Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Diabetes Directory
of Community Resources
2015 - 2nd Edition
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Disclaimer
Waterloo Wellington Diabetes
887 Langs Drive, Unit 11
Cambridge, ON
N3H 5K4
519-653-1470 x372
Canadian Diabetes Association
Central West Ontario Region
14 Irvin Street, Suite 1
Kitchener, ON
N2H 1K8
519-742-1481 (KW & Area)
519-837-9455 (Guelph & Area)
519-942-1800 (Orangeville & Area)
Welcome!
This directory was created in partnership by Waterloo Wellington Diabetes (WWD) and
the Central West Ontario leadership centre of the Canadian Diabetes Association (CDA).
Funding for this directory was provided by the Waterloo Wellington Local Health Integration
Network (WWLHIN). It is meant to be used as a community resource for healthcare providers
and people affected by diabetes who are living in the Waterloo, Wellington and Dufferin
regions.
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 and specialists
Information on available resources in their community
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. WWD and CDA 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.
i
info@waterloowellingtondiabetes.ca
www.waterloowellingtondiabetes.ca
kitcheneroffice@diabetes.ca
www.diabetes.ca
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Table Of Contents
Welcome .......................................................................................................................................... i
Disclaimer .................................................................................................................................. i
Who We Are
Waterloo Wellington Diabetes ....................................................................................................... 1
Services We Offer ..................................................................................................................... 2
Canadian Diabetes Association .................................................................................................... 1
Services We Offer ..................................................................................................................... 4
How You Can Help .................................................................................................................... 6
Accessing Services
Finding a Family Doctor ........................................................................................................... 8
Your Diabetes Healthcare Team .............................................................................................. 8
Diabetes Central Intake ........................................................................................................... 9
Referring to Other Services ................................................................................................... 10
Managing Your Diabetes
Diabetes Education Programs ............................................................................................... 11
Endocrinologists/Diabetes Specialists ................................................................................. 12
Pediatricians ........................................................................................................................... 12
Community Pharmacy Partners ............................................................................................ 13
Preparing for a Doctor’s Visit ................................................................................................ 15
Tracking Your Diabetes Care ................................................................................................ 16
Blood Glucose Meters ............................................................................................................ 17
Self-Monitoring ....................................................................................................................... 18
Driving and Diabetes .............................................................................................................. 19
Insulin Pumps ......................................................................................................................... 20
Manufacturers & Distributors of Diabetes Products ............................................................ 21
MedicAlert ............................................................................................................................... 22
Type 1 Diabetes ............................................................................................................................ 23
Children and Youth with Diabetes .............................................................................................. 24
Special Populations
Diabetes and Pregnancy ........................................................................................................ 27
Diabetes and Aboriginals....................................................................................................... 28
Multicultural Programs .......................................................................................................... 29
French Resources .................................................................................................................. 29
Supplemental Health Services
Dental ..................................................................................................................................... 30
Eye Care .................................................................................................................................. 32
Foot Care ................................................................................................................................ 34
Medical Laboratories ............................................................................................................. 38
Mental Health Services........................................................................................................... 39
Nutritional Services ................................................................................................................ 40
Community Support Services
Physical Activity ..................................................................................................................... 41
Transportation Services ......................................................................................................... 45
Financial Information Resources & Support
Insurance ................................................................................................................................ 48
Financial Assistance Programs....................................................................................... 23, 48
Additional Diabetes-Related Programs, Services & Resources ............................................... 54
Glossary ........................................................................................................................................ 56
Referral Forms .............................................................................................................................. 62
ii
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Waterloo Wellington Diabetes
Who We Are
Waterloo Wellington Diabetes (WWD) was established in 2010 by the Diabetes Regional
Coordination Centre which was funded through the Ontario Diabetes Strategy (ODS). The
name WWD was to represent all organizations providing diabetes care in the region of
Waterloo Wellington. The host organization for WWD is Langs in Cambridge, but the scope
of the program is the whole region. WWD is now funded by the WWLHIN.
The role of WWD is to provide a clear point of contact within the region for diabetes care and
to be a resource centre for individuals and families living with diabetes in the region. It is
separate and unique from Diabetes Education Programs. Services include central intake for
all referrals to diabetes education and specialists for the region; a mentoring program for
health care professionals to support them in furthering their knowledge and confidence with
diabetes management; and a regional website www.waterloowellingtondiabetes.ca
WWD‘s goals include:
Improving access
Improving knowledge
Improving health
WWD is partnered with the Waterloo Wellington Region Self-Management Program. This
program is also funded through the Ontario Diabetes Strategy but is available to people with
any chronic disease.
1
Canadian Diabetes Association
Who We Are
The Canadian Diabetes Association (CDA) is a charitable organization that has been
providing resources and support to people with diabetes since 1953. CDA strives to raise
awareness and provide services as we work toward a future in which all people affected by
diabetes attain an optimal quality of life.
Our mission is to lead the fight against diabetes by helping people with diabetes live healthy
lives while we work to find a cure. The CDA delivers its mission by providing people with
diabetes, at-risk individuals 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 and the programs and services
provided, contact the Central West Ontario Region office at 519-742-1481 or visit
www.diabetes.ca
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
2
Waterloo Wellington Diabetes - Services We Offer
Waterloo Wellington Diabetes Central Intake (WWDCI)
WWDCI provides a single point of contact for all healthcare providers and individuals to
access diabetes care. Referrals are screened for urgency and directed to the most
appropriate diabetes education program and/or specialist so that each person is receiving
―the right care, at the right time, at the right place‖. WWDCI monitors wait-times of
programs and helps to ensure timely access.
For further information on how to access diabetes care, refer to page 9.
Educational Events
We collaborate with many community partners to offer various educational events
throughout the region to support health care providers and individuals with diabetes.
Please visit our website www.waterloowellingtondiabetes.ca for upcoming events in
your community.
Mentoring Program
The mentoring program was developed to support and enhance the skill level of diabetes
educators to care for more complex patients within diabetes programs and primary care.
Mentorship is defined as "a relationship in which a more knowledgeable or more
experienced person helps to guide a less experienced or less knowledgeable person".
It is more than a transfer of knowledge. It is an empowerment process involving sharing
wisdom, enhancing confidence, and building experience. For more information on this
program, visit our website www.waterloowellingtondiabetes.ca and click to enter the
Health Care Professionals section.
Website
We developed the regional website in 2012 as a resource for individuals with diabetes and
their families and health care providers. It offers resources, education, upcoming events
and much more. www.waterloowellingtondiabetes.ca
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Waterloo Wellington Diabetes - Services We Offer
Waterloo Wellington Self-Management Program
The Waterloo Wellington Self-Management Program (WWSMP) is funded by the Ministry of
Health and Long Term Care. The role of the WWSMP is to coordinate self-management programs
and workshops in the region for individuals living with or at risk of developing chronic disease.
The role also includes providing training and education to health care providers. There are 14
self-management programs across Ontario, and the host organization for WWSMP is Langs in
Cambridge.
There are a variety of workshops offered throughout the region at different locations.
These workshops are designed to support individuals to get the most out of life while living
with a chronic condition, such as diabetes, stroke, pain, anxiety, depression, or arthritis.
Take Charge is a free 6 week workshop for people with any ongoing chronic health condition.
The Take Charge workshop is based on the Stanford model of chronic disease self-management.
Take Charge - Chronic Pain is a free 6 week workshop for people living with chronic pain.
Craving Change is a free program designed to help you understand why you eat the way you do.
PEP Program is a free program is for people with diabetes to learn more about preventative care
for your feet.
Communication Skills 101 - Boot Camp for Patients is a program that helps you learn how to
ask the right questions of your doctor or health care provider so you understand and feel confident
in your treatment advice.
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,
contact us at 1-866-337-3318, email [email protected] or visit our website at
www.wwselfmanagement.ca
3
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
4
Canadian Diabetes Association - 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. They offer
free printed literature on a variety of different diabetes-related topics and have cookbooks
available for purchase. For locations and contact information see the inside cover.
Health Displays
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, speaker and/or literature, for your upcoming
health fair, call the office for more information.
Learning Series Program - Adult, Youth & School Presentations
Adult Presentations
The CDA offers a suite of educational presentations which are available free of charge to
interested community groups, organizations or businesses in order to raise diabetes
awareness and educate people about diabetes prevention and management. There are four
adult modules available, including: Diabetes - What You Need to Know; Living Well with
Diabetes; About the Canadian Diabetes Association and Diabetes for Healthcare Workers.
Youth/School Presentations
Cellbertons ~ What’s Diabetes? (ages 6 to 9) Provides age-appropriate information on
diabetes and steps towards the prevention of type 2 through healthy eating and physical
activity. Kids will love the fun cartoon; interactive activities and family take home package.
Care Provider Presentations are available for schools, nursery schools and daycares. This
comprehensive presentation and accompanying educational resources provide teachers and
care providers with a better understanding of 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.
Growing Up Well (ages 9 to14) Features a video
starring youth who share their stories of what it‘s like
to live with type 1 diabetes. A CDA presenter also
provides tips on making healthy lifestyle choices to
reduce the risk of type 2 diabetes.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
5
Diabetes Expo & Information Sessions
Our annual Diabetes Expo provides individuals with type 1, type 2 and prediabetes a chance
to hear expert speakers present on relevant diabetes related topics. Participants can also
attend the comprehensive exhibitor tradeshow to learn about a variety of diabetes products
and services that can assist in effective diabetes management.
The CDA also offers a number of different educational sessions (i.e. Diabetes Research
Forum, Videoconference, etc.) at different times throughout the year. For more information
on these or the expo, call our local office or look for postings on the CDA on-line events
calendar.
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 interest stories, nutrition, fitness,
research and more. To purchase a subscription call
1-800-BANTING (226-8464) or visit www.diabetes.ca to
subscribe on-line.
MyCDA
The Canadian Diabetes Association is excited to offer myCDA, an online community for CDA
members and supporters. Through myCDA, you can browse articles, manage or create your
FREE membership, register for events, connect with other friends of myCDA, and keep up to
date with the latest news and offers. Begin your myCDA experience today - just go to
www.diabetes.ca/mycda/sign-up or call 1-800-BANTING (226-8464).
diabetes.ca
The CDA website has been created with both healthcare professionals and the general public
in mind. Anyone with access to a computer can log on to the site for a wealth of practical
information on everything from blood glucose management, complications and research, to
volunteer opportunities, advocacy, and educational sessions/webinars available in your
community.
The professional section of the site features various resources, tools and information for
diabetes healthcare providers such as our Clinical Practice Guidelines, journal abstracts, tools
for use in practice and professional development.
Canadian Diabetes Association - Services We Offer
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Canadian Diabetes Association - 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 and other
generous donors in order to raise the dollars needed for implementing and carrying out the
various programs and services we offer.
To help our cause you can volunteer, make a financial donation, raise funds, or otherwise
contribute to some of the following programs listed.
Clothesline
®
The next time you‘re de-cluttering and getting rid of your gently used
clothing, unwanted electronics and small household items, we ask
you please keep the CDA Clothesline program in mind. By donating
to us, you can feel good knowing your used items are going towards
a worthwhile cause and by recycling you‘ve had a positive impact on
the environment. To schedule a pick-up or to find the nearest donation
drop box location, call 1-800-505-5525 OR schedule a pick-up
on-line by visiting www.diabetes.ca/clothesline
Used Vehicle Donation Program
If you have a used vehicle you would like to donate to a good cause, why not consider doing
so in support of the CDA. When you recycle your car with Car Heaven the proceeds are
donated to the CDA and you will receive a free tow (valued at $200) and a tax receipt of
$100.00. For more information on how to donate your old clunker through Car Heaven, please
call 1-877-755-6272 or visit their website at carheaven.ca
Donate a Car Canada also accepts vehicle donations for the CDA. In return they will provide
free towing in many areas across Canada and you will receive a charitable receipt. To donate
a car, truck, RV, boat, motorcycle or other vehicle, call 1-877-250-4904 or visit donatecar.ca
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 CDA 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, call or visit us at www.teamdiabetes.ca
6
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
7
Corporate/Employee Gift Giving
Corporations and their employees can support the Association in a number of ways. These can
include: holding third party fundraisers such as dress down days or BBQs; participating in
payroll deductions and gift matching programs; volunteering time & expertise, and even
providing meeting space in support of local diabetes educational and fundraising programs.
Companies are encouraged to make charitable donations or ask about local sponsorship
opportunities which can in turn provide various business benefits, including the enhancement
of their corporate image within the community.
Third Party Fundraisers
If you are thinking of holding a community fundraising event or have an existing event, consider
donating the proceeds to the CDA. Contact us to learn how we can partner with you.
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, develop new skills or just have fun?
Volunteer for the Canadian Diabetes Association
A variety of volunteer roles are available, including: Speakers‘ Bureau Presenters, Special
Events Planning & Support; Team Diabetes Participants, Administrative Support and
Fundraising.
For more information on volunteer opportunities
available in your area, call your local CDA office:
For Kitchener and area, call: 519-742-1481
For Guelph and area, call: 519-837-9455
For Harriston and area, call: 519-338-3181
For Orangeville and area, call: 519-942-1800
Canadian Diabetes Association - How You Can Help
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
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 condition.
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, refer to the glossary of terms at the
back of this directory on page 56.
8
Accessing Services
Finding a Family Doctor
Health Care Connect is a program that can help people without a regular health care provider
find one in their community. The program identifies doctors or nurse practitioners who are
accepting patients and connects them with people who are in need of a family health care
provider.
To register you must have a valid Health Card and an up-to-date mailing address. You can
register by calling 1-800-445-1822 and speak to a representative who will ask you a short
series of questions. Registration can be done Monday to Friday 9:00am to 5:00pm. You can
also enter your information online at www.ontario.ca/healthcareconnect
Priority is given to individuals with greater health needs. You will be referred to a family
doctor or nurse practitioner in your community once one is found.
As of April 2012,
there are 1,100,696
Ontarians (18+)
with diabetes.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
9
Waterloo Wellington Diabetes Central Intake provides a streamlined process for referrals
to diabetes education programs and specialist consults.
How to make a referral through Central Intake:
If you have diabetes, please complete the self-referral form on page 63 or on the WWD
website at www.waterloowellingtondiabetes.ca (under Access to Diabetes Care) and:
If you are a healthcare provider and would like to refer a patient, please complete all sections
of the referral form on page 62 or on the WWD website www.waterloowellingtondiabetes.ca
(under the Healthcare Professionals side, Central Intake) and:
An electronic version of the Central Intake referral form is available for healthcare providers
using an EMR. Contact Waterloo Wellington Diabetes at 519-653-1470 x372 for further
information.
Fax it to: 519-650-3114 or 1-855-342-2387 (DIA-BETS)
Mail it to: Unit #11 - 887 Langs Drive, Cambridge, ON, N3H 5K4
or
Call: 519-653-1470 x372 and speak to someone who can assist you in completing
the form over the phone
Fax it to 519-650-3114 or 1-855-342-2387 (DIA-BETS)
Accessing Services - Diabetes Central Intake
As of April 2015,
over 15,000 referrals
have been processed
by Central Intake
since the start of the
system in 2012.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
10
Accessing Services - Referring to Other Services
Easy Coordinated Access
Easy Coordinated Access is an initiative funded by the WWLHIN, to create a single access
point for healthcare professionals to refer to a range of services. It is currently in
development but offers another entry point for accessing diabetes and community services.
To learn more about this initiative, visit easycoordinatedaccess.com
Waterloo-Wellington Community Care Access Centre (CCAC)
CCACs are funded by LHINs through the Ministry of Health and Long-Term Care, so CCAC
advice and services are covered by OHIP. Each CCAC is staffed by knowledgeable
professionals who will assess your needs, determine your requirements for care, answer your
questions and develop a customized care plan that meets your individual needs. For more
information, visit healthcareathome.ca/ww/en or call1-888-883-3313
CCAC connects you with the care you need to stay well, heal at
home and stay safely in your home longer. Through personal visits
and regular check-ins, CCAC can help determine the right care and
support for individuals. This may include in-home nursing and
personal support, a visit to CCAC community clinics, or
connections to community organizations.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
11
Managing Your Diabetes - Diabetes Education Programs
Diabetes education programs offer excellent learning environments, providing specialized
knowledge for both adults and youth to properly manage their diabetes. Many of the DEPs
also offer satellite or outreach sites. To access a DEP, complete a self referral form found
on page 63 or call Diabetes Central Intake at 519-653-1470 x372.
Cambridge
Cambridge Memorial Hospital 700 Coronation Blvd. 519-621-2333 x2345
Langs CHC 1145 Concession Rd. 519-653-1470 x285
Two Rivers FHT 12-350 Conestoga Rd. 519-629-4615 x271
Erin
East Wellington FHT 1 - 6 Thompson Cres. 519-833-7576 x362
Fergus
Groves Memorial Hospital 235 Union St. E. 519-843-2010 x3265
Guelph
Diabetes Care Guelph 83 Dawson Rd. 519-840-1964
Kitchener
Grand River Hospital 835 King St. W. 519-749-4300 x2622
Kitchener Downtown CHC 44 Francis St. S. 519-772-0192
Mount Forest
Louise Marshall Hospital - NWHC 630 Dublin St. 519-323-3333 x2332
Orangeville
Headwaters Health Care Centre 100 Rolling Hills Dr. 519-941-2702 x2525
Palmerston
Palmerston & District Hospital - NWHC 500 Whites Rd. 519-343-2030 x4315
Rockwood
East Wellington FHT 175 Alma St. 519-833-7576 x362
Shelburne
Dufferin Area FHT—Shelburne Site 167 Centre St. 519-925-0017 x241
St. Jacobs
Woolwich CHC 10 Parkside Dr. 519-664-3794 x239
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Managing Your Diabetes - Diabetes Specialists
Adult Endocrinologists / Diabetes Specialists
An endocrinologist is a medical doctor who specializes in diseases of the endocrine system,
including diabetes. For some individuals, regular appointments with an endocrinologist can
be a critical part of managing your health, in addition to visiting your regular family doctor. To
access an endocrinologist, a referral from your family doctor is required, and can be faxed to
Central Intake at 519-650-3114 or 1-855-342-2387 (DIA-BETS).
12
Endocrinologist / Specialist Location
Dr. Joanne Liutkus Cambridge
Dr. Peter Clarke Fergus
Dr. Cameron Purdon Guelph
Dr. Liviu Danescu Guelph
Dr. Phoebe Bishara Kitchener
Dr. Rola Zamel Kitchener
Dr. Susan Teschke Kitchener
Dr. Usman Chaudhry Kitchener
Dr. Luciana Parlea Kitchener
Dr. Mirjana Gulan Kitchener
Dr. Marina Mauro Orangeville
Waterloo Dr. Nadira Husein
Pediatricians
Pediatrics is the branch of medicine that deals with the medical care of infants, children,
and adolescents up to 18 years of age. A medical practitioner who specializes in this area is
known as a pediatrician.
Pediatrician / Specialist Location
Dr. Margaret Moyo Cambridge
Dr. Carlos Martinez Cambridge
Dr. Manjulata Rajguru Cambridge
Dr. Santosh Paikatt Cambridge
Dr. Philip Mantynen Cambridge
Dr. Glen Loy Son Guelph
Dr. Ian Wilson Kitchener / Waterloo
Dr. Bruno Di Gravio Kitchener / Waterloo
Kitchener / Waterloo Dr. Jodi Rosner
Dr. Richard Oyefeso Orangeville
Dr. Ron Murphy Orangeville
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Managing Your Diabetes - 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. It is an opportunity for pharmacists to engage
the patient in a one-on-one focused medication review that can also include training on
devices, monitoring and diabetes education. Contact your pharmacist to schedule an
appointment.
Other areas where your pharmacist can help provide
support and information, are:
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.
13
Cambridge
Preston Medical Pharmacy 125 Waterloo St. S. 519-653-1870
Elora
Elora Apothecary Pharmasave 115 Geddes St. Unit B 226-369-0312
Kitchener
Carpenter Guardian Pharmacy 501 Krug St. 519-744-4424
The Medicine Shoppe Pharmacy 296 Highland Rd. E 519-571-7050
Riepert Pharmacy 98 Highland Rd. W. 519-578-1210
New Hamburg
Town Square Pharmasave 100 Mill Street, Unit K 519.662.9995
Waterloo
Cook‘s Pharmacy 520 University Ave., W. 519-744-2200
Shoppers Drug Mart - Parkdale Plaza 468 Albert St. 519-884-3860
The K-W Pharmacy 65 University Ave., E. 519-746-6133
Westmount Place Pharmacy 50 Westmount Rd., N. 519-886-7670
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Pharmacy Sites for Diabetes Education
The following pharmacies have met the Standards for Diabetes Education in Canada, as
reviewed by Waterloo Wellington Diabetes Central Intake (WWDCI). A referral can be made
to them through WWDCI using the referral form on the back page of this directory or through
our website, www.waterloowellingtondiabetes.ca
Sharps Disposal
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. Always
store sharps (i.e. needles and lancets) in a sealed, hard plastic container – never throw them
in the garbage, blue box or flush down a toilet.
You can also contact your local municipality for information on needle and sharps disposal
services available in your community.
14
Region of Waterloo
www.regionofwaterloo.ca 519-883-5100
Search: About the Environment → Waste→Other Recycling Programs
Wellington County
1-866-899-0248 519-837-2601
www.wellington.ca/sws Search: Household Hazardous Waste →Sharps
City of Guelph
519-767-0598 x2080
www.guelph.ca Search: Household Hazardous Waste
Dufferin County
519-941-2816 x2620
www.dufferincounty.on.ca Search: Waste → Hazardous Waste
Managing Your Diabetes - Pharmacy Partners
Preston Medical Pharmacy
125 Waterloo St. S, Cambridge 519-653-1870
Shoppers Drug Mart- Sunrise Centre
1400 Ottawa St. S, Unit B, Kitchener 519-742-6160
Cook‘s Pharmacy
520 University Ave. W, Waterloo 519-744-2200
Cook‘s Pharmacy
1201 Queens Bush Rd, Wellesley
519-656-2240
It is recommended that sharps and needles be stored and
disposed of in an approved sharps/biohazard container.
Contact your local pharmacist for more information about
disposal systems available.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Managing Your Diabetes - Preparing For A Doctor’s Visit
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.
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 are planning to fast in the future for any reason
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
Self Management Program Communication Skills 101 - Boot Camp For Patients
This workshop helps you learn how to ask the right questions of your health care provider so you
understand and feel confident in your treatment advice. The workshop explores effective ways to
prepare for your appointments, how to communicate and express concerns, and how to participate
in taking an active roll in your own healthcare.
For more information call 1-866-337-3318 or visit the Waterloo Wellington Self-Management
Program website at www.wwselfmanagement.ca
What to Expect
To be seen four times a year for diabetes care
Review of recent laboratory tests
Review of your blood glucose log-book
Measurement of your blood pressure
Examination of your feet at least once a year
Referral to an eye care professional (once a year)
Assessment of your risk for complications related to
diabetes
Conversation about exercise, food choices, smoking,
mood, and sexual function
15
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Managing Your Diabetes - Tracking Your Diabetes Care
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 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.
The Diabetes Passport and Goal Card can be ordered by calling Service Ontario Publications
at 1-800-668-9938 or online at www.ontario.ca/document/my-diabetes-passport
Copies are also available from your local Canadian Diabetes Association office or Diabetes
Education Team while quantities last.
If you would like a copy of the passport and goal card in another language, visit
www.health.gov.on.ca/en/public/programs/diabetes/card/ to view the 16 different
languages available for print online.
16
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
17
Managing Your Diabetes - Blood Glucose Meters
All meters available in Canada must meet standards for accuracy. It is still recommended that
you do a lab to meter comparison once a year. This means taking your meter with you to the lab
and checking your blood sugar immediately after having your blood drawn. Record your result,
and compare it to your lab result when you get your result from your health care provider. Your
meter result should be within 20% of your lab result.
Blood Glucose Meter Companies
Abbott Diabetes Care
www.abbottdiabetescare.ca 1-888-519-6890
Auto Control Medical
www.autocontrol.com 1-905-814-6350
Bayer Health Care
www.bayer.ca 1-800-268-7200
EndoMedical
www.endomedical.ca 1-888-640-0523
LifeScan Canada Ltd.
www.onetouch.ca 1-800-663-5521
Oracle
www.oraclediabetes.com 1-866-829-7926
Accu-Chek (Roche Diagnostics)
www.accu-chek.ca 1-800-363-7949
Sanofi
www.sanofi.ca 1-800-363-6364
Diabetes Express
www.diabetesexpress.ca 1-866-418-3392
Tips for keeping your meter accurate
Always keep your strips in their proper container
Avoid temperature extremes--for example, do not leave your meter or strips in a hot car
in the summer
Check the expiry date on your strip container
Specialty Talking Meters for Visual Impairments
EZ Health Oracle Blood Glucose Monitoring System
Accu-Chek Voicemate Plus
The Digi-Voice Contour is designed for use with the Ascensia Contour meter by Bayer
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
18
Managing Your Diabetes - Self-Monitoring
Blood glucose meters are available at your Diabetes Education Program and at your
pharmacy, and are 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.
The test strips range between $0.80 to $1.00 per strip. If you have private insurance or you
are covered under the Ontario Drug Benefit Plan, your strips will be covered with a
prescription. If you are on insulin or have gestational diabetes and do not have extra
insurance coverage, you can apply for a 75% reimbursement of the cost of your strips and
lancets up to a maximum of $820 per year through the Monitoring for Health Program with the
Canadian Diabetes Association.
To obtain a claim form for the Monitoring for Health Program contact the program
toll-free at 1-800-361-0796 or email [email protected]. Your local Canadian Diabetes
Association office, pharmacy, or diabetes education centre may also have claim forms
available.
Self-Monitoring Blood Glucose Tool
How often do I check and what pattern is right for me?
Guidelines for monitoring may have changed since you were first
diagnosed. Ask your Diabetes Team for new recommendations or
use the interactive tool below to find out how often you need to
check your blood sugar and see some suggested patterns that may
be right for you.
http://guidelines.diabetes.ca/bloodglucoselowering/smbgtoolpwd
Blood Glucose Test Strips
The Ontario Drug Benefit (ODB) Program provides coverage for blood glucose test strips
based on your current treatment method, and align with guidelines published by the Canadian
Diabetes Association. This chart shows how the reimbursement limits for test strips are
determined.
Diabetes Treatment Maximum number of test
strips per year
Patients managing diabetes with insulin 3,000
Patients managing diabetes with anti-diabetes medication
with higher risk of causing hypoglycemia
400
Patients managing diabetes using anti-diabetes
medication with lower risk of causing hypoglycemia
200
Patients managing diabetes through diet/lifestyle
therapy only (no insulin or anti-diabetes medications)
200
Try to keep your
blood
glucose levels
between
4.0 and 7.0 mmol/L
or at a level
recommended by
your doctor.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
19
Managing Your Diabetes - Driving and Diabetes
If your diabetes is treated with insulin or other medications that can cause hypoglycemia,
you need to follow recommended precautions when you drive to ensure safety.
All drivers must test their blood glucose and ensure it is above 5 mmol/L before driving. If your
drive is a long distance, make sure your blood glucose is above 5 mmol/L every 4 hours during
driving. Also make sure you have fast acting carbohydrates (i.e. juice, glucose tablets), and
snacks with you at all times in your vehicle.
In 2014, in response to recommendations made by the Ontario Ombudsman in his report,
Better Safe than Sorry, the Ministry of Transportation has reviewed its medical reporting
requirements to ensure that all drivers meet national medical standards for driver fitness.
At license application, drivers who report diabetes using insulin will proceed with their license
application per current practice. These drivers will then be contacted by the Ministry‘s Medical
Review Section and will be required to submit a Diabetes Assessment Form completed by
their physician or nurse practitioner. Provided the assessment confirms that national medical
standards are met, no further information will be required.
At license renewal, drivers with diabetes will proceed with their renewal per current practice.
All drivers who indicate Diabetes using insulin must have a Diabetes Assessment Form on
their file. If there is no prior diabetes assessment form on file, these drivers will be contacted
by the Ministry‘s Medical Review Section and will be required to submit a Diabetes
Assessment Form. This form must be completed by their physician or nurse practitioner. This
form only needs to be completed one time, provided that the form confirms that national
medical standards are met.
Drivers who manage their diabetes by diet/lifestyle or with oral medication are not required to
complete a Diabetes Assessment Form.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
20
Managing Your Diabetes - Insulin Pumps
An insulin pump is a small, portable device that delivers a continuous
supply of insulin. It is clipped to your belt or tucked inside your
clothing. The pump holds a reservoir filled with insulin, and is
programmed to give small amounts of insulin continuously through an
infusion set. When you need extra insulin before meals or before a
snack, you push the buttons on the pump to deliver the right amount of
insulin to match the carbohydrates you eat. The infusion set is inserted
under the skin, and changed every 2 or 3 days.
What to Consider If You Are Thinking About Using an Insulin Pump
Assistive Devices Program (ADP) - Approved Insulin Pump Programs*
The Ministry of Health and Long-Term Care‘s Assistive Devices Program (ADP) provides
funding assistance to children and adults with type 1 diabetes to purchase insulin pumps and
supplies. To apply for the program, you must meet specific eligibility requirements. For more
information on financial assistance for insulin pumps, refer to the Financial Assistance
Program section on page 48.
The following is a list of the approved ADP Diabetes Education Programs available in the
Waterloo, Wellington, and Dufferin regions.
Advantages:
More flexibility
Fewer injections
Convenient
Fewer and less severe low blood sugars
Better blood glucose control
Disadvantages:
More frequent blood sugar testing (finger-pricks)
Something is always attached to you
More rapid onset of Diabetic Ketoacidosis (DKA) if an interruption in the insulin delivery
Extensive education and ongoing follow-up required to be successful with an insulin pump
Cambridge Memorial Hospital 519-621-2333 x2345 Cambridge
Diabetes Care Guelph 519-840-1964 Guelph
Dr. C. Purdon Diabetes Clinic 519-763-6201 Guelph
Grand River Hospital 519-749-4300 x2622 Kitchener
Groves Memorial Hospital 519-843-2010 x3265 Fergus
Guelph General Hospital 519-837-6440 x2784 Guelph
Headwaters Health Care Centre Orangeville 519-941-2702 x2525
Louise Marshall Hospital 519-323-3333 x2332 Mount Forest
Palmerston and District Hospital 519-343-2030 x4315 Palmerston
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
21
Managing Your Diabetes - Diabetes Products
Auto Control Medical
www.autocontrol.com 1-905-814-6350
Bayer Health Care
www.bayer.ca 1-800-268-7200
BD Medical-Diabetes Care
www.bd.com/ca 1-800-268-5430
Lilly Canada Inc.
www.lilly.ca 1-888-545-5972
Novo Nordisk Canada Ltd.
www.novonordisk.ca 1-800-465-4334
Sanofi
www.sanofi.ca 1-800-363-6364
Diabetes Express
www.diabetesexpress.ca 1-866-418-3392
Manufacturers & Distributors of Diabetes Products
If you have questions about your diabetes medications or
products, you can contact the following list of manufacturers and
distributors in Canada for more information.
Insulin Pump Companies
Diabetes Products and Medications
Animas Canada One Touch Ping
www.animas.ca
1-866-424-6779
Glaxo Smith Kline OmniPod
www.myomnipod.ca
1-855-763-4636
Medtronic MiniMed
www.medtronicdiabetes.ca
1-866-444-4649
Roche Insulin Delivery Systems Accu-Chek Combo
www.accuchekinsulinpumps.com
1-866-382-2355
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Managing Your Diabetes - MedicAlert
®
22
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, visit www.medicalert.ca, or
call 1-800-668-1507.
Membership Assistance Programs
The Membership Assistance Program provides partial subsidy for a standard MedicAlert
®
membership for Canadians in financial need, who may benefit from a MedicAlert®
membership. Individuals eligible for the Membership Assistance Program will be enrolled
as a standard member and may be required to re-qualify on an annual basis.
Visit www.medicalert.ca/en/about/assistance.asp or call 1-800-668-1507.
No Child Without
®
MedicAlert
®
Program
The No Child Without
®
program is offered at no cost to children in participating schools
because of funding by the Canadian MedicAlert
®
Foundation with the assistance of the
Government of Canada and Lions Clubs across Canada.
The No Child Without
®
program is for children ages 4 to14. The child must be attending a
school that is participating in the program. A No Child Without
®
brochure must be obtained
from the school. After obtaining the brochure you can enroll your child by following the
directions on the back of the brochure. If your school district is not participating, contact your
school principal or school district to make them aware of the program and refer them to the
website www.nochildwithout.ca or call 1-866-679-3220 to speak to the Manager of School
Programs to learn more about involving their schools.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
23
Type 1 Diabetes
10% of the population of people with diabetes (more than 8,000 children and adults in
Ontario) have type 1 diabetes (formerly called Juvenile Diabetes). The cause of type 1
diabetes is unknown. It occurs when your pancreas stops making insulin as a result of an
auto-immune response, meaning the insulin producing cells of your pancreas (beta cells)
stop making insulin.
Because type 1 is an auto-immune disease, you may be at risk for other auto-immune
conditions, such as, thyroid, celiac, or Addison‘s disease. For more information or screening
for other auto-immune conditions, please speak with your physician or healthcare provider.
Financial Supports You May Be Eligible For:
Diabetes Hope Foundation Medical Assistance Program & Scholarship
Disability Tax Credit (DTC)
The disability tax credit (DTC) is a non-refundable tax credit used to reduce income tax
payable on the income tax and benefit return. A person with a severe and prolonged
impairment in physical or mental functions may claim the disability amount once they are
eligible for the DTC. Individuals with diabetes using insulin may qualify. For more information
go to the Canada Revenue Agency website at www.cra.gc.ca/disability or consult with your
diabetes specialist to discuss the eligibility requirements and application process.
Registered Disability Savings Plan (RDSP)
A RDSP is a savings plan that is intended to help individuals with diabetes save for their
long-term financial security. Only those with DTC status are eligible for this program. The
Government of Canada will contribute a matching grant to the RDSP, depending on the
amount contributed and the beneficiary‘s family income. For more information, go to the
Canada Revenue Agency website at www.cra.gc.ca/rdsp
The foundation assists families of children and youth with
type 1 diabetes. The Medical Assistance Program assists
families who are not covered by third party health plans and
who struggle to obtain the necessary medical supplies and
drugs needed for their diabetes.
The Foundation‘s Scholarship Program provides financial assistance to students with diabetes
who are pursuing post-secondary education. For more information on either program visit
www.diabeteshopefoundation.com or call 905-670-0557.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Children and Youth with Diabetes
What is Type 1 Diabetes?
Diabetes is the most common endocrine disease and one of the most chronic conditions in
children. When a child or young adult is diagnosed with diabetes it affects the whole family
and it is important for everyone involved to learn as much as possible to support them.
What is Type 2 Diabetes?
More recently there has been an increase in type 2 diabetes in children, where it used to be
considered a disease that only affected adults. Type 2 diabetes occurs when cells become
resistant to insulin. Risk factors for type 2 diabetes include, excess weight, inactivity, genetics
and being from a high-risk ethnic group (i.e. Aboriginal, African, Hispanic , Asian or South
Asian).
Discovering that your child has type 1 or type 2 diabetes can give rise to many emotions.
When children are diagnosed with diabetes, parents need to be very involved in learning
about the condition, participating in the routines and sharing management decisions. As they
get older, they will learn how to care for themselves, but parents still play an important role in
a child‘s health care team.
With the help of your diabetes management team, your family 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 your family until your child is 18
years old, at which time your child will be transitioned to an adult program.
To access a Pediatric Diabetes Centre, complete a self referral form found on page 63 or call
Diabetes Central Intake at 519-653-1470 x372.
Pediatric Diabetes Centres
Cambridge Memorial Hospital………………………..………………………519-621-2333 x2345
Grand River Hospital, Kitchener..……………………………..…………….519-749-4300 x3714
Guelph General Hospital…..……………………………….…………………519-837-6440 x2784
Headwaters Health Care Centre, Orangeville….………….……………….519-941-2702 x2525
24
Type 1 diabetes (formerly referred to as Juvenile Diabetes)
is the most common type of diabetes in children. We don't
know the cause of type 1 diabetes, but there is a higher
incidence of it occurring in the spring and fall. It can occur
at any age, even adults, but the most common age is
between 5 and 9 years old.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
25
Children and Youth with Diabetes
Resources
Canadian Diabetes Association Camps
D-Camp Programs allow children (ages 7 - 15) to enjoy an authentic overnight camp
experience while having all of their diabetes needs monitored by a dedicated team of trained
medical professionals.
JDRF (formerly known as Juvenile Diabetes Research
Foundation) provides support and resources for parents of a
child or teen living with type 1 diabetes. For more information
visit www.jdrf.ca or call 519-745-2426.
Family Camp is a fun overnight camp program for the whole family, where family members
can learn more about type 1 diabetes, meet other families and share similar experiences in
a supportive environment.
D-Tour is a weekend camp that addresses the unique needs of youth ages 15-18. The
program strives to help youth recognize the challenges associated with transitioning into
adulthood and provides them with tools and support to help them succeed in the self-
management of their diabetes.
The Leadership Development Program (LDP) provides teens an opportunity to gain
independence and leadership skills through enriching activities. LDP helps participants hone
their skills to become great leaders both at camp and at home in their communities.
For more information on camps, on-line registration or financial assistance programs, visit
the CDA camp website at dcamps.ca, call 1-800-BANTING (226-8464) or email
Children with Diabetes is an online community
for kids, families and adults with diabetes. For
more information visit
www.childrenwithdiabetes.com
Canadian Diabetes Association School Presentations
The CDA offers a variety of free presentations for schools to increase awareness and
understanding of diabetes among students, teachers and care providers. Refer to page 4 for
more information on these presentations.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
This program offers unique, active, experiential diabetes education programs and events
for individuals with type 1 diabetes, 18 - 29 years of age. Events occur in the outdoors
across cities in North America. Adventures include: hiking, skiing, mountain climbing and
camping. For more information, visit www.connectedinmotion.com
Unlike any other hockey camp, the Dskate Hockey Program is a unique blend of hockey
and diabetes, bringing the world of type 1 diabetes and hockey to the forefront and helping
encourage all athletes living with diabetes to pursue their dreams.
The Dskate Hockey Program is run by NCAA and CIS coaches and offers elite skill
development for any skill set. The program is sponsored by Medtronic of Canada Ltd, the
Dskate premiere event partner, and offers on and off-ice learning sessions designed to help
each player gain a better understanding of how to manage their type 1 diabetes.
Educational sessions are also offered for parents. For more information visit
dskatehockey.com or email [email protected]
26
Children and Youth with Diabetes (continued)
Resources
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. Diabetes
Sport Camps are offered at York University to youth with type 1
diabetes, ages 8-16. They can 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 on these programs call 905-670-0557
or visit www.diabeteshopefoundation.com
Diabetes Family Fun Day
The Diabetes Family Fun Day is an annual event for children with diabetes, ages 5-12, and
their immediate family members. This free event consists of games, crafts, live
entertainment and a lunch. Parents can participate in discussions and share experiences
with each other and diabetes educators. For more information, or to be put on the event
mailing list, contact the Kitchener CDA office at 519-742-1481.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
27
Special Populations - Diabetes and Pregnancy
High blood sugars during pregnancy can be harmful to both mother and baby.
If you are diagnosed with gestational diabetes during your pregnancy, it is important for you to
attend your Diabetes Education Program, as soon as you are diagnosed to learn as much as
you can.
To access a Diabetes and Pregnancy Centre, complete a self referral form found on page 64 or
call the Diabetes Central Intake at 519-653-1470 x372.
Diabetes and Pregnancy Centres
Cambridge Memorial Hospital…………………………………………….…….519-621-2333 x2345
Grand River Hospital, Kitchener/Waterloo……………………………...….….519-749-4300 x2622
Diabetes Care Guelph…..………….…………...………………………….…………..519-840-1964
Groves Memorial Hospital, Fergus………………………………………...........519-843-2010 x265
Headwaters Health Care Centre, Orangeville….………………….………….519-941-2702 x2525
Louise Marshall Hospital, Mount Forest…………………………….…..….….519-323-2210 x2332
Palmerston & District Hospital………………………………………….……....519-343-2030 x4315
Use A Record of My Journey with Pregnancy and Diabetes as a
tool to help you keep track of details of your pregnancy and any
questions you may have. It also provides you with a record of
your pregnancy for future reference. For a hard copy of the
resource, contact your Diabetes Education Program, or Waterloo
Wellington Diabetes at 519-653-1470 x372 or print a copy of the
tool online at: www.waterloowellingtondiabetes.ca
Type 1 or Type 2 Diabetes in Pregnancy
If you have type 1 or type 2 diabetes, it is very important to have
good control of your diabetes prior to getting pregnant, as well as
throughout your pregnancy.
Gestational Diabetes
Gestational diabetes is a type of diabetes that occurs during pregnancy at around 24 to 28
weeks. It happens in 4 to 20% of women during pregnancy and is diagnosed through a glucose
tolerance test.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
28
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
Southern Ontario Aboriginal Diabetes Initiative
The Southern Ontario Aboriginal Diabetes Initiative (SOADI) is funded
by the Ontario Ministry of Health and Long-term Care, for the
development, and enhancement of programs and services focusing
on 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.
Visit www.soadi.ca or call 1-888-514-1370 for more information and services available.
Special Populations - Diabetes and Aboriginals
There are financial assistance programs available to those with
Aboriginal status. For more information, refer to the Financial
Assistance Programs section found on page 48.
Ontario Aboriginal Diabetes Strategy
www.health.gov.on.ca/en/common/ministry/publications/reports/oads_06/oads_06.pdf
Health Council of Canada
(HCC is no longer operating, but will keep up the website - information will not be updated).
www.healthcouncilcanada.ca/rpt_det.php?id=437
BC First Nations Health Handbook
www.healthlinkbc.ca/pdf/first_nations_healthguide.pdf
National Aboriginal Health Organization
www.naho.ca
Other resources to support you in understanding healthcare for indigenous populations:
Kitchener Downtown Community Health Centre (KDCHC) has recently partnered with
SOADI to deliver a regional Aboriginal Diabetes Program. This initiative is funded by the
Waterloo Wellington Local Health Integration Network (WWLHIN) and is currently being
developed. It is a 6 week program delivered by a Diabetes Educator, a Registered Dietitian
and an Elder. For more information contact KDCHC Diabetes Education Program at
519-772-0192.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
29
KDCHC - Multicultural Diabetes Education Program
The Kitchener Downtown Community Health Centre offers a
multicultural diabetes education program that provides culturally
relevant diabetes information in the following languages:
Special Populations - Multicultural
Special Populations - French Resources
This program is for adults with type 2 diabetes, pre-diabetes and those at risk of developing
more information. You can also complete a self referral form on page 63 to register for the
program and fax the form to 519-650-3114 or 1-855-342-2387 (DIA-BETS).
Other Multicultural Resources
You can watch helpful diabetes videos from the MOHLTC, that cover a range of topics from
healthy eating, taking insulin, cultural diet tips, and many more topics on diabetes. These
videos are available in 13 different languages. Visit www.health.gov.on.ca/en and under
Resources, Search: Diabetes Public Information Videos.
Canadian Diabetes Association - Diabetes GPS
The Diabetes GPS is an interactive website developed with funding from the Public Health
Agency of Canada to help people with diabetes access credible information that is culturally
appropriate and available in their own language. Languages include French, Chinese, South
Asian and African Caribbean. Visit www.diabetesgps.ca/ to view or print these resources.
Do you know someone within the French-speaking community who has diabetes? ―Living Well
with Diabetes‖ is a patient education session available in French through The Ontario
Telemedicine Network (OTN). This education program provides individuals with the tools and
skills needed to properly self-manage their diabetes and enable them to live healthy lives.
Sessions will focus on various topics led by diabetes related professionals (i.e. Registered
Dietitians, Certified Diabetes Educators, etc.). Contact your local Diabetes Education Program
(DEP) for more information about this program.
The MOHLTC also offers health resources online, visit www.health.gov.on.ca/en, and click on
the French language option at the top right corner.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Dental
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, Wellington and Dufferin regions.
Public Health Units
Many Public Health Units across Ontario offer free or low-cost dental programs for low-
income seniors and/or adults and children. Some programs cover basic dental services for
specific client groups or may be limited to emergency dental care. Programs and eligibility
may vary by region. Visit the websites or contact your local Public Health Unit for more
information.
30
Healthy Smiles Ontario - Ministry of Health & Long-Term Care
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 at any participating dental provider or dentist. Services include: regular cleanings,
fillings, x-rays, and scaling. Orthodontics and cosmetic dentistry are not covered.
Who Qualifies? Children 17 years and under may be eligible. For more detailed information
and eligibility requirements, visit MOHLTC Healthy Smiles Ontario website.
www.health.gov.on.ca/en/public/programs/dental/
Children in Need of Treatment Program (CINOT) - Ministry of Health & Long-Term Care
The CINOT program ensures that children and youth with urgent dental treatment needs, who
have no other access to care, can receive treatment at no cost. Ontario's public health units
work with local partners to deliver this program. CINOT covers basic treatment including oral
exams, x-rays, topical fluoride, cleaning, and fillings.
*CINOT is not an insurance plan and only covers the child/youth for one course of treatment.
Who Qualifies? Children 17 years and under may be eligible. For more detailed information
and eligibility requirements, visit MOHLTC CINOT program website.
www.mhp.gov.on.ca/en/healthy-communities/dental/
Region of Waterloo Public Health Dental Programs
chd.region.waterloo.on.ca/en/index.asp
Search Healthy Living & Health Protection Dental Health
519-575-4400
Public Health Wellington Dufferin Guelph Dental Health
www.wdgpublichealth.ca/?q=dental
1-800-265-7293
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
31
Supplemental Health Services - Dental
Region of Waterloo Public Health Dental Clinics
chd.region.waterloo.on.ca/en/clinicsclassesfairs/dental.asp
Two dental clinics; one in Cambridge and one in Waterloo, are staffed by dentists, dental
hygienists and dental assistants. Children receive free basic services, including checkups,
cleaning and fillings. Adults receive limited services to eliminate pain. There is a $10
assessment fee for adults each time they seek treatment, and there may be additional fees for
some procedures.
Who Qualifies? Children under 18 attending school in the region whose family does not have
dental insurance and does not qualify for other assistance programs. Adults age 18 and older
who do not have dental insurance, do not qualify for other assistance and for whom the cost of
dental treatment would cause financial hardship. Must live in the Region of Waterloo.
For more information contact Cambridge Clinic: 519-575-4400 x3088
Waterloo Clinic: 519-575-4400 x3086
Public Health Wellington Dufferin Guelph Dental Health
www.wdgpublichealth.ca/?q=dental
Other dental clinics are offered through the Wellington Dufferin Guelph Public Health Unit;
Preventative Dental Clinics and Oral Health Screenings.
Who Qualifies? Children 17 years and under and do not have dental coverage and cannot
afford dental care. For more information call 1-800-265-7293 x2661
Provincial / Federal Government Program for Specific Client Groups
Ontario Disability Support Program (ODSP) - Dental Coverage
www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_dental.aspx
Contact your local ODSP office.
Ontario Works (OW) - Dental Coverage
www.mcss.gov.on.ca/en/mcss/programs/social/ow/help/benefits/health_benefits.aspx
Contact your local OW office.
Veterans Affairs Canada (VAC) - Dental Services
www.veterans.gc.ca/eng/services/health/treatment-benefits/poc
1-866-522-2122
Non-Insured Health Benefits (NIHB) - First Nations and Inuit - Dental Benefits
www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/yhb-vss/index-eng.php
1-800-640-0642
Coverage and eligibility requirements vary for each specific client group. Visit respective
websites or call contact numbers provided for more information.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - 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.
*For more information on Ocular Health Centres (OHC), refer to page 33.
Ophthalmologist Address Phone Number
Cambridge
Dr. Nimesh Desai (OHC)* 260 Holiday Inn Dr., Suite 7 519-658-6800
Dr. John Wilkinson (OHC)* 260 Holiday Inn Dr., Suite 7 519-658-6800
Guelph
Dr. Robert Johnson 89 Dawson Rd., Suite 214 519-822-5500
Dr. William Hutchinson 85 Westmount Rd. 519-766-0820
Dr. Mark Neufeld 450 Speedvale Rd., Suite 112 519-822-5501
Dr. Marian Thompson 220 Victoria Rd. S. 519-824-0733
Kitchener
Dr. Toby Chan (OHC)* 564 Belmont Ave, W. Suite 411 519-742-1313
Dr. Hugh Jellie 564 Belmont Ave., W., Suite 306 519-579-2020
Dr. Anthony Kiskis 385 Frederick St. 519-746-1583
Dr. Brad McQuaig (OHC)* 564 Belmont Ave. W., Suite 209 KW 519-579-5311
Dr. Richard Weinstein (OHC)* 564 Belmont Ave., W., Suite 411 519-742-1313
Dr. Aftab Zafar 715 Fischer Hallman Rd. Suite 201 519-745-3690
Orangeville
Dr. Raymond James Seto 4 Zina St. 519-941-4251
Waterloo and Baden
Dr. Peter Waind 131 Union St. E., Suite 105, Waterloo 519-746-1040
Dr. Jerzy Szeps 86 Foxboro Dr., Baden 519-634-1040
32
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Eye Care
Canada’s National Institute for the Blind - CNIB
CNIB is a registered charity, providing community
based support to Canadians who are blind or partially
sighted. To learn more, visit www.cnib.ca or contact
1-800-563-2642 for more information.
University of Waterloo Optometry Clinics & Vision Science
The University of Waterloo Optometry Clinics offer patient examination 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 uwaterloo.ca/optometry-clinics.
University of Waterloo Centre for Sight Enhancement - Low Vision Clinic
The Low Vision Clinic provides a comprehensive range of vision assessment, prescription,
instruction and rehabilitation services. They will also provide information and referrals to other
specialty and community services related to low vision. For more information, call the Clinic at
519-888-4062 or visit uwaterloo.ca/sight-enhancement/.
33
Approximately 2
million Canadians
have some form of
diabetic retinopathy.
Ocular Health Centres - OHC
Ocular Health Centres provide screening, management and
treatment of ocular eye diseases. The ophthalmologists at OHC
accept referrals of patients with diabetes from physicians through
the Diabetes Central Intake or directly on the OHC site at
www.ocular.ca OHC will provide a ‗Retinopathy Report‘ to the
referring doctor along with the ‗present stage‘ of Diabetic
Retinopathy and provide the patient with appropriate
management suggestions. If pathology is noted, an appointment
will be made with an ophthalmologist for treatment. If the patient
does not have a regular optometrist, one will be suggested for
ongoing visual care. If you have any questions about this OHIP
covered service please call 519-658-6800 for the Cambridge
office or 519-742-1313 for the Kitchener/Waterloo office.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
34
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
physician, your diabetes education team, or contact a foot care provider.
Are Your Feet Healthy?
To conduct a self-assessment on the health of your feet, visit the Canadian Association of
Wound Care (CAWC) website at www.cawc.net and click on Diabetes healthy feet and you.
The PEP Talk: Diabetes, Healthy Feet and You Program
For more information about this program call 1-866-337-3318 or visit
www.wwselfmanagement.ca/Individual-PEP-program.htm
Foot Care Services in Waterloo, Wellington and Dufferin Regions
Community-based foot care services/programs vary depending on community and location.
Check with your healthcare provider first to determine if the foot care service provided by
these individuals/services is appropriate for you and always ensure that all foot care
services are being provided by a trained healthcare professional with training in diabetes foot
care.
Please note that service fees apply to most services listed below.
Supplemental Health Services - Foot Care
This program is available throughout the Waterloo Wellington region. This program is in
collaboration with the Canadian Association of Wound Care (CAWC) and the Waterloo
Wellington Self-Management Program. This free 2 1/2 hour workshop is targeted to people
with diabetes who are willing to learn more about foot care.
Cambridge & North Dumfries
Chiropodist / Podiatrist Locations
Achilles Footcare 12 - 366 Hespeler Rd., Cambridge 519-624-4122
Anthony Zamojc 56 Grand Ave. N., Cambridge 519-623-4410
Cambridge Foot Clinic 2 - 14 George St. N., Cambridge 519-623-5444
Roshni Patel 3 - 697 Coronation Blvd., Cambridge 519-623-3000
York Foot Health & Orthotics Clinic 5 - 209 Pinebush Rd., Cambridge 519-623-0222
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Foot Care
35
Cambridge & North Dumfries
Foot Care Nurse - Areas Served
Jenuine Care Ayr 519-632-8122
Connie Tanner, RN Ayr & surrounding area 226-339-2349
We Care Home Health Services Cambridge & Ayr 519-576-7474
Feet First Foot Care Cambridge 519-650-6079
Karin Mielke RN Foot Care Nurse Cambridge 519-893-5459
Mobile Feet Cambridge 519-716-4481
Guelph / Guelph-Eramosa / Erin
Chiropodist / Podiatrist Locations
Wellington Foot Clinic 245 Edinburgh Rd. S., Guelph 519-763-1471
Anthony Zamojc 218 Speedvale E., Guelph 519-8361142
Shael Weinberg 202 - 55 Cork St. E., Guelph 519-836-2740
Custom Foot Clinic 203 - 806 Gordon St., Guelph 519-823-1450
Guelph Complete Foot & Ankle Clinic 3 Paisley St., Guelph 519-823-3668
Foot Care Nurse - Areas Served
Foot Patrol Guelph only 519-830-8686
Karin Mielke RN Foot Care Nurse Guelph 519-893-5459
Guelph FHT Guelph 519-837-8129
We Care Home Health Services Guelph, Rockwood, Erin 519-576-7474
Feet for Life Guelph & surrounding area 519-821-0297
Healthy Sole Nursing Foot Care Guelph, Rural Wellington 226-820-1325
Foot Care Angel Guelph & Wellington County 519-993-0834
Medismart Footcare Nursing Services Guelph, Guelph-Eramosa, Erin 519-400-0550
East Wellington Family Health Team Erin, Guelph-Eramosa 519-833-7576
Centre Wellington - Elora, Fergus
Chiropodist / Podiatrist Locations
Groves Memorial Community Hospital 235 Union St. E., Fergus
519-843-2010
x 3205
Erin Physio Fitness 6 Thompson Cresent, Erin 519-833-0606
Acton Head-2-Toe Healthcare 65 Mill St. E., Acton 519-853-8557
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Foot Care
36
Centre Wellington - Elora, Fergus
Foot Care Nurse - Areas Served
We Care Home Health Services Elora, Fergus 519-576-7474
Kitchener/Waterloo and Waterloo Region
Chiropodist / Podiatrist Locations
The Centre for Family Medicine 25 Joseph St., Kitchener 519-578-2100
Complete Foot Clinic Inc. 751 Victoria St. S., Kitchener 519-579-9223
Podiatric Consultants 1354 King St. E, Kitchener 519-576-8960
Family Foot & Orthotics Clinic 117 - 120 Ottawa St. N., Kitchener 519-954-4415
Foot Works 200 King St., Waterloo 519-888-6274
KW Foot & Orthotics Clinic 17 - 279 Weber St. N, Waterloo 519-884-4200
Sarah Ferguson Chiropody 202 - 99 Northfield Dr. E, Waterloo 519-725-9941
Dr. Stephen Hoke 130 Weber St. N, Waterloo 519-885-1511
Firm Foundations - Jane Warner 2960 Lobsinger Ln., Heidelberg 519-669-6178
Physiotherapy Alliance 4 - 10 Waterloo St., New Hamburg 519-662-4676
Foot Care Nurse - Areas Served
Feet on the Go Kitchener/Waterloo 519-654-6363
Karin Mielke RN Foot Care Nurse Kitchener/Waterloo 519-893-5459
Susan Jarosz RN Footcare Services Waterloo 519-884-8954
Footcare Pro Waterloo Region 519-941-2060
Karen Doyle Foot Care Waterloo Region 519-884-3668
Feet First Foot Care Kitchener, Waterloo, Wilmot 519-650-6079
Just Feet with Kathleen Elmira 519-669-5835
We Care Home Health Services Kitchener/Waterloo, New Hamburg,
Baden, Elmira
519-576-7474
Wellington North - Arthur, Mount Forest
Chiropodist / Podiatrist Locations
Groves Memorial Community Hospital 235 Union St. E., Fergus 519-843-2010
x 3205
Peoples Chiropody - Betty McTague 160 King St. W., Mount Forest 519-323-3668
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Foot Care
Note: OHIP does not cover general foot care services such as cutting/trimming of toenails by a
chiropodist or foot care nurse. OHIP does not cover the cost of orthopedic shoes, insoles or
custom-made orthotics.
37
Wellington North - Arthur, Mount Forest
Foot Care Nurse - Areas Served
Caring Sole - Kelly Eves Mount Forest & area 519-820-7187
North Wellington Health Care - Joy
Houston RPN
630 Dublin St., Mount Forest &
area
519-323-2210
Minto-Mapleton - Drayton, Harriston, Palmerston
Foot Care Nurse - Areas Served
Minto-Mapleton FHT 11 Andrews St. W., Drayton 519-638-2110
Dufferin County / Orangeville / Shelburne
Chiropodist / Podiatrist Locations
Orangeville Family Foot Care 244 Broadway Ave., Orangeville 519-942-9433
The Orangeville Foot Clinic 285 Broadway Ave., Orangeville 519-942-4705
Shelburne Foot Clinic 213 Main St. E., Shelburne 519-925-0418
Foot Care Nurse - Areas Served
Footcare Pro Dufferin County 519-941-2060
Primrose Wellness Dufferin County 705-434-0017
Walking on Sunshine Advanced &
Diabetes Foot Care
Dufferin County
519-940-1602
Dawson Wellness Clinic Orangeville 519-941-8182
Dufferin County Adult Day Program Shelburne 519-925-5452
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Medical Laboratories
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 (CML) and Life Labs offer lab services in the Waterloo/
Wellington/Dufferin regions. Visit www.lifelabs.com and www.cmlhealthcare.com for more
information on hours of operation and specific lab services offered.
38
Cambridge
CML 697 Coronation Blvd. 519-623-7755
CML 167 Hespeler Rd. 519-621-8850
CML 130 Cedar St. 519-6201355
Life Labs C2 - 350 Conestoga Blvd. 1-877-849-3637
Kitchener / Waterloo & Waterloo Region
CML 104 - 535 Belmont Ave., Kitchener 519-576-1340
CML 23A - 421 Greenbrook Dr., Kitchener 519-569-7355
CML 20A - 385 Frederick St., Kitchener 519-749-9801
CML 430 The Boardwalk, Waterloo 519-576-2460
Life Labs 5-6 - 200 Lorraine Ave., Kitchener 1-877-849-3637
Life Labs 105 - 564 Belmont Ave. W., Kitchener 1-877-849-3637
Life Labs 2nd floor - 751 Victoria St. S, Kitchener 1-877-849-3637
Life Labs 3 - 65 University Ave. E, Waterloo 1-877-849-3637
Life Labs 10 Waterloo St., New Hamburg 1-877-849-3637
Guelph & Fergus
CML 204 - 83 Dawson Rd, Guelph 519-823-5279
CML 109 - 21 Surrey St. W., Guelph 519-767-2165
CML 214 - 55 Wyndham St. N., Guelph 519-767-0501
Life Labs 102 - 281 Stone Rd E., Guelph 1-877-849-3637
Life Labs 101 - 85 Norfolk St., Guelph 1-877-849-3637
Life Labs 245 Union St. E., Fergus 1-877-849-3637
Orangeville / Shelburne
CML 95 First St., Orangeville 519-942-8253
CML 167 Centre St., Shelburne 519-925-6909
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 blood work.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supplemental Health Services - Mental Health Services
Here 24 Seven 1-844-437-3247 www.here247.ca
How Here 24/7 services are provided:
When someone contacts Here 24/7 staff will talk to the person about their needs. The
immediate needs of the person will be attended to (for example, if they are in crisis) and a
comprehensive assessment will be conducted with the individual. The person‘s needs will be
matched with the service options available or a link will be provided to services and supports
in the community.
They have the ability to schedule appointments directly with 12 partner service providers for
most services, so that the person does not need to call other providers and re-tell their story.
Here 24/7 staff offer support and are trained to provide intake, crisis intervention, addictions/
mental health assessments and brief support functions. It is their job to navigate the service
system for you, based on what you need.
Here 24/7 staff are available 24 hours a day, seven days a week. Drop-in service at five sites
is available across Waterloo, Wellington and Dufferin regions with varying hours.
Symptoms of depression are common in people with diabetes compared with the general
population. Major depressive symptoms are present in approximately 15% of people with
diabetes.
Some 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.
39
Here 24/7 is front line access to the addictions, mental health
and crisis services provided by 12 agencies across Waterloo,
Wellington and Dufferin.
They do the intake, assessment, referral, crisis, waitlist and
appointment booking work for these important programs. Here
24/7 will assess your needs and help you navigate the system.
This leaves you free to focus on maintaining hope and pursuing
recovery.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
It is important to eat healthy in order to maintain healthy blood glucose levels. Below is a list
of nutrition resources you may find helpful.
Supplemental Health Services - Nutrition Resources
Canada‘s Food Guide
www.hc-sc.gc.ca/fn-an/food-guide-aliment/index-eng.php
Community Support Connections - Meals on Wheels and More
www.communitysupportconnectins.org 519-772-8787
Community Care Concepts
www,communitycareconcepts.ca 1-855-664-1900
Copper County Foods (Southern Ontario)
www.coppercountyfoods.ca 1-877-545-5577
Dietitians of Canada
www.dietitians.ca 416-596-0857
EatRight Ontario
www.eatrightontario.ca 1-877-510-5102
Foodlink Waterloo Region
www.foodlink.ca 519-513-8998
Glycemic Index and GI Database
www.glycemicindex.com
Government of Canada - Food Labelling - Interactive Tools
www.healthycanadians.gc.ca/eating-nutrition/label-etiquetage/index-eng.php
Half Your Plate
www.halfyourplate.ca
Loblaws and Zehrs Dietitians
www.waterloowellingtondiabetes.ca Click on Calendar of Events
Ministry of Health and Long-Term Care - Healthy Eating
www.mhp.gov.on.ca/en/healthy-eating/
40
You can call
EatRight Ontario
to speak directly
with a dietitian
about nutrition
and healthy
eating.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Physical Activity
If you decide to start a new exercise program, you should consult your doctor and remember
to watch for symptoms of hypoglycemia during 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.
Many of the Diabetes Education Programs in the region offer exercise classes with their
programs or in partnership with community organizations. Below is a listing of some available
programs.
41
Cambridge / Kitchener / Waterloo
YMCA Diabetes Fit
Diabetes Fit provides customized exercise and education support for individuals at risk of
diabetes or managing diabetes. The group meets twice a week in 1-hour sessions for 8
weeks. Each session includes a mix of healthy living education and exercise based on
personal fitness levels and goals.
Locations:
Chaplin Family YMCA, 250 Hespeler Rd, Cambridge 519-623-9622 x242
A. R. Kaufman Family YMCA, 333 Carwood Ave, Kitchener 519-743-5201 x255
Langs Diabetes Education Program
Mind and Body Flow is a beginners basic and gentle pilates class for people with diabetes
and prediabetes.
Let’s Move teaches the benefits of physical activity for people with diabetes. A Kinesiologist
(exercise specialist) will help you get motivated to get active and stay active.
Let’s Move Exercise Class is a physical activity class for people with diabetes or
prediabetes. All fitness levels are welcome.
Pole Walking - pole walking trainers will teach you about the benefits of pole walking and
how it will have a positive impact on your diabetes.
For more information on any of the exercise programs available at Langs, call
519-653-1470 ext 285.
Woolwich / Wellesley Townships
A variety of activity programs such as Building Strength and Balance, Body Fit, Gentle
Moves, Mindfulness Yoga and more are available and open to all residents of Woolwich and
Wellesley Townships. Visit www.wchch.on.ca or register in person at WCHC
(10 Parkside Dr., St. Jacobs) or call 519-664-3794 ext. 230 for more information.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Physical Activity
42
Centre Wellington
Walking Group - Fergus
The Diabetes Education Program (DEP) and Upper Grand FHT offer a walking group at the
Centre Wellington Sportsplex, or on community trails in good weather. All programs are
supported by a Kinesiologist, and at least one Registered Nurse. For more information,
contact 519-843-3947 x130.
Transition to Stepping Out Program - Fergus
This program is designed for individuals with chronic conditions including respiratory
disease, diabetes, and heart disease. The program takes place at the Groves Memorial
Community Hospital. The exercises are gentle standing/chair based exercises utilizing
resistance bands, free weights and body weight. Call 519-843-3947 x124 for more details.
Stepping Out Program - Fergus
This program is designed for individuals with chronic conditions. The goal is to introduce
safe, effective and structured exercises, utilizing weight and cardio machines. Participants
will exercise 2 times/week at the Centre Wellington Sports Complex. For more information,
call 519-843-3947 x130 or x124.
North Wellington
The Lifestyle Balance Program - Mount Forest
This program offers monthly sessions on how to reduce your risk of diabetes, heart disease,
or stroke by getting a better balance of healthy eating and activity in your life. For more
information, call 519-323-0255 x5081 or visit www.mountforestfht.com and click on
the Events listings under the Patients tab for dates and times.
Walk-a-Doodle-Doo Walking Program - Mount Forest
Rise and Shine! Have you wanted to start your day with a good walk? Have you been
advised by your health care provider to increase your activity as part of your health plan?
Join for the "Walk-a-Doodle Doo Walking Program". Visit www.mountforestfht.com and
click on the Events listings under the Patients tab for dates and times or call 519-323-0255.
Minto-Mapleton
Learn to Run Group – Drayton & Harriston
The Minto-Mapleton Family Health Team's exercise specialist runs spring and fall Learn to
Run Groups in both Drayton and Harriston. A 10 week program where participants meet
once a week for a gradual, progressive walk-run routine, with 2-3 nights of additional "home
-work." At the end of this 10 week program you will be participating in a local 5 km run. For
more information, contact www.mintomapletonfht.com
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Physical Activity
Fitness for Older Adults
Muscle mass and muscle strength decline with age and even more so for those with
diabetes. Physical activity including both aerobic and resistance exercises have been shown
to improve health and well-being and prevent falls. Short walks or chair exercises under
supervision, are very helpful.
For more information about specific locations, please contact:
43
Minto-Mapleton
Walking Group
The Minto-Mapleton Family Health Team (FHT) partners with the Seniors' Centre for
Excellence to provide free indoor walking groups in Harriston, Palmerston, Clifford and
Drayton.
A walking champion is identified in each community. The role of the champion is to help
maintain the group, get new people started and act as a liaison between the participants
and the Minto-Mapleton FHT's exercise specialist. Each walking club offers walking from
October through April, and the Drayton and Palmerston clubs continue throughout the
summer months.
For more information, visit www.mmfht.ca or call 519-638-2110 ext. 224.
SMART Program
Many community or seniors centres offer
age-appropriate activities. The SMART Program
(Seniors Maintaining Active Roles Together) is
available in Waterloo/Wellington. It is a national
evidence based gentle exercise and falls prevention
program to assist older adults in maintaining or
improving their functional fitness and independence.
Community Support Connections at www.communitysupportconnections.ca or
519-772-8787 for Cambridge, Kitchener, and Waterloo area
VON at www.von.ca or 1-888-506-6353 for Guelph & Wellington Counties
Community Care Concepts at www.communitycareconcepts.ca or 1-855-664-1900 for
Woolwich, Wellesley, and Wilmot
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Physical Activity
To learn more about physical activity or for additional physical activity ideas, also
consider the following resources:
Cambridge 519-740-4681
www.cambridge.ca/community_services/activities_guide
Guelph
519-822-1260
www.guelph.ca/living/recreation
Kitchener 519-741-2345
www.kitchener.ca/en Search: Living in Kitchener for sports, recreation, parks, etc.
Waterloo
www.waterloo.ca/en/gettingactive.asp 519-886-1550
Township of Wellesley 519-699-4611
www.wellesley.ca Search: Community Services Guide under Departments
Township of Wilmot 1-800-469-5576
www.wilmot.ca Search: Facilities & Recreation Services Dept.
Township of Woolwich 519-669-1647
www.woolwich.ca/en Search: Community Guide under Township Services
Minto-Mapleton
town.minto.on.ca/residents 519-338-2511
www.mapleton.ca/live-mapleton/parks-recreation.html 1-800-385-7248
Wellington North 519-848-3620
www.wellington-north.com/leisure-living
Centre Wellington
519-846-9691
www.centrewellington.ca/beactive/Pages/Be-Active.aspx
Orangeville 519-941-0440
www.orangeville.ca/map/facilities
Shelburne
519-925-2600
www.townofshelburne.on.ca/recreation
44
Public Health Agency of Canada Physical Activity Guidelines
www.phac-aspc.gc.ca/hp-ps/hl-mvs/pa-ap/index-eng.php
Waterloo Wellington Diabetes website under Resource Library
www.waterloowellingtondiabetes.ca
Local community and senior centres
Local mall walking groups
Being active is an important part of managing your diabetes. To get physically active in
your community, refer to the following list of local recreation programs and services.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Transportation Services
If you are unable to operate a motorized vehicle and require transportation to medical
appointments, below is a list of transportation services that you may find useful. Contact the
programs directly for information on eligibility requirements, registration, and service fees.
45
Cambridge / North Dumfries / Kitchener / Waterloo
Grand River Transit Mobility Plus To register: 519-585-7555
www.grt.ca Search: Travel with UsMobility Plus
Grand River Transit (GRT) operates the specialized transit service MobilityPLUS to provide
transit services to those in the community who are unable to physically access conventional
bus service. To use this program you must become a registered member of MobilityPLUS.
Contact GRT for eligibility and registration requirements.
Cambridge / Kitchener / Waterloo / Guelph
Seniors for Seniors Kitchener, Waterloo & Cambridge: 519-585-0845
www.seniorsforseniors.ca Guelph: 519-836-3893
Drivers transport and accompany seniors to and from medical and financial appointments,
trips to the grocery store etc. Contact the agency for eligibility requirements.
City of Waterloo
City of Waterloo Home Support Services To register: 519-579-6930
www.waterloo.ca/en/living/homesupportservces.asp
Dedicated and reliable volunteers provide transportation to medical appointments, shopping,
social and recreational activities. There are service fees and registration is required.
Who Qualifies? For seniors and adults with disabilities who do not require a wheelchair.
Must be a resident of Waterloo.
Cambridge / North Dumfries / Kitchener
Community Support Connections - CSC 519-772-8787
www.communitysupportconnections.org/
Screened volunteers use their own vehicles to provide escorted transportation services
assisting you to and from medical appointments and the grocery store. They also use their
agency vehicles to take groups to Adult Day Programs or on shopping trips. Contact CSC to
register and discuss service fees.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Transportation Services
46
Woolwich / Wellesley / Wilmot
Kiwanis Transit 519-669-4533
www.k-transit.com 1-800-461-1355
Specialized transportation service within the townships and to Kitchener Waterloo is
available. Transportation requests must be made in advance.
Who Qualifies? Seniors 65 years or older, and individuals with physical or mental
disabilities.
City of Guelph
Guelph Transit Mobility Services (GTMS) To register: 519-822-1811 x2801
www.guelph.ca/living/ Search: Guelph TransitMobility Service
Mobility Services is a specialized shared-ride transit service that provides transportation from
accessible-door-to-accessible-door within the city limits of Guelph. Service is provided on
wheelchair accessible buses and, when needed, contracted taxi services.
Who Qualifies? Contact GTMS for eligibility and registration requirements.
Community Care Concepts 519-664-1900
www.communitycareconcepts.ca 1-855-664-1900
Assisted Transportation - Door to door service is available for medical appointments and
other destinations within the townships of Woolwich, Wellesley and Wilmot. A minivan or
volunteer drivers using their own vehicles are available. This service is available Monday to
Friday. There is a minimal fee for this service with an additional small fee for extra stops.
Appointment must be scheduled 48 hours in advance.
Who Qualifies? Seniors or persons with disabilities.
Home At Last - If you are an older adult that will be discharged from the hospital and
require transportation home, contact the Home At Last program. A coordinated transition
from hospital to home includes community support services arranging transportation home
and a Personal Support Worker to assist you getting settled.
Call Community Care concepts for more information.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Community Support Services - Transportation Services
47
East Wellington / Erin / Rockwood
East Wellington Community Services 519-856-2113
www.eastwellingtoncommunityservices.com
Search: Senior-services Transportation
Volunteers offer door-to-door accessible transportation services from Monday to Friday to
and from medical and therapeutic appointments within East Wellington and throughout the
GTA, Hamilton, Orangeville, Georgetown and the Waterloo Wellington region.
Transportation services are provided by either a wheelchair accessible van/bus, a
passenger van, or by car in the company of one of many friendly and dedicated volunteer
drivers. Contact CSC to register or for more information about service fees.
Who Qualifies? Residents who reside in East Wellington and must be: a senior aged 55
years or older; or an adult over the age of 18 with a physical and/or developmental disability;
or a recipient of Ontario Works or Ontario Disability Support Program (ODSP).
Dufferin County / Orangeville / Shelburne
Dufferin County Community Support Services (DCCSS) 519-925-5452
www.dufferincounty.on.ca Search: Seniors Programs & Services DCCSS
Transportation services available for seniors, aged 65 and older, and disabled adults over
the age of 18, living in Dufferin County. Contact DCCSS for information regarding
registration, fees and eligibility.
Servicing Seniors 519-217-3475
www.servicingseniors.ca
Drivers provide transportation to accompany you to appointments and help with your
shopping This can include carrying your parcels to and from the car when requested.
Who Qualifies? Seniors in the Greater Orangeville Area
Waterloo / Wellington / Centre & North Wellington / Dufferin County
Victorian Order of Nurses (VON) - Peel - Waterloo Wellington Dufferin
www.von.ca 1-888-506-6353
Search: Locations Ontario Peel Location (Mt. Forest office)
Volunteers provide door to door assisted rides for individuals requiring transportation to
medical appointments, banking, groceries, etc. Transportation must be arranged 48 hours in
advance. All rides are based on volunteer availability. There is a minimal fee based on
distance driven and parking. Contact VON for more information. There is an eligibility
assessment prior to using the service.
Who Qualifies? For seniors and adults with disabilities. Must be a resident of Waterloo/
Wellington Region, Centre & North Wellington or Dufferin County.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
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 in the yellow pages under Insurance.
In Ontario, there are a number of financial assistance programs to help offset some of the
costs associated with diabetes care. For more information on assistance programs, talk to
your diabetes team, visit the websites or contact the phone numbers listed below.
Prescription Drugs
Financial Assistance Programs
48
Ontario Drug Benefit (ODB) Program - Ministry of Health and Long-Term Care (MOHLTC)
www.health.gov.on.ca/en/public/programs/drugs/ 1-866-532-3161
Coverage: Prescription medications, insulin and some blood glucose test strips (refer to page
18 for maximum number of test strips covered).
Note: ODB does not cover pen needles, syringes or lancets. Refer to page 50, Insulin
Syringes for Seniors ADP Program for other financial assistance.
Who Qualifies? Seniors 65 years or older, social assistance recipients (ODSP & OW),
residents of long-term care facilities or homes for special care, individuals enrolled in the Home
Care Program and Trillium Drug Program clients.
*Speak to your health care provider or pharmacist for information.
For information about financial assistance for dental health care services, refer to page 30.
For information on the Diabetes Hope Foundation‘s scholarship program, refer to page 23.
For information about the Disability Tax Credit (DTC) and the Registered Disability Savings
Plan (RDSP), refer to page 23.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Financial Assistance Programs
49
Prescription Drugs
Trillium Drug Program - Ministry of Health and Long Term Care (MOHLTC)
www.health.gov.on.ca/en/public/programs/drugs/programs/odb/opdp_trillium.aspx
1-800-575-5386
Coverage: Coverage for the Trillium Drug Program is provided through the ODB Program.
Prescription medications, insulin and some blood glucose test strips (refer to page 18 for
maximum number of test strips covered) are covered under the program.
Who Qualifies? Ontario residents under 65 years of age who have high prescription drug
costs compared to their household income and have no private health insurance or have
limited private insurance.
*Speak to your health care provider or pharmacist for information.
Provincial / Federal Government Program for Specific Client Groups
First Nations and Inuit Health Branch - Non-Insured Health Benefits (NIHB) -Health Canada
www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/yhb-vss/index-eng.php
1-800-640-0642
Coverage: Prescription drugs listed on the NIHB Drug Benefit List (DBL). (See website).
Coverage for drug products not listed on DBL may be available by ―Exception‖ (Doctor must
complete Exception Drugs Request Form). If you have coverage (through work or private
insurance) you must use that coverage first before applying for repayment from NIHB.
Who Qualifies? A person registered under the Indian Act; or a person recognized by an Inuit
Land Claims organization; or an infant less than one year old whose parent is an eligible
recipient. *Contact NIHB for more information.
Veterans Affairs Canada (VAC) - Health Care Benefits Program (POC 10-Prescription Drugs)
www.veterans.gc.ca/eng/services/health/treatment-benefits/poc
1-866-522-2122
Coverage: Program provides coverage for prescription drugs and some over-the-counter
medications listed on the VAC Drug Formulary for eligible clients.
Who Qualifies? Veterans, retired CF members, retired RCMP members, etc., who are in
receipt of VAC disability benefits or VIP/Long-term Care or War Veterans Allowance or CF
Income Support, etc. *Contact VAC for more information.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Financial Assistance Programs
50
Prescription Drugs
Insulin Syringes for Seniors - Assistive Devices Program (ADP) - MOHLTC
www.health.gov.on.ca/en/public/programs/adp/publications/diabetic.aspx
1-800-268-6021
Coverage: Eligible seniors receive an annual grant of $170 to help pay for the cost of pen
needles or syringes.
Who Qualifies? Ontario residents 65 years or older who use pen needles or syringes on a
daily basis to inject insulin. Note: Seniors living in long-term care facilities or hospitals are
not eligible. *Speak to your pharmacist or Diabetes Education Program for more information.
Ontario Monitoring for Health Program (MFHP) - Funded through the Assistive Devices
Program of the MOHLTC; administered by the Canadian Diabetes Association
www.diabetes.ca Search Ontario Monitoring for Health Program
1-800-361-0796
Coverage: Strips and lancets: 75% reimbursement up to a maximum of $820 per year.
Blood glucose meter: 75% reimbursement up to a maximum of $75, once every 5 years.
Talking blood glucose meter: 75% reimbursement up to a maximum of $300, once every
5 years; for visually-impaired clients only. (A letter from your doctor is required to confirm
visual impairment). Note: The program does not cover pen needles or syringes.
Who Qualifies? Ontario residents who use insulin or have gestational diabetes and who do
not have any other coverage (i.e. group benefit plan, private insurance or government
financial assistance program) for your blood glucose testing supplies.
*Speak to your health care provider or visit the CDA website for information. Contact the
CDA for a claim form.
Pharmaceutical Companies - Patient Assistance Program
Lilly Canada Cares (Insulin & Glucagon Program) or Sanofi Compassionate Care Program
Coverage: Many prescription drug manufactures offer assistance programs for patients.
There is usually a limited-time supply of prescription drugs such as oral diabetes medications
or insulin for eligible patients.
Who Qualifies? Assistance is normally limited to low-income individuals who do not have
coverage for the specific medication required through private health insurance or government
assistance programs. Low-income is generally defined as household income that is below
Statistics Canada‘s low-income cut off line.
*Speak to your health care provider for more details; they can apply to the program for you.
Diabetes Supplies
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Financial Assistance Programs
Diabetes Supplies
51
Ontario Disability Support Program - Mandatory Special Necessities (MSN) Benefit
Ministry of Community and Social Services (MCSS)
www.mcss.gov.on.ca/en/mcss/programs/social/odsp/info_sheetsdiabetic_supplies.aspx
Contact your local ODSP office
Coverage: Coverage for the ODSP participants is provided through the ODB Program.
Prescription medications, insulin and some blood glucose test strips (refer to page 18 for
maximum number of test strips reimbursed) are covered under the program. ODP can also
provide monthly amounts for pen needles/syringes, lancets, etc.
Who Qualifies? Ontario Disability Support Program (ODSP) Income Support recipients only.
*Speak with your case worker for more information and complete an MSN application form.
Ontario Works (OW) - Health Benefits - Ministry of Community and Social Services (MCSS)
www.mcss.gov.on.ca/en/mcss/programs/social/ow/help/benefits/health_Benefits.aspx
Contact your local OW office
Coverage: Coverage for the OW recipients is provided through the ODB Program.
Prescription medications, insulin and some blood glucose test strips (refer to page 18 for
maximum number of test strips reimbursed) are covered under the program. OW will also
cover the cost of other diabetes supplies (i.e. pen needles/syringes, lancets, etc.) if you have
no other coverage for these supplies.
Who Qualifies? Ontario Works (OW) recipients only.
*Speak with your case worker for more information.
Insulin Pump & Supplies Program - Assistive Devices Program (ADP)
Ministry of Health and Long-Term Care (MOHLTC)
www.health.gov.on.ca/en/public/programs/adp/insulin_pamp.aspx
1-800-268-6021
Coverage: 100% of the cost of an insulin pump (paid directly to the vendor once funding is
approved). $2400 per year to help cover cost of insulin pump supplies (paid out in four $600
installments).
Who Qualifies? Ontario residents with type 1 diabetes using multiple daily injections and who
meet specific eligibility criteria. There are different eligibility criteria for adults and children.
*You can only apply for the program through a Diabetes Education Program registered by the
ADP Program. Refer to page 20 for a list of ADP approved Insulin Pump Programs in the
Waterloo, Wellington and Dufferin regions. For more information speak with your Diabetes
Education Team.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Financial Assistance Programs
52
Diabetes Supplies
Assistive Devices
Provincial / Federal Government Program for Specific Client Groups
First Nations and Inuit Health Branch - Non-Insured Health Benefits (NIHB) -Health Canada
www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/yhb-vss/index-eng.php
1-800-640-0642
Coverage: For diabetes supplies (strips, lancets, syringes, pen needles, pump supplies etc.)
listed on the NIHB Drug Benefit List for eligible First Nations and Inuit recipients.
Who Qualifies? Contact NIHB for more information.
Veterans Affairs Canada (VAC) Health Care Benefits Program (POC 10-Prescription Drugs)
www.veterans.gc.ca/eng/services/health/treatment-benefits/poc
1-866-522-2122
Coverage: For diabetes supplies (strips, lancets, syringes, pen needles, etc.) listed on the
VAC Drug Formulary. Benefit coverage may vary by client group and by individual.
Who Qualifies? Veterans, retired CF members, retired RCMP members, etc., who are in
receipt of VAC disability benefits or VIP/Long-term Care or War Veterans Allowance or CF
Income Support, etc. *Contact VAC for more information.
Assistive Devices Program (ADP) - MOHLTC
www.health.gov.on.ca/en/public/programs/adp/ 1-800-268-6021
Coverage: ADP provides partial coverage for assistive devices and supplies including
wheelchairs, mobility aids, prosthetic limbs, hearing aids, visual aids, etc. ADP pays usually
pays up to 75% of the cost of these items or pays a fixed amount.
Who Qualifies? Ontario residents who have a long-term physical disability (lasting 6 months
or longer).
Provincial / Federal Government Program for Specific Client Groups
Ontario Disability Support Program (ODSP) / Ontario Works (OW) / Veterans Affairs
Canada (VAC) / First Nations and Inuit Health Branch - Non-Insured Health Benefits (NIHB)
Coverage: Coverage requirements vary for each specific client group. Visit respective
websites or call contact numbers under Prescription Drugs, Diabetes Supplies, or
Assistive Devices listed above.
Who Qualifies? Eligibility requirements vary for each specific client group. Visit respective
websites or call contact numbers listed under Prescription Drugs, Diabetes Supplies, or
Assistive Devices listed above.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Financial Assistance Programs
53
Assistive Devices
Vision Care
Eye Exams
Ontarians with diabetes are covered by OHIP for a routine eye exam by an optometrist or
physician once every 12 months. Any follow-up assessment that may be required are also
covered. Note: Some newer optical diagnostic tests (e.g. HRT for glaucoma) now offered by
some optometrists are not covered by OHIP. For more information regarding eye care
services, contact the MOHLTC at 1-888-662-6613.
Eyeglasses
There are various programs that cover the cost of prescription eyeglasses for Specific Client
Groups through the Provincial/Federal Government. Refer to list below.
Assistive Devices Program (ADP) - Ontario March of Dimes
www.marchofdimes.ca 1-866-765-7237
Coverage: Program provides funding for purchase and maintenance (repairs) of equipment
such as wheelchairs, scooters, walking aids, personal aids, etc. The program does not fund
installation costs or devices such as foot orthotics, hearing or vision aids, artificial limbs or
cosmetic prostheses, etc.
Who Qualifies? Ontario residents 19 years and over in financial need (specific income limits
apply). The program is aimed at providing funding for devices that assist adults with
disabilities that restrict their mobility and prevent them from living safely in their homes;
enable discharge from a hospital/rehab centre, help avoid job loss, or community
participation, etc.
Provincial / Federal Government Program for Specific Client Groups
Ontario Disability Support Program (ODSP) - Vision Benefits
www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_vision.aspx
Ontario Works (OW) - Extended Health Benefits
www.mcss.gov.on.ca/en/mcss/programs/social/ow/help/benefits/health_benefits.aspx
Veterans Affairs Canada (VAC) - Vision Care 1-866-522-2122
www.veterans.gc.ca/eng/services/health/treatment-benefits/poc
First Nations and Inuit Health Branch -Non-Insured Health Benefits (NIHB)
Eye & Vision Care Benefits 1-800-640-0642
www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/yhb-vss/index-eng.php
Coverage: Coverage requirements vary for each specific client group. Visit respective
websites or call contact numbers provided.
Who Qualifies? Eligibility requirements vary for each specific client group. Visit respective
websites or call contact numbers provided.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Diabetes-Related Programs, Services and Resources
The following two pages provide a list of websites for organizations that may also find helpful.
54
American Diabetes Association www.diabetes.org
Arthur Food Bank 519-848-3272
Behavioral Diabetes Institute www.behavioraldiabetesinstitute.org
Cambridge Self Help Food Bank www.cambridgefoodbank.on.ca
Canadian Celiac Association www.celiac.ca
Canadian Diabetes Care Guide www.diabetescareguide.com
Canadian Institute for Health Information www.cihi.ca
Canadian Institute for Health Research www.cihr-irsc.gc.ca/e/193.html
Canadian Medical Association www.cma.ca
Canadian National Institute for the Blind www.cnib.ca
Canadian Red Cross www.redcross.ca
Centre Wellington Food Bank www.centrewellingtonfoodbank.org
Children with Diabetes www.childrenwithdiabetes.com
Community Care Access Centre (CCAC) www.healthcareathome.ca
Community Care Concepts www.communitycareconcepts.ca
Community Support Connections - Meals on
Wheels and More
www.communitysupportconnections.org
Diabetes Hope Foundation www.diabeteshopefoundation.com
Dietitians of Canada www.dietitians.ca
Government of Ontario www.ontario.ca/ontario-government
Action Read Community Literacy Centre www.actionread.com
Guelph Food Bank www.guelphfoodbank.ca
Health Canada www.hc-sc.gc.ca
Heart and Stroke Foundation www.heartandstroke.com
House of Friendship www.houseoffriendship.org
International Diabetes Federation www.idf.org
Joslin Diabetes Centre www.joslin.harvard.edu
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Diabetes-Related Programs, Services and Resources
55
JDRF www.jdrf.ca
Kidney Foundation of Canada www.kidney.ca
March of Dimes Canada www.marchofdimes.ca
Ministry of Health and Long-Term Care www.health.gov.on.ca
Mount Forest Community Pantry 519-323-9218
National Diabetes Education Program www.ndep.nih.gov
Ontario Association of Optometrists www.optom.on.ca
Region of Waterloo Public Health www.chd.region.waterloo.on.ca
Service Ontario INFO Line
www.ontario.ca/serviceontario
1-866-532-3161
Southern Ontario Aboriginal Diabetes Initiative www.soadi.ca
Stand Up to Diabetes
www.health.gov.on.ca/en/public/programs/
diabetes/channel.aspx
TeleHealth Ontario
www.health.gov.on.ca/en/public/programs/
telehealth
1-866-797-0000
The Food Bank of Waterloo Region www.thefoodbank.ca
The Literacy Group of Waterloo Region www.theliteracygroup.com/
City of Waterloo Home Support Services www.waterloo.ca/seniors
Waterloo Wellington Self-Management Program www.wwselfmanagement.ca
Wellington Dufferin Guelph Public Health www.wdgpublichealth.ca
YMCAs of Cambridge & Kitchener-Waterloo www.ymcacambridgekw.ca
YMCAs of Cambridge & KW
Immigrant Services
www.ymcacambridgekw.ca/en/immigrant-
services/Immigrant-Services.asp
YMCA-YWCA of Guelph www.guelphy.org
November 14 is World Diabetes Day (WDD)
Led by the International Diabetes Federation,
the day unites the global diabetes community
to produce a powerful voice for diabetes
awareness and advocacy.
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
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. For most people, 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.
BLOOD PRESSURE: Blood pressure is expressed using two numbers: the first number is
systolic pressure, the pressure caused by the heart pushing blood out into the arteries. The
second number is diastolic pressure, the pressure when the heart is relaxed and refilling with
blood. High blood pressure (hypertension) is a major risk factor for cardiovascular disease,
diabetic nephropathy and diabetic retinopathy. To reduce the risk of these complications,
people with diabetes should aim for a blood pressure of 130/80 mm Hg or lower.
C
CARDIOLOGIST: A medical doctor who specializes in diagnosing and treating conditions of
the heart and blood vessels.
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.
56
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Glossary of Terms
CERTIFIED DIABETES EDUCATOR (CDE): A Certified Diabetes Educator (CDE)® is a
health professional, committed to excellence in diabetes education, who has a sound
knowledge base in diabetes care/management and education processes, as well as good
communication skills. A CDE has passed the Canadian Diabetes Educator's Certification
Board (CDECB) exam.
CHIROPODIST: A health care professional who specializes in assessment and treatment of
disorders or dysfunctions of the foot.
CHOLESTEROL: A type of fat that occurs naturally in human bodies and is also found in
animal fats. Abnormal levels of cholesterol are risk factors for cardiovascular disease.
COMA: A state of unconsciousness. In diabetes, it may result from a variety of causes
including severe hypoglycemia or diabetic ketoacidosis.
COMMUNITY HEALTH CENTRE (CHC): A Community Health Centre (CHC) is a non-profit,
publicly funded organization that provides primary health care from a team of doctors, nurse
practitioners, registered nurses, registered dietitians, social workers and community health
workers. The multidisciplinary team ensures the patient gets the right care, at the right time,
delivered by the most appropriate provider. The focus of a CHC is on health promotion, illness
prevention, and community development.
D
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.
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.
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.
57
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Glossary of Terms
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.
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.
FAMILY HEALTH TEAM (FHT): A Family Health Team is a team of family doctors, registered
nurses and other health care providers like dietitians and social workers who can provide
ongoing health care. Each team is set up based on local health and community needs, and
focuses on chronic disease management, disease prevention and health promotion.
G
GASTROPARESIS: A form of nerve damage (neuropathy) that affects the stomach and
intestines, causing them to take too long to empty their contents. Diabetes is a major cause of
gastroparesis.
GESTATIONAL DIABETES MELLITUS (GDM): Diabetes that is first diagnosed or first
develops during pregnancy. It affects 4% to 20% of all pregnancies. Blood glucose levels
usually return to normal following delivery. Both mother and child are at higher risk of
developing type 2 diabetes later in life.
GLUCAGON: A hormone produced by the pancreas that causes an increase in the blood
glucose level, and thus has the opposite effect of insulin. Glucagon can also be given by
injection to treat severe hypoglycemia.
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.
58
Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Glossary of Terms
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.
HYPOTHYROIDISM: A disease in which the production of thyroid hormone is reduced.
Symptoms include slow metabolism, tendency to gain weight and fatigue.
I
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.
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.
INTERNIST: A medical doctor who specializes in the diagnosis and medical treatment of
internal organs, illnesses, diseases, and chronic conditions.
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.
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Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Glossary Of Terms
LHIN: Local Health Integration Network. LHINs are funded by the Ontario MOHLTC and are
responsible for planning, coordinating, funding and monitoring their local health system. Many
health service providers are funded through the LHINs, including hospitals, most psychiatric
facilities, long-term care homes, Community Care Access Centres, community service
providers and community mental health and addiction agencies.
M
MOHLTC: The Ontario Ministry of Health and Long-Term Care.
mmol/L: The abbreviation for millimoles per litre. In Canada, blood glucose is measured in
mmol/L. To convert mmol/L to mg/dL (the unit of measurement for blood glucose used in the
United States), multiply by 18.
N
NEPHROLOGIST: A medical doctor who specializes in the study, care and treatment of
diseases of the kidney.
NEPHROPATHY: Any disease of the kidneys. Nephropathy can be a complication of
diabetes.
NEUROPATHY: Any disease of the nerves. Peripheral neuropathy usually causesnumbness
and/or weakness and/or pain in the hands and feet. Autonomic neuropathy causes difficulty
with BP control, digestive and sexual control. Neuropathy can be a complication of diabetes.
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.
OPHTHALMOLOGIST: 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.
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Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Glossary Of Terms
PODIATRIST: A health care professional who specializes in assessment and treatment of
disorders or dysfunctions of the foot.
PREDIABETES: A condition in which a person‘s blood glucose level is above normal, but not
high enough to be considered diabetes. Prediabetes has no symptoms and can only be
diagnosed with a blood test. It is also called impaired glucose tolerance or impaired fasting
glucose. People with prediabetes are at high risk of developing type 2 diabetes and
cardiovascular disease and should take steps to lower these risks.
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 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
dult-onset diabetes.
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Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
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Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
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Canadian Diabetes Association 519-742-1481 www.diabetes.ca
Waterloo Wellington Diabetes 519-653-1470 x372 www.waterloowellingtondiabetes.ca
Supporting people with diabetes
in the Waterloo Wellington Region
2nd Edition Printed March 2015
Waterloo Wellington Diabetes
887 Langs Drive, Unit 11
Cambridge, ON N3H 5K4
519-653-1470 x372
info@waterloowellingtondiabetes.ca
www.waterloowellingtondiabetes.ca
Canadian Diabetes Association
Central West Ontario Region
14 Irvin Street, Suite 1
Kitchener, ON N2H 1K8
519-742-1481 (KW & Area)
519-837-9455 (Guelph & Area)
519-942-1800 (Orangeville & Area)
kitcheneroffice@diabetes.ca
www.diabetes.ca
