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Diagnosing the Legacy
Cover of Diagnosing the Legacy
Diagnosing the Legacy
The Discovery, Research, and Treatment of Type 2 Diabetes in Indigenous Youth
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In the late 1980s, pediatric endocrinologists at the Children's Hospital in Winnipeg began to notice a new cohort appearing in their clinics for young people with diabetes. Indigenous youngsters from two First Nations in northern Manitoba and northwestern Ontario were showing up not with type 1 (or insulin-dependent diabetes), but with what looked like type 2 diabetes, until then a condition that was restricted to people much older. Investigation led the doctors to learn that something similar had become a medical issue among young people of the Pima Indian Nation in Arizona though, to their knowledge, nobody else. But these youth were just the tip of the iceberg. Over the next few decades more children would confront what was turning into not only a medical but also a social and community challenge. "Diagnosing the Legacy" is the story of communities, researchers, and doctors who faced—and continue to face—something never seen before: type 2 diabetes in younger and younger people. Through dozens of interviews, Krotz shows the impact of the disease on the lives of individuals and families as well as the challenges caregivers faced diagnosing and then responding to the complex and perplexing disease, especially in communities far removed from the medical personnel a facilities available in the city.

In the late 1980s, pediatric endocrinologists at the Children's Hospital in Winnipeg began to notice a new cohort appearing in their clinics for young people with diabetes. Indigenous youngsters from two First Nations in northern Manitoba and northwestern Ontario were showing up not with type 1 (or insulin-dependent diabetes), but with what looked like type 2 diabetes, until then a condition that was restricted to people much older. Investigation led the doctors to learn that something similar had become a medical issue among young people of the Pima Indian Nation in Arizona though, to their knowledge, nobody else. But these youth were just the tip of the iceberg. Over the next few decades more children would confront what was turning into not only a medical but also a social and community challenge. "Diagnosing the Legacy" is the story of communities, researchers, and doctors who faced—and continue to face—something never seen before: type 2 diabetes in younger and younger people. Through dozens of interviews, Krotz shows the impact of the disease on the lives of individuals and families as well as the challenges caregivers faced diagnosing and then responding to the complex and perplexing disease, especially in communities far removed from the medical personnel a facilities available in the city.

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About the Author-
  • Larry Krotz is an award-winning writer, filmmaker, and author of five previous books, including Midlifeman and Tourists, which looks at how mass tourism is changing the world. Over the past 25 years he has travelled to a number of African countries, where he produced the documentary film, Searching for Hawa's Secret, and wrote extensively for magazines and newspapers on scientific research and foreign aid projects. Originally from Winnipeg, he currently lives in Toronto.
Table of Contents-
  • INTRODUCTION CHAPTER 1 Early Alarm CHAPTER 2 A New Disease Recognized CHAPTER 3 Gaining Traction CHAPTER 4 Island Lake CHAPTER 5 Early Research, Innovations, and Strategies for Care CHAPTER 6 Investigation and Hypotheses CHAPTER 7 After the Deluge CHAPTER 8 Revisiting Roots CHAPTER 9 Food CHAPTER 10 Poverty and Disease CHAPTER 11 Partnerships and Participation CHAPTER 12 Hopes and Dreams EPILOGUE Island Lake Encore AFTERWORD By Heather Dean, Jonathan McGavock, Michael Moffatt, and Elizabeth Sellers ACKNOWLEDGEMENTS NOTES BIBLIOGRAPHY INDEX
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    University of Manitoba Press
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  • Copyright Protection (DRM) required by the Publisher may be applied to this title to limit or prohibit printing or copying. File sharing or redistribution is prohibited. Your rights to access this material expire at the end of the lending period. Please see Important Notice about Copyrighted Materials for terms applicable to this content.

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Diagnosing the Legacy
Diagnosing the Legacy
The Discovery, Research, and Treatment of Type 2 Diabetes in Indigenous Youth
Larry Krotz
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