diabetes care and prevention - October 25, 2017

Health care and community leaders from over a dozen Indigenous communities across the country have gathered in London this week to launch a national roll-out of strategies for diabetes prevention and care.

This week’s meetings mark the end of a pilot project called FORGE AHEAD, and the launch of a full-scale project called SOAR - Pathway to Wellness, which will take the lessons learned from FORGE AHEAD and create a strategy to scale up across the country.

read more ....

Announcement March 2017 - Pathways Funded and Approved!!!

Congratulations to the entire team!! We have received the official CIHR approval which was submitted to the Pathways Implementation Research Team - Component 2 for our application entitled “Transformation of Indigenous Primary Healthcare Delivery (FORGE AHEAD): Enhancement and Adaptation of Community-driven Innovations and Scale-up Toolkits”.

Thank you to each and every one of you for your support of Pathways during the grant application process. Your interest and faith in this project and its ability to make a difference in the lives of our community partners is what has brought us together.

Mariam Naqshbandi Hayward and Jordan Tompkins will be co-leading this exciting project. It is their goal to develop this project with the needs and goals of our community partners.


Naqshbandi Hayward, M; Mequanint, S; Paquette-Warren, J; Bailie, R; Chirilia, A; Dyck, R; Green, M; Hanley, A, Tompkins, J; & Harris, S. On behalf of the FORGE AHEAD Team. The FORGE AHEAD clinical readiness consultation tool: a validated tool to assess clinical readiness for chronic disease care mobilization in Canada's First Nations. BMC Health Serv Res, March 2017; 17:233. doi 10.1186/s12913-017-2175-6.

Paquette-Warren, Jann; Harris, Stewart B; Naqshbandi Hayward, Mariam; Tompkins, Jordan W. (2016) Case study evaluations that go beyond clinical outcomes to assess quality improvement diabetes programmes using the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE). Journal of Evaluation in Clinical Practice, 22(5), 644-652.

Paquette-Warren, Jann; Tyler, Marie; Fournie, Meghan; Harris, Stewart B (2017) The Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE): construct and content validation using a modified Delphi method. Canadian Journal of Diabetes, 41(3), June 2017, 281-296.

Accepted Manuscript (unedited version) available online: December 5, 2016 - Diabetes Research and Clinical Practice
Stewart B. Harris, Jordan Tompkins, Braden TeHiwi. Call to Action: A New Path for Improving Diabetes Care for Indigenous Peoples, a Global Review.

First FORGE AHEAD article to be published – The Best Practices Review article was published (open-access) in the Canadian Journal of Diabetes in June 2016.  Rice, K., Te Hiwi, B., Zwarenstein, M., Lavallee, B., Barre, D.E., Harris, S.B. on behalf of the FORGE AHEAD Program Team. Best Practices for the Prevention and Management of Diabetes and Obesity-Related Chronic Disease among Indigenous Peoples in Canada: A Review. Canadian Journal of Diabetes. 40 (3): 216-225, 2016.

Also, the FORGE AHEAD Program Protocol article has been accepted for publication in the open-access journal - BMC Health Research Policy and Systems
Naqshbandi Hayward, M., Paquette-Warren, J., Harris, S.B. on behalf of the FORGE AHEAD Program Team. Developing Community-driven Quality Improvement Initiatives to Enhance Chronic Disease Care in Indigenous Communities in Canada: The FORGE AHEAD Program Protocol.  BMC Health Research Policy and Systems (Accepted, June 2016)

Announcement - Dr. Stewart Harris reappointed as the Ian McWhinney Chair of Family Medicine Studies

Dr. Stewart Harris has been reappointed as the Ian McWhinney Chair of Family Medicine Studies for the Schulich School of Medicine & Dentistry, Western University effective July 1, 2016 to June 30, 2021.

Congratulations Braden Te Hiwi

June 2016
Congratulations to Braden Te Hiwi who received his PhD in Kinesiology at Western University. His dissertation is titled – Physical Culture as Citizenship Education at Pelican Lake Indian Residential School, 1926-1970.

Article in Press - Canadian Journal of Diabetes

April 7, 2016
Best Practices for the Prevention and Management of Diabetes and Obesity-Related Chronic Disease among Indigenous Peoples in Canada: A Review

Congratulations - Dr. Stewart Harris receives Order of Canada

July 7, 2015
Congratulations to Dr. Stewart Harris, who was among 100 new appointments to the Order of Canada announced by His Excellency the Right Honourable David Johnston, Governor General of Canada.

Dr. Harris, has received the distinguished honour for his contributions to the development of strategies to manage and reduce diabetes in Aboriginal communities and other vulnerable populations. He is a renowned researcher on developing and evaluating strategies to improve clinical outcomes for patients with type 2 diabetes, has published more than 240 peer review papers and is dedicated to addressing the pressing need for new diabetes care delivery systems.

He is also Medical Director of St. Joseph’s Primary Care Diabetes Support Program. Dr. Harris leads the innovative Primary Care Diabetes Support Program,  which provides diabetes education and support for those without a family doctor or who live with various challenges that make managing diabetes more difficult, such as poverty, language barriers, social isolation, addictions or mental illness. A multidisciplinary team teaches patients how to become diabetes self-managers and helps them access the resources they need to manage their diabetes effectively. The team also assists family physicians in London to build capacity for diabetes care in their own practices.

The Order of Canada, is one of the country’s highest civilian honours, and recognizes outstanding achievement, dedication to the community and service to the nation.

FORGE AHEAD FILM: 5 min has hit YouTube

June 10, 2015

The FORGE AHEAD Research Program was highlighted in a short video shown on ADA TV at the American Diabetes Association 75th Scientific Symposium in Boston (USA) (June 5 - 9).


AstraZeneca donates $500,000 to forge health care improvements in Canada’s indigenous communities

February 20, 2015
More than nine million Canadians live with diabetes and prediabetes – a chronic, debilitating and potentially fatal disease if left untreated.

According to the Canadian Diabetes Association (CDA), this disease, in which the body can’t produce, or properly use, insulin (a hormone required to convert glucose into energy) is increasing by epidemic proportions in Canada.

Aboriginal Peoples are among the highest risk group for developing diabetes and related complications, with a prevalence in First Nations communities three to five times higher than the general population. This is due to a number of factors including genetic predisposition, lifestyle and quality of care.

To address this mounting health crisis in First Nations communities, AstraZeneca Canada Inc. has donated $500,000 to Western University in support of the FORGE AHEAD Research Program, led by Western’s Schulich School of Medicine & Dentistry Professor Dr. Stewart Harris

read more .....

FORGE AHEAD is in the News

November 10, 2014
In the Globe and Mail and now on the Canadian Diabetes Association website!  Initiative aims to improve diabetes care in Aboriginal communities

Congratulations to
Dr. Stewart Harris on being awarded the 2014 Hellmuth Prize for Achievement in Research. The honour recognizes faculty members with outstanding international reputations for their contributions in research. Two prizes are offered annually, one in the area broadly defined as the natural sciences and engineering, one in the social sciences and humanities (May 2014).

Dr. Stewart Harris is very pleased to announce his reappointment to the position of Canadian Diabetes Assocation (CDA) Chair in Diabetes Management, Schulich School of Medicine & Dentistry, Western University. This reappointment will allow Dr. Harris and his team to continue their progressive and innovative program of research prioritizing evaluation of diabetes and chronic disease models of care, diabetes research with First Nations, research utilizing clinical and administrative health databases, and investigator initiated clinical trials.

Naqshbandi Hayward M, Paquette-Warren J, Harris SB, FORGE AHEAD Program Team. Developing community-driven quality improvement initiatives to enhance chronic disease care in Indigenous communities in Canada: the FORGE AHEAD program protocol. Health Res Policy Syst. 2016;14(1):55. doi:10.1186/s12961-016-0127-y.