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The Personas project on the T2D Network website features a series of selection options that help personalize the user experience for people navigating type 2 diabetes. To personalize your experience, simply select a filter checkbox . As you select your options, the list will automatically update with relevant resources and information based on your profile. This allows you to instantly access the most applicable content tailored to your health needs. To personalize your experience, simply select a filter checkbox . As you select your options, the list will automatically update with relevant resources and information based on your profile. This allows you to instantly access the most applicable content tailored to your health needs. Your Personalized List of T2D Information Filter by Age/Group Adult Caregiver Senior Filter by Other Food Services Recipes Filter by Cultural Relevance East Asian General (applies to all) Indigenous South Asian Filter by Conditions IBS Stress Filter by Audience Group Caregiver East Asian Indigenous Patient Seniors South Asian Filter by Health Focus Diagnosis & Screening Health Risks & Obesity Prediabetes Prevention Remission/Reversal Self-Management Filter by Cultural Relevance East Asian General (applies to all) Indigenous South Asian Clear Filters Filter by Interest Healthy Eating Healthy Lifestyle Medication Mental Health Research T2D Programs Filter by Topic Alternative Therapies Education Meal Planning Physical Activity Stigma Stress Reduction We are in Beta phase testing - this webpage is only optimized for desktop viewing at this time Filter by Age/Group Adult Caregiver Senior Filter by Other Food Services Recipes Filter by Cultural Relevance East Asian General (applies to all) Indigenous South Asian Filter by Conditions IBS Stress Filter by Audience Group Caregiver East Asian Indigenous Patient Seniors South Asian Filter by Health Focus Diagnosis & Screening Health Risks & Obesity Prediabetes Prevention Remission/Reversal Self-Management Filter by Cultural Relevance East Asian General (applies to all) Indigenous South Asian Clear Filters Filter by Interest Healthy Eating Healthy Lifestyle Medication Mental Health Research T2D Programs Filter by Topic Alternative Therapies Education Meal Planning Physical Activity Stigma Stress Reduction If no resources match all your filters, please try removing one or more and search again 10 Healthy Asian Recipes for People with Diabetes Collection of Asian recipes tailored for people with diabetes. Healthy Eating Explore 29 Asian-Inspired Recipes for People with Diabetes Collection of Asian-inspired recipes for people with diabetes. Healthy Eating Explore Chinese Intercultural Online Network Project Online support and resources for Chinese communities with diabetes. T2D Programs Explore Diabetes Care Community South Asian Recipes South Asian recipes tailored for diabetes care and management. Healthy Eating Explore Interior Health Indigenous Program Indigenous diabetes health programs in Interior Health region. T2D Programs Explore ParticipACTION Physical Activity Program Physical activity program for diabetes health and fitness. Healthy Lifestyle Explore Sleep and Diabetes Management Guide to improving sleep for better diabetes management and health. Mental Health Explore South Asian Mental Health & Addiction Counselling Mental health and addiction support for South Asians with diabetes. Mental Health Explore Speaking the Language of Diabetes Language Guidance for Diabetes-Related Research, Education and Publications Mental Health, Research Explore 7-day Chinese Healthy Meal Plan Seven-day meal plan featuring Chinese foods for diabetes health. Healthy Eating Explore 7-day Mediterranean healthy meal plan - Diabetes Canada Seven-day balanced meal plan for diabetes health and management. Healthy Eating Explore 7-day healthy meal plan - Diabetes Canada Meal plan emphasizing low-carb foods for diabetes blood sugar control. Healthy Eating Explore 7-day low-carbohydrate healthy meal plan Balanced meal plan for diabetes, inspired by low carbohydrate foods. Healthy Eating Explore 7-day vegan healthy meal plan - Diabetes Canada Plant-based meal plan for diabetes management and health. Healthy Eating Explore A Guide to Healthy Low-Carb Eating with Diabetes Guide to low-carbohydrate eating for diabetes blood sugar control. Healthy Eating Explore A Square Peg in a Round Hole: Social Experiences of Living With Diabetes in Canada in 2024 92% of Canadians with Type 1 diabetes and 68.2% of those with Type 2 diabetes report stigma. Mental Health, Research Explore Acupuncture for T2D Acupuncture can significantly alleviate the main clinical symptoms of T2D. Research Explore Addressing Disparities in Diabetes Care Among Immigrants Learn how immigrant and non-immigrant patients experience different care pathways in T2D. Research Explore Addressing the Cultural Stigma of Type 2 Diabetes in India Explore how stigma around type 2 diabetes in India and worldwide affects care. Mental Health Explore Aerobic Exercise - What, When, How Much? Guidance on aerobic exercise for diabetes health and fitness. Healthy Lifestyle Explore Alternative Therapies for T2D Alternative therapies such as dietary supplements, acupuncture, hydrotherapy, and yoga therapies are discussed here. Research Explore Amputee Coalition of BC Society The Amputee Coalition of BC Society is a not-for-profit assisting people with limb loss along with their families and friends. Mental Health Explore Amputee Coalition of Canada The Amputee Coalition of Canada support of those living with limb loss and limb differences across the nation. Mental Health Explore Anti-Stigma Toolkit Toolkit with communications and community resources for stigma reduction. Mental Health, Research Explore Arago Healthy Lifestyle Program Program promoting healthy lifestyles and diabetes prevention strategies. T2D Programs Explore Are you Thinking of Starting Insulin Some people with diabetes need insulin to keep blood sugar under control and prevent serious health problems. Medication Explore Are your Type 2 Diabetes Supplies Covered in BC In British Columbia, many diabetes-related supplies for Type 2 diabetes management are covered, such as glucose testing strips, insulin, and certain medications. Medication Explore Arthritis Society Canada Arthritis Society Canada has a mission to fight the fire of arthritis through research, advocacy, innovation, information and support. Healthy Lifestyle Explore Asian Diabetes-Friendly Recipes Collection of Asian recipes adapted for diabetes-friendly eating. Healthy Eating Explore Asian Meal Plan for People with Diabetes Meal plan featuring Asian foods suitable for diabetes management. Healthy Eating Explore Association Between Diabetes Stigma and Health Outcomes The study found a significant correlation between stigma and adverse health outcomes. Mental Health, Research Explore BC Renal BC Renal plans and coordinates health-care services for patients with kidney disease in BC. Healthy Lifestyle Explore Basic meal planning - Diabetes Canada Guide to basic meal planning for diabetes management. Healthy Eating Explore Be Part of a Community Support Group Information on joining diabetes community support groups. Healthy Lifestyle Explore Best Free Diabetes Apps in Canada With a growing number of free or freemium (basic plan for free) apps, people living with diabetes can track glucose, monitor diet, log medications, and even share insights. Healthy Lifestyle Explore Book Recommendations Explore top book recommendations on type 2 diabetes prevention, management, and healthy living. Healthy Eating Explore BounceBack BC emotional support program Emotional support program for people with diabetes in BC. Mental Health Explore Bringing an end to diabetes stigma: An International consensus statement Diabetes stigma negatively impacts individuals and proposes a collective effort to end it. Mental Health, Research Explore British Columbia Food Banks Provides food access and nutrition support for people with diabetes. Healthy Eating Explore CBD and Diabetes CBD is a chemical found in cannabis that some people use for health reasons. Medication Explore Canada Food Guide for First Nations, Inuit, and Metis Food guide for Indigenous peoples, suitable for diabetes diets. Healthy Eating Explore Canadian Food Focus Indigenous Recipes Indigenous recipes for diabetes-friendly eating and health. Healthy Eating Explore Carbs, Fiber, and Sugar - What You Should Know Explains carbohydrate, fiber, and sugar effects on diabetes. Healthy Eating Explore Caring For Seniors with Diabetes Resources and tips for caring for seniors with diabetes. Healthy Lifestyle Explore Caring for someone with diabetes Family and friends are key in supporting diabetes management, though caring for someone with diabetes can be both fulfilling and demanding. Healthy Lifestyle Explore Celebrating Indigenous Communities Explore the link between Indigenous health and Type 2 diabetes in Canada Healthy Lifestyle Explore Chinese Foods for Healthy Diabetes-Friendly Eating Guide to healthy Chinese foods and meal ideas for diabetes. Healthy Eating Explore Chinese Mental Health Program Mental health support for Chinese-speaking individuals with diabetes. Mental Health Explore Compare Type 2 Diabetes Drugs This website helps you compare 24 types of diabetes medications. Medication Explore Complementary and Alternative Medicines Some people use herbs or natural products along with their regular diabetes treatments. Medication Explore Complete Diabetes Medication Table The Diabetes Educators in Calgary have compiled a table of diabetes medications. Medication Explore Complete List of Green Light Foods List of foods recommended for diabetes-friendly eating. Healthy Eating Explore Could Microsoft’s New AI Diagnostic Tool Help Transform Type 2 Diabetes? Explore how AI tools like Microsoft’s Diagnostic Orchestrator are transforming type 2 diabetes care. Research Explore Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome Diabetes Canada presents a comprehensive overview of the diagnosis and screening of diabetes according to Canadian Guidelines. Research Explore Diabetes (type 1) stigma and its association with diabetes outcomes. Stigma linked with distress and glycemic control. Mental Health, Research Explore Diabetes Canada - Virtual and In-person Activity Events Activities and events for T2D wellness, in-person or virtual attendance. Healthy Lifestyle Explore Diabetes Canada 7-day South Asian Meal Plan Seven-day meal plan featuring South Asian foods for diabetes. Healthy Eating Explore Diabetes Canada Celebrating Chinese Food Chinese food adaptations and recipes for diabetes-friendly eating. Healthy Eating Explore Diabetes Canada Cooking and Nutrition Video Series Video series on cooking and nutrition for diabetes management. Healthy Eating Explore Diabetes Canada Recipes Collection of diabetes-friendly recipes for various dietary preferences. Healthy Eating Explore Diabetes Canada South Asian Food Guide More diabetes-friendly recipes from Diabetes Canada for South Asians. Healthy Eating Explore Diabetes Canada Virtual Diabetes Education Program A virtual education program focused on T2D self-management T2D Programs Explore Diabetes Caregiving for an Older Adult Support for those caring for an older adult with diabetes. Healthy Lifestyle Explore Diabetes Challenges Patient Video Patti talks plainly and honestly about her frustration and the challenges she's faced with diabetes. Healthy Lifestyle Explore Diabetes Change Patient Video When Danny was diagnosed with pre-diabetes, he decided to make some big changes in his life. Healthy Lifestyle, Healthy Eating Explore Diabetes Devices in Canada Diabetes can be managed with medical devices to control blood sugar and prevent complications. Healthy Lifestyle Explore Diabetes Diagnosis Patient Video Richard has had type 2 diabetes since 1987 and in this video he shares his experience. Mental Health, Healthy Lifestyle Explore Diabetes Diagnostic Criteria and Screening Diabetes Educators of Calgary give an overview to help understand the screening and diagnosis of diabetes . Research Explore Diabetes Foot Care Diabetes foot care is essential. This tool provides a self-assessment checklist for daily care. Healthy Lifestyle Explore Diabetes Foot Care Video How to Take Care of Your Feet If You Have Diabetes Healthy Lifestyle Explore Diabetes Management Video Find out what impacts your blood sugar and how you can manage your diabetes to live a healthy life. Healthy Eating, Healthy Lifestyle, Medication Explore Diabetes Management in the Elderly Older adults with diabetes face distinct challenges and need tailored approaches that go beyond standard diabetes management practices. Research Explore Diabetes Meal Plan for Beginners This beginners' meal plan starts with the basics and shows you what a week of healthy can look like. Healthy Eating Explore Diabetes Medication Table This chart shows common diabetes medications, what they do, and how they help manage your blood sugar. Medication Explore Diabetes Patient Stories The Long Story Short Series: Real Stories of People Living with Type 2 Diabetes Healthy Lifestyle Explore Diabetes Recipes for Diverse Cultures Tips and resources for nutrition from diverse cultures Healthy Eating Explore Diabetes Self-Management Education and Support Toolkit CDC Access a gallery of visual aids, analogies, and stories to help talk about diabetes concepts. Healthy Lifestyle Explore Diabetes Stigma What is diabetes stigma is provided by the CDC. Mental Health Explore Diabetes Stigma Explore a wide range of resources on diabetes stigma, including educational tools, personal stories, and strategies to reduce bias and improve understanding for people living with diabetes. Mental Health Explore Diabetes Stigma Basics The dStigmatize "Stigma Basics" page offers a comprehensive overview of diabetes stigma. Mental Health Explore Diabetes Stigma Resources Library The dStigmatize "Resources" page provides a curated library of articles, videos, and guides designed to help individuals, healthcare professionals, and organizations. Mental Health Explore Diabetes Stigma and Clinical Outcomes: A Review Review of prevalence, cultural factors, and impacts of diabetes stigma on management and clinical outcomes globally. Mental Health, Research Explore Diabetes Stigma and Psychosocial Outcomes in Youth A study assessing the association of diabetes-related stigma in young adults. Mental Health, Research Explore Diabetes Stigma: Understanding the Social Realities Explore how stigma affects Canadians living with diabetes. Healthy Lifestyle Explore Diabetes Supplements Let's take a closer look at some supplements that have been studied for T2D and what the science really says. Healthy Lifestyle Explore Diabetes UK Asian inspired friendly recipes Collection of recipes from Asia, suitable for diabetes. Healthy Eating Explore Diabetes UK Tips for South Asian Flavour with Diabetes Recipes inspired by Asian cuisine, adapted for diabetes dietary needs. Healthy Eating Explore Diabetes and Emotional Health: a practical guide and toolkit The ‘Diabetes and Emotional Health’ practical guide aims to support health professionals to identify, address and communicate about emotional problems during consultations with adults with type 1 and type 2 diabetes. Mental Health, Research Explore Diabetes and My Nation Prevention & Management Diabetes and My Nation initiative is a community-based health management program for T2D T2D Programs Explore Diabetes and Older Adults More than 25% of Canadians aged 65 and older have diabetes. Older adults with diabetes face significant risks. Healthy Lifestyle Explore Diabetes and Older Adults As the population ages, the number of adults aged 65 and older living with diabetes is rising, with approximately 33% of this age group affected by the condition. Healthy Lifestyle Explore Diabetes and Seniors In Canada, almost half of all people with diabetes are over 65. Healthy Lifestyle Explore Diabetes in Canada: Empowering Diverse Communities Understanding diabetes within the Canadian cultural context, particularly among those at risk, and promoting respectful, informed care. Healthy Lifestyle Explore Diabetes in Older People This research article presents a scoping review of nutritional interventions for prediabetes, analyzing 95 studies published in the past decade. Healthy Lifestyle Explore Diabetes in older adults: Risks, treatments and health habits to know Diabetes Canada provides tailored diabetes care for older adults, addressing their unique health needs through comprehensive support, medication management, fall risk assessments, and lifestyle guidance to help manage the disease effectively. Healthy Lifestyle Explore Diabetes-Related Social Stigma Social stigma among university students in Saudi Arabia. Mental Health, Research Explore Diabetes-friendly Chinese Recipes Healthy Chinese recipes adapted for diabetes dietary needs. Healthy Eating Explore Diabetes: A Caregiver's Checklist for Daily Care Assisting someone with managing their diabetes not only improves their well-being but also helps prevent common issues related to diet, feet, and mouth. Use this checklist for optimal daily care. Healthy Lifestyle Explore Dietitians of Canada Indigenous Recipes Indigenous recipes developed by Dietitians of Canada for diabetes. Healthy Eating Explore Do You Have Prediabetes? Reversing prediabetes starts here with the 1 minute test from the CDC. Healthy Lifestyle Explore Your Personalized List of T2D Information If no resources match all your filters, please try removing one or more and search again To personalize your experience, simply select one filter checkbox at a time . As you select your options, the list will automatically update with relevant resources and information based on your profile. This allows you to instantly access the most applicable content tailored to your health needs. Become a patient partner Sign up here Your voice matters. Join the T2D Network as a patient partner and help shape diabetes education, research, and care. 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Explore tips and strategies for maintaining a healthy lifestyle to manage diabetes effectively. Healthy Lifestyle Programs Use these resources to support your T2D journey and improve your health T2D Programs Physical Activity Stress & Mental Health Seniors & Caregivers Lifestyle & Prevention Programs Diabetes Canada Virtual Diabetes Education Program Newly diagnosed with Diabetes? Or looking for more diabetes support? Diabetes Canada envisions a world free of the effects of diabetes. People with diabetes can access up to date resources and programs directly, and connect with an information & referral specialist directly. https://www.diabetes.ca/ Start Now Self-management BC T2D Prevention Program Explore our diverse diabetes prevention programs designed to fit your lifestyle, including virtual group sessions, in-person workshops, and self-paced online courses. Whether you prefer interactive group settings, personal coaching, or self-guided learning, we have the right option to help you manage your health effectively. Start Now LifeStyleRx Diabetes Reversal Virtual Program Type 2 diabetes can be reversed, and this program is covered in BC, AB, and ON. A Canadian, physician-led team provides a lifestyle prescription to help reduce insulin resistance, decrease or eliminate medications, and restore normal blood sugar levels. The program is entirely virtual, with all medical sessions and consultations conducted through video calls, ensuring a safe, supervised process that allows for personalized care without travel or waiting rooms. Family doctors are kept informed as the program progresses, ensuring seamless and coordinated care. Start Now Arago Healthy Lifestyle Program Aroga Lifestyle Medicine offers evidence-based programs focusing on holistic, non-pharmaceutical treatments for chronic health conditions like diabetes, hypertension, and obesity. Their approach includes personalized care, lifestyle changes, and support through programs such as Reversal & Prevention and On-Going Monthly Care. Start Now Small Steps for Big Changes Do you want to participate? First, determine your risk of prediabetes or Type 2 diabetes by taking the program test. If you qualify, sign up for the program at your local YMCA or community organization, or join the SSBC mailing list if it's not yet available in your area. You'll get a month of access to a fitness facility and six personalized exercise and dietary coaching sessions over three weeks. Start Now BC Recreation and Parks Programs These community driven fitness programs and public activites are located at various sites in British Columbia. Start Now YMCA BC Health Management Looking for support to make healthier choices or manage your health? The YMCA offers community-based health management programs to help you achieve your healthy living goals and build confidence. Start Now Remission Possible Success Stories Explore the inspiring stories of individuals who have achieved type 2 diabetes remission by changing what they eat. They share their challenges and successes and offer hope, motivation, and practical tips to others who have type 2 diabetes. Start Now Our Directory of Diabetes programs Not finding what you're looking for? Search our directory of services located in your area that focus on Type 2 diabetes. Start Now Physical Activity & Exercise Resistance Training for Diabetic Health Resistance training, recommended 2-3 times a week by Diabetes Canada, helps improve diabetes management by building and maintaining lean muscle, burning calories at rest, and aiding in weight control. Simple resistance exercises can be done at home with items like exercise bands, dumbbells, or even household objects, offering benefits such as better blood sugar control, increased strength, and improved overall health. Start with 2 sets of 8 repetitions and gradually progress to 3 sets of 12. Start Now Learn About your Metabolic Health Take charge of your health with LifeStyleRx videos by understanding metabolism—the process of turning food into energy, growth, and repair—which is key to staying strong and healthy while avoiding metabolic diseases like obesity and diabetes. Start Now Aerobic Exercise - Tips to Get Started An aerobic exercise plan from Diabetes Canada helps improve cardiovascular fitness and is crucial for managing diabetes. The plan encourages regular aerobic activity (e.g., walking) and gradually increases frequency, intensity, and duration. It is important to exercise regularly and monitor blood sugar, as exercise may affect medication responses. The intensity of exercise is rated on a scale from 0 (rest) to 10 (maximal). Benefits of exercise include improved blood sugar control, reduced diabetes complications, and better overall health. Setting SMART goals (Specific, Measurable, Attainable, Realistic, Time-oriented) helps stay motivated and track progress. Start Now How to Stay Motivated to Move This Diabetes Canada webinar highlights that regular physical activity offers numerous benefits, including better blood sugar control, but balancing a fitness routine with a busy schedule can be difficult. Start Now Staying Healthy with Diabetes Maintaining a healthy weight is essential for controlling type 2 diabetes. Excess weight can increase insulin resistance and make blood sugar management more challenging. Set realistic weight goals and work towards achieving them through a combination of a healthy diet and regular exercise. Even a modest weight loss of 5-10% of your body weight can significantly improve blood sugar control. Start Now Inspire Health Exercise Support Inspire Health offers free personalized and group support in various areas, including stress and mental health counseling, managing treatment side effects, nutritional guidance, exercise therapy to enhance recovery, sleep and energy improvement, and balancing work, life, and relationships. As a non-profit organization, we provide free programs and services both online and at our centers located in Vancouver, Victoria, and Kelowna. Start Now Your Exercise Plan to get you Started Regular exercise plays a key role in diabetes management. Aim for at least 150 minutes of moderate-intensity aerobic activity, such as brisk walking, per week, along with strength training exercises twice a week. Exercise helps improve insulin sensitivity, lowers blood sugar levels, and supports overall cardiovascular health. Incorporate physical activity into your daily routine, finding enjoyable activities to ensure consistency. Start Now ParticipACTION Physical Activity Program Like many activities, physical exercise is more enjoyable with others. If you want to foster a sense of community through movement at your workplace, organization, or other groups, here are some programs to help you get started. Start Now Diabetes Canada - Virtual and In-person Activity Events Diabetes Canada organizes engaging and community-focused events like Lace Up for Diabetes and Glow Blue. These events promote awareness, healthy living, and fundraising for diabetes research and support. Lace Up for Diabetes encourages participants to stay active through walking or running challenges, while Glow Blue events celebrate World Diabetes Day with illuminating activities and education. These initiatives aim to inspire healthier lifestyles and foster community spirit in the fight against diabetes. Start Now YMCA BC Choose to Move Program Choose to Move is a free choice-based coaching program for inactive, older adults who are looking for support to get moving. Start Now YMCA BC Healthy Heart Program Healthy Heart is a community-based cardiac prevention, rehabilitation and maintenance program that supports people living with or at risk of developing cardiovascular disease, through education and supervised exercise Start Now Stress Management & Mental Health Support Be Part of a Group Support Join the LifestyleRx Better Community Support Group and take the first step toward a healthier, more energetic you! Connect with like-minded individuals, access expert guidance, and discover personalized strategies to improve your metabolic health. Together, we'll tackle challenges, celebrate victories, and build sustainable habits for lasting well-being. Start Now Takes Steps to Manage your Stress Stress can negatively impact blood sugar levels and overall diabetes management. Implement stress-reducing techniques such as mindfulness, meditation, yoga, or deep-breathing exercises to help manage daily stress. Establishing a balanced lifestyle with adequate sleep and relaxation can also contribute to better blood sugar control and overall well-being. Start Now Sleep and Diabetes Management Diabetes UK highlights the complex relationship between diabetes and sleep, as fluctuations in blood sugar and complications like neuropathy can disrupt sleep, making it harder for people with diabetes to get quality rest. Start Now The Power of Mindfulness in Diabetes Diabetes Canada reflects on the power of mind in diabetes management. After being diagnosed with type 2 diabetes, Suzanne Foreman turned to yoga, meditation, and journaling to manage her condition, finding these practices helped her emotionally and physically cope with the stress, while fostering self-compassion and mindfulness. Start Now Mindfulness Based Stress Reduction Techniques Discover the benefits of Mindfulness-Based Stress Reduction (MBSR) with HealthLink BC. This evidence-based program helps you calm your mind and body to manage stress, illness, and pain effectively. Learn techniques like mindfulness meditation, yoga, and body scanning to focus on the present moment, reduce anxiety, and improve overall well-being. Start Now Explore Mental Health with UBC’s Thrive 5+ UBC’s Thrive initiative offers simple, research-backed strategies to support your mental health through the Thrive 5: Move More, Sleep Soundly, Eat Well, Give Back, and Say Hi. These easy-to-implement habits promote resilience, connection, and a sense of wellbeing. Start Now BounceBack BC Emotional Support Program BounceBack® is a free program designed to help adults and youth aged 13 and up manage low mood, mild to moderate depression, anxiety, stress, or worry. Delivered online or by phone with a coach, it provides tools to support your journey to mental wellness. Start Now Help Starts Here - mental Health Support in BC HelpStartsHere is a resource platform for residents of British Columbia, offering support for mental health, substance use, and general wellbeing. It provides access to information, crisis hotlines, addiction recovery tools, low-cost counseling options, and guidance for managing stress, anxiety, and depression. Start Now Diabetes Support and Events Groups in Canada Join a free event or support group provided by Diabetes Canada to connect with others facing similar challenges; share experiences, gain encouragement, and access resources that can help you navigate your diabetes journey.. Start Now Support for Seniors & Caregivers My Heart Matters - Caregiver Support The My Heart Matters website offers valuable resources for caregivers supporting individuals with type 2 diabetes. It highlights the importance of understanding diabetes as a chronic condition and its connection to heart disease, which significantly affects those with diabetes. Start Now Diabetes Care Giving for an Older Adult HealthLink BC covers common challenges faced by caregivers, such as handling fluctuating blood sugar levels and managing the emotional and physical demands of caregiving. It encourages open communication with healthcare providers and emphasizes the importance of support networks to help caregivers. Start Now Caring For Seniors with Diabetes ComForCare offers specialized diabetes care for seniors, including medication management, meal planning, and exercise routines. Caregivers help monitor blood sugar levels, coordinate doctor appointments, and ensure medication adherence. Start Now Help Age Canada As the global population ages, there is an urgent need to remove barriers that prevent older people from leading healthy and dignified lives. Start Now North Vancouver Active Pass - Senior Discount Unlock access to hundreds of recreational offerings for one low monthly price - from fitness centre drop-ins, to public skates and swims, to fitness classes and more! All with no contract, annual fee or hidden fees. Start Now YMCA Lower Mainland - Seniors Discount The YMCA offers five locations in the lower mainland with programs aimed at promoting healthy living, social responsibility, and youth development. With fitness centers, wellness programs, child care, and educational initiatives, the YMCA provides a space for individuals and families to engage in physical activities, community support, and personal growth Start Now

Learn about tools, techniques, and best practices for monitoring blood sugar and managing medication. Managing Your T2D Medication Monitoring & Medication Insulin Device Support Activity Trackers Medication Cost & Coverage Understanding T2D Meds Monitoring & Changes Insulin Use & Support Insulin Devices Health & Activity Trackers Medication Cost and Coverage The Cost of Diabetes to You Since 2003, Diabetes Canada has tracked the out-of-pocket costs that those with diabetes pay for their medications and equipment. In 2022, the cost for managing type 2 diabetes could be up to $10,014 per year, depending on where you live in Canada. Start Now Are your Type 2 Diabetes Supplies Covered in BC In British Columbia, many diabetes-related supplies for Type 2 diabetes management, such as glucose testing strips, insulin, and certain medications, are covered under the BC PharmaCare program, particularly through the Fair PharmaCare plan. Coverage levels depend on your income and specific healthcare needs, ensuring that eligible residents have access to essential diabetes care resources. Start Now Universal Access to Diabetes Medication The Government of Canada is taking steps toward universal pharmacare by covering key diabetes medications and launching a fund to help Canadians access essential diabetes devices and supplies. Start Now What is BC Pharmacare? PharmaCare is a program in British Columbia, Canada, designed to help residents with the cost of eligible prescription drugs, medical supplies, and certain pharmacy services. The largest plan under BC PharmaCare is Fair PharmaCare, which is an income-based program. Start Now Understanding T2D Medication Understanding T2D Treatment Basics Managing type 2 diabetes means more than just medication — it includes healthy eating, staying active, regular check-ups, and sometimes taking medicine to keep blood sugar levels in check and prevent complications. Start Now Compare Type 2 Diabetes Drugs This website helps you compare 24 types of diabetes medications. It shows how each one affects blood sugar, weight, and the chance of low blood sugar. You can also try out tools to explore treatment options. Start Now Diabetes Medication Table This chart shows common diabetes medications, what they do, and how they help manage your blood sugar. It has been created by the Diabetes Educators Calgary, so some medications may differ in British Columbia. Start Now JAMA Medicine Patient Page A new JAMA Internal Medicine Patient Page offers practical guidance for people taking GLP-1 medications like semaglutide and tirzepatide. Start Now Do You Need to Talk to a Pharmacist? Pharmacists play a crucial role in your healthcare team, providing services such as treatment for minor ailments and free contraceptives. Since June 2023, over 409,000 people have benefited from these services—book an appointment or visit a pharmacy to learn more. Start Now Medication Self-management Info Medication information sheets have been developed by Diabetes Canada to give detailed insights into the various diabetes medications that patients might be prescribed. These sheets are categorized according to the different types of medications. Start Now Complementary and Alternate Medicines Some people use herbs or natural products along with their regular diabetes treatments. Always tell your doctor before starting anything new, as it may not be safe or helpful. Start Now CBD and Diabetes CBD is a chemical found in cannabis that some people use for health reasons. Right now, there isn’t enough good research to show it helps with diabetes. Start Now Medication Delivery by Pharmacies Many pharmacies in British Columbia do home or mail delivery of medications. Contact your local pharmacy to find out details. Here we give an example of Costco mail services as information. Start Now Monitoring & Changes Continuous Glucose Monitoring This guide explains what CGMs are and how they can help manage diabetes. It also gives tips on how to talk to your healthcare team or government about getting coverage for a CGM. Start Now Low Blood Sugar - Recognize & Treat Hypoglycemia or low blood sugar (low blood glucose) is when the level of glucose (sugar) in your blood drops below 4 mmol/L. Start Now Diabetes and Air Travel - Simple Tips The Air Travel and Diabetes Rights page from Diabetes Canada outlines essential guidelines for individuals with diabetes when traveling by air. It provides practical advice on managing diabetes during flights, including how to carry necessary medical supplies, address potential security concerns, and ensure proper care during air travel. Start Now Lows and Highs of Blood Sugar Levels This information sheet provided by Diabetes Canada explains the causes of low blood sugar and how to manage it. Use this step-by-step approach to better manage your blood glucose levels. Start Now Medication Adjustments for Low Carb Diet When following a low-carb diet in type 2 diabetes, making changes to your medication may be necessary to prevent low blood sugar levels. Diabetes Educators of Calgary provide you with information to better manage your diet and medications. Start Now Diabetes and Hormonal Change in Menopause The menopause can make managing diabetes more difficult due to hormonal changes that affect blood sugar levels and increase the risk of insulin resistance. It's important to check blood sugar more frequently, adjust treatments, and consider lifestyle changes like staying active and eating well to help manage both menopause symptoms and diabetes. Start Now Diabetes Risk and Your Waist Measurement Waist size is important because excess fat around the middle can lead to insulin resistance, which increases the risk of high blood glucose and type 2 diabetes. Even if your BMI is healthy, a large waist measurement can still put you at risk. A healthy waist size is under 80 cm (31.5 inches) for women and under 94 cm (37 inches) for most men. Reducing waist size involves eating well and staying active, with achievable goals and small lifestyle changes. Support from healthcare professionals and loved ones can help you stay on track. Start Now "Skinny" Type 2 Diabetes - Are Thin People at Risk? Type 2 diabetes can affect individuals of healthy weight due to factors like insulin resistance, visceral fat accumulation, non-alcoholic fatty liver disease, and genetic predispositions. Start Now The Science Behind Normal-Weight Type 2 Diabetes More people with a healthy weight are getting type 2 diabetes, especially in some communities. Researchers are still learning why and how to treat it best. Start Now Staying on Track with Day-to-Day Factors Many things can cause your blood sugar to go up or down. Knowing what affects it and how to manage these changes can help you stay healthy. - Mayo Clinic Start Now 7 Tips to Stay on Track During the Holidays Holidays can make diabetes harder to manage. Try to eat mindfully, watch your portions, and stay active. Tips from the American Diabetes Association Start Now Hypoglycemia Support Foundation Resources The Hypoglycemia Support Foundation provides support, advocacy and information about the causes, prevention and management of hypoglycemia, also known as low blood sugar. Blood sugar health is vitally important to understanding and maintaining metabolic health. Start Now Driving and Diabetes - What You Need to Know For most people living with diabetes, driving is safe, and they can maintain a valid driver’s licence. This section provides all the essential information you need about diabetes and driving. Start Now How Diabetes Can Affect Driving - Diabetes UK Learn more about hypoglycemia and diabetes complications that can affect your ability to drive safely. Start Now Vision Loss Canada Vision Loss Rehabilitation Canada (VLRC) is a not-for-profit national healthcare organization and the leading provider of rehabilitation therapy and healthcare services for individuals with vision loss. Start Now Amputee Coalition of BC Society The Amputee Coalition of BC Society is a not-for-profit society, originated and driven by amputees, dedicated to assisting people with limb loss along with their families and friends. Start Now Amputee Coalition of Canada The Amputee Coalition of Canada seeks to be the collaborative leader in Canada, connecting our communities and resources in service and support of those living with limb loss and limb differences across the nation. Start Now Insulin Use and Support Tools Are you Thinking of Starting Insulin Some people with diabetes need insulin to keep blood sugar under control and prevent serious health problems. Start Now Getting Started with Insulin This guide provides a simple step-by-step overview of how to get started with insulin, including how to use your insulin pen and give yourself an injeciton. Start Now FIT Tools - Insulin Injection These guides show the best way to give insulin shots. They were created by healthcare professionals and can be used at home or with your healthcare team. Start Now FIT Recommendations FIT gives expert advice on how to inject insulin safely and effectively for people with diabetes. Start Now Insulin Delivery Systems and Devices Tandem Insulin Pump Tandem offers around-the-clock support every day of the year to help you manage your insulin pump with confidence. Start Now Continuous Glucose Monitoring (CGM) Dexcom Dexcom Canada provides patient support services for their Dexcom G7, G6, and Clarity users, including user guides and training videos, as well as training sessions provided via video call. Start Now Flash Glucose monitor - FreeStyle Libre Abbott Abbott Canada, the provider of FreeStyle Libre devices offer free training videos and user guides on their devices as well as MyFreeStyle program that you can sign up for additional support Start Now Insulin Pumps - OmniPod Insulet Canada Insulet Canada, provider of Omnnipod insulin pumps provides patient training resources on their website, including pre-pump preparation, post pod initiation, and patient and caregiver guides. Start Now Insulin Pumps - MiniMed Medtronic Canada Medtronic Canada providers customer support for their diabetes devices, including all models of their MiniMed insulin pumps. Start Now Insulin Pump - YpsoPump YpsoMEd YpsoPump insulin pump provides an easy-to-learn pump system that connects directly with the YpsoPump App and Cloud Based digital management system Start Now How much does the Dexcom G7 cost in Canada? Available across Canadian pharmacies since late 2023, the Dexcom G7 is a sensor-based continuous glucose monitor. Start Now MyLife Diabetes Care Tools - YpsoMed Mylife Diabetescare offers support for products and services for people with diabetes. This allows users easy, discreet, and reliable self-management. With mylife Diabetescare, self-management becomes simpler and easier. Start Now CGM Healthcare Coverage in British Columbia April 2024: PharmaCare provides coverage of a continuous glucose monitor (CGM) and a flash glucose monitor (FGM) through Special Authority. Initial coverage is for 1 year. After the first year, your prescriber can request a Special Authority renewal for 5 years. You are eligible for coverage if: You are covered under one (or more) of these plans: Fair PharmaCare Plan C (Income Assistance) Plan F (At Home Program) Plan W (First Nations Health Benefits) Blood glucose testing with a CGM/FGM has been deemed medically necessary for you. Start Now Eligibility for CGM Healthcare Coverage in British Columbia Feb 2025: PharmaCare covers a continuous glucose monitor (CGM) or a flash glucose monitor (FGM) for patients who meet the following conditions: The patient has diabetes mellitus (DM) and meets the minimum age requirement For a CGM, is age 2 or older For a FGM, is age 4 or older The patient requires multiple daily injections of insulin or insulin pump therapy as part of intensive insulin therapy The patient, family, or caregiver agrees to comprehensive and age-appropriate diabetes education by an interdisciplinary diabetes healthcare team and commits to regular follow-up Start Now What are Continuous Glucose Monitors (CGMs) Continuous glucose monitors (CGMs) provide precise and useful information about blood sugar levels, helping some people with diabetes make more informed choices regarding medications, nutrition, physical activity, and overall management. As CGMs become more widely used, it’s important to know who can benefit most from them. Start Now Health and Activity Trackers mySugr Diabetes Management App mySugr is a diabetes management app designed by people with diabetes for people with diabetes. It offers personalized logging, automatic connection with Accu-Chek meters, blood glucose tracking, and features like an estimated A1c, bolus calculator, and pump control. The app helps users better manage their diabetes with easy-to-understand data and motivational challenges. Available on iOS and Android, mySugr ensures secure data handling and offers free and premium features, including detailed reports and meal tracking. Start Now FitBit Activity Tracker App While the full experience often involves a Fitbit device, the free version of the app itself offers valuable features such as tracking physical activity, sleep patterns, and setting fitness goals. It helps monitor how exercise impacts blood sugar and overall health. Start Now Yuka Food Scanner App Yuka is a mobile app designed to help users make informed food and cosmetic product choices. By scanning barcodes, it provides detailed health scores based on ingredients, nutritional value, and potential risks. The app promotes healthier choices by offering alternative suggestions and transparent product information. Available for both iOS and Android, Yuka aims to empower consumers to improve their overall well-being by making smarter, healthier purchases. Start Now Glucose Buddy App Offering a more comprehensive diabetes management system, this app tracks blood glucose, meals, medications, and exercise, with additional features like test strip delivery and a 12-week educational program. Start Now Fooducate App Known for its meal planning and nutritional tracking capabilities, Fooducate helps users make healthier food choices by scanning barcodes and providing detailed nutrition information. Start Now Carb Manager App This app helps users track carbohydrates, which is essential for people with diabetes. It allows users to log their meals, count carbs, and track blood sugar and insulin levels. Carb Manager has a huge food database and offers personalized meal plans based on diabetes-friendly diets. Start Now LifeSum App A nutrition and meal tracking app that assists with managing dietary intake, water consumption, and exercise, helping users make healthier lifestyle choices Start Now Sleep Cycle App This app helps track how well you sleep using advanced algorithms. Better sleep can help control your blood sugar Start Now Insight Timer Meditation App Insight Timer is a free meditation app that offers guided meditations, music tracks, and talks from mindfulness experts, yoga teachers, and psychologists. It provides resources for stress relief, better sleep, and personal growth, catering to beginners and experienced meditators. Start Now Calm App Calm is a leading meditation and sleep app designed to help users reduce stress, improve mental health, and achieve better sleep. Offering guided meditation, soothing soundscapes, sleep stories, and breathing exercises, Calm aims to create a peaceful environment for its users. Start Now Headspace App Headspace is another mindfulness and meditation app, helping to reduce stress, a key factor that can affect diabetes. Regular meditation can lower cortisol levels, improving insulin sensitivity and reducing the likelihood of stress-related blood sugar spikes. Start Now Lose It! App Lose It! is another popular app that offers a free version with features similar to MyFitnessPal, including food tracking and goal setting. It also has a premium version for advanced features. It’s user-friendly and provides extensive food data, making it a strong alternative. Start Now Beat Diabetes App Beat Diabetes by Virtual Health Shed offers a comprehensive program designed to help individuals manage and potentially reverse diabetes through a combination of health education, lifestyle changes, and exercise. The program emphasizes the importance of diet, physical activity, and self-care routines in controlling blood sugar levels. It provides resources to guide users through nutritional advice, workouts, and practical tips aimed at improving overall health and reducing the risks associated with diabetes. Start Now Cronometer App - Free Ver. Cronometer offers personalized insights into your diet, exercise, and health data, helping you make informed health decisions. With lab-analyzed nutrition data, you can track over 84 essential vitamins and minerals, identifying areas where your diet may need adjustments for a balanced, healthier lifestyle. Start Now Google Fit - Free Google Fit helps you track your physical activity, monitor fitness goals, and improve your overall health. It syncs with various fitness trackers and apps, providing insights into your daily steps, calories burned, and heart health. By setting personalized goals, Google Fit helps you stay motivated and on track for a healthier lifestyle. Start Now Garmin Connect - for Garmin Garmin Connect is a fitness tracking app that works with Garmin devices to help you monitor and improve your health. It tracks various metrics like heart rate, steps, sleep, and workouts, while also offering personalized insights and challenges. The app syncs data seamlessly across devices and lets you connect with a community for extra motivation. Start Now

Key Highlights: ✅ Oral GLP-1 drugs improve sugar, weight, and heart health. ✅ Canadian Ozempic generic will boost access. ✅ Tirzepatide supports strong blood sugar control and weight loss. ✅ Prediabetes can reverse without weight loss. ✅ AI tools predict risk and guide care. ✅ OTC CGMs offer real-time glucose tracking. Type 2 diabetes (T2D) remains a significant global health challenge, but recent advancements in treatment and management offer new hope for both healthcare providers and patients. This article explores the latest developments in T2D, focusing on 2025 innovations from Canada and around the world, setting the stage for 2026. Breakthrough Treatments Orforglipron: A Promising Oral Alternative Eli Lilly has announced (Oct 15, 2025) promising results from its experimental oral GLP-1 receptor agonist, orforglipron . The oral medication, orforglipron, is intended to replicate the appetite-reducing effects of the GLP-1 hormone, which is also the target of the company’s successful injectable drug tirzepatide, marketed as Mounjaro and Zepbound. In late-stage clinical trials, orforglipron demonstrated superior blood sugar control and weight loss compared to existing treatments (metformin). Patients taking the highest dose of orforglipron experienced an average A1C reduction of 2.1% and a 10.5% reduction in body weight over 72 weeks. These results position orforglipron as a potential game-changer in T2D management. Lilly plans to submit orforglipron for the treatment of T2D to global regulatory agencies in 2026, while submission for obesity treatment is set to occur by the end of 2025. Rybelsus: Expanding Cardiovascular Benefits Novo Nordisk's oral GLP-1 medication, Rybelsus , has received approval from the European Medicines Agency to include cardiovascular benefits in its label. Clinical trials have shown a 14% reduction in cardiovascular deaths, heart attacks, and strokes among patients with T2D taking Rybelsus. This approval makes Rybelsus the first GLP-1 drug - a naturally occurring gut hormone that regulates blood sugar and suppresses appetite - available in the EU for T2D with demonstrated cardiovascular benefits, potentially paving the way for FDA approval in the U.S. later in 2025. Generic Ozempic: Making Treatment More Accessible Toronto-based Vimy Pharma  is preparing to produce a Canadian-made generic version of Ozempic, aiming to make this widely used diabetes medication more affordable and accessible. Founded by former Novo Nordisk Canada executives Dave Suchon and Farris Smith, the company plans to launch the generic as the patent for Ozempic nears expiration. Ozempic, and its related drug Wegovy, contain semaglutide, which helps regulate blood sugar, support weight loss, and improve cardiovascular health. Nearly one million Canadians currently use these medications, and Vimy Pharma expects access to expand significantly once a generic is available. The company will manufacture the drug in partnership with Applied Pharmaceutical Innovation in Edmonton, with funding from Canadian investors, reflecting a new chapter in Canada’s long history of diabetes innovation. Dual-Incretin Receptor Agonists: Enhancing Glycemic Control and Weight Loss Recent developments in diabetes management have introduced dual-incretin receptor agonists , such as tirzepatide, which combine GLP-1 and GIP receptor agonism. This combination results in increased insulin secretion, decreased glucagon release, and significant weight loss, offering a promising approach for enhancing treatment outcomes in T2D patients. A recent Phase 3 tria l (published Oct 2025) demonstrated that tirzepatide reduced A1C by an average of 2.2% in children and adolescents with T2D, highlighting its potential across various age groups. Additionally, the trial reported a 7.4% reduction in BMI among participants, with 79% achieving A1C levels below 6.5% and 53% reaching levels below 5.7%, indicating remission or prediabetes levels. These findings could support tirzepatide as a potential safe and efficacious treatment option for youth-onset T2D. Once-Monthly Anti-Obesity Medication: Potential Benefits for T2D Patients A novel, dual-action anti-obesity medication, maridebart cafraglutide ( MariTide ), has shown effectiveness with once-monthly dosing in reducing weight in patients with obesity, including those with T2D. In an Amgen led Phase II clinical tria l, participants experienced up to 17% average weight loss and significant improvements in HbA1c levels over 52 weeks. This less frequent dosing schedule may improve patient adherence to treatment regimens. The trial demonstrated that MariTide led to substantial weight loss without a plateau, indicating the potential for further weight loss beyond 52 weeks. Additionally, participants with T2D achieved up to 2.2 percentage points reduction in HbA1c, highlighting the medication's efficacy in managing blood glucose levels. AI Advancements Machine Learning Framework for Therapeutic Target Discovery A novel machine learning framework integrating predictive modeling with gene-agnostic pathway mapping has been introduced to identify high-risk individuals and uncover potential therapeutic targets for T2D. This approach provides mechanistic insights without requiring direct molecular data, advancing precision medicine in diabetes care. The framework employs logistic regression and t-tests to identify critical predictors such as pregnancies, glucose levels, skin thickness, insulin, BMI, and diabetes pedigree function. When this model was used to identify key predictors of T2DM, it yielded an overall model accuracy of 78.43% . By mapping clinical predictors to biological pathways, the framework offers a comprehensive understanding of T2D pathogenesis and potential intervention points. Predicting Mortality Risk in T2D Patients Using AI Models Researchers have developed an explainable artificial intelligence model that can predict the risk of death in people with type 2 diabetes over time. They studied 554 adults with diabetes for up to 17 years, tracking who survived and who did not. The model uses ten key health factors (like age, blood sugar, body weight, and other clinical measures) to estimate a person’s risk. What makes this model special is that it’s “explainable”- it doesn’t just give a number, it shows which factors are contributing most to a person’s risk. This can help doctors understand why a patient might be at higher risk and adjust treatments or interventions accordingly. The model was very accurate, especially for predicting 5- to 15-year outcomes, and could eventually be used at the bedside to help guide personalized care for people with T2D. Lifestyle Research Lifestyle Changes Can Reverse Prediabetes Without Weight Loss A r ecent study from the German Center for Diabetes Research (Sept 2025) shows that people with prediabetes can return their blood sugar to normal levels and lower their risk of developing type 2 diabetes - even without losing weight. In the study, about 22% of participants who didn’t lose weight during a one-year lifestyle program still achieved normal glucose levels, and over a ten-year follow-up, they had a 71% lower risk of developing diabetes compared to those who stayed prediabetic. The researchers found that the key difference wasn’t overall weight, but where the body stored fat. People who went into remission stored more subcutaneous fat (under the skin), while those who didn’t remission accumulated harmful visceral (abdominal) fat. Remission was also linked to better insulin sensitivity, improved pancreatic function, and stronger responses to the hormone GLP-1. These findings suggest that focusing on normalizing blood sugar and metabolic health - not just weight loss - can be a highly effective strategy for preventing T2D. So don't focus too much on the scale - focus on the small daily changes that can lead to improved health in the long term. Product News Over-the-Counter Continuous Glucose Monitoring Becomes More Accessible Abbott's Lingo , an over-the-counter continuous glucose monitor (CGM), is now available in over 3,500 Walmart locations across the United States (Oct 2025). This marks a significant step in making advanced health technology more accessible to the general public. Previously, Lingo was only available through select online platforms. The device allows individuals to monitor their glucose levels non-invasively, providing real-time insights into their metabolic health. This development is particularly beneficial for individuals with T2D or those at risk, as it enables more proactive management of their condition without the need for prescriptions or insurance coverage. In Canada, while Abbott's FreeStyle Libre series of CGMs are widely available and covered by most provincial health plans for individuals with diabetes, the Lingo device is not yet approved for sale. Currently, Canadian consumers can purchase the Lingo biosensor directly from Abbott's official website, but it is only compatible with iPhones and is not reimbursed by insurance. This means that, unlike in the U.S., Canadians must pay out-of-pocket for the device, and its use is limited to those who have access to compatible technology. Additionally, the Lingo app is not yet available for Android devices in Canada. The introduction of Lingo in the U.S. highlights a growing trend towards consumer-accessible health technology. However, for Canadian consumers, the availability and accessibility of such devices remain limited. As the demand for non-invasive glucose monitoring tools increases, it is hoped that regulatory bodies in Canada will consider expanding access to devices like Lingo to support individuals in managing their metabolic health more effectively. A New Era in T2D Care The landscape of type 2 diabetes management is rapidly evolving, with innovations spanning medications, digital health tools, AI-driven models, and lifestyle interventions. From oral GLP-1 agonists and dual-incretin therapies to machine learning frameworks that personalize treatment, these advances are providing healthcare providers with more precise and effective ways to manage T2D. At the same time, research shows that even small, targeted lifestyle changes - such as improving blood sugar regulation without necessarily losing weight - can significantly reduce the risk of progression from prediabetes to diabetes. For patients, accessible technologies like continuous glucose monitors empower daily self-management, offering actionable insights and greater control over their health. Together, these developments signal a shift toward personalized, proactive, and accessible care, where both clinicians and individuals can make informed decisions that improve long-term outcomes and quality of life for those living with T2D. Follow us on social media and sign up for our newsletters and feature articles here

Key Highlights ✅ CGMs track glucose in real time - no finger pricks needed. ✅ Shown to improve HbA1c, time in range, and quality of life. ✅ BC PharmaCare covers CGMs only for insulin users. ✅ Non-insulin users rely on private insurance or self-pay. ✅ Wider access could cut costs and boost self-management. ✅ Providers see CGMs as valuable for education and motivation. In the evolving landscape of diabetes management, Continuous Glucose Monitoring (CGM) stands out as a pivotal advancement, particularly for individuals living with Type 2 Diabetes (T2D). Unlike traditional blood glucose meters that offer intermittent snapshots of glucose levels, CGMs provide real-time, continuous data, enabling both patients and healthcare providers to gain deeper insights into glucose fluctuations throughout the day and night. What Is Continuous Glucose Monitoring? A CGM system comprises a small sensor inserted under the skin, typically on the abdomen or upper arm, which measures glucose levels in the interstitial fluid. This sensor transmits data wirelessly to a receiver or smartphone app, displaying glucose trends and patterns. Modern CGMs, such as the Dexcom G6 and FreeStyle Libre 2, offer features like real-time alerts for high or low glucose levels, helping users take proactive steps to manage their condition. CGM Canada hosts a wealth of resources The Clinical Utility of CGMs in T2D CGMs aren’t just for people on insulin anymore. A recent Canadian review article (Aronson et al, June 2025) looked at how CGMs can help people with T2D who aren’t using insulin and found some pretty promising results. Unlike the traditional finger-prick tests, CGMs track glucose continuously, giving a fuller picture of blood sugar ups and downs. The review included eight studies with over 500 participants, about half of whom used a CGM. The results? People using CGMs saw lower HbA1c levels, spent more time in their target glucose range, and had less time with high blood sugar. Beyond the numbers, CGMs also improved the overall experience for patients and even helped reduce healthcare visits and costs. In short, CGMs are showing real value for people with T2D, whether they’re on insulin or not, giving both patients and healthcare providers more tools to manage diabetes in everyday life. Beyond glycemic control, CGMs have been associated with a decrease in hypoglycemic events and an increase in time spent within target glucose ranges. This continuous feedback loop empowers patients to make informed decisions about their diet, exercise, and medication, fostering a more active role in their diabetes management. For individuals with T2D on intensive insulin therapy, CGMs have demonstrated significant benefits. Studies indicate that initiating real-time CGM in such patients can also lead to a reduction in HbA1c levels, a key marker of long-term blood glucose control. In another Canadian study assessing the cost effectiveness of CGMs in patients with T2D who were receiving insulin and are poorly controlled, CGM was found to be cost effective compared to self-monitoring blood glucose. So why the slow adoption? Challenges in Adopting and Funding CGMs Despite their advantages, the adoption of CGMs in T2D management is not without challenges. In 2021, British Columbia was the first province to cover Dexcom G6 Continuous Glucose Monitoring System for people with type 1 and type 2 diabetes on intensive insulin therapy. Of course, criteria and eligibility need to be met as well as a lengthy approval process, but what about those who weren't using insulin? Currently, under BC Pharma Care , CGMs and flash glucose monitors (FGMs) are not routinely covered for people with T2D who are not on intensive insulin therapy. Here’s how the policy works, and why many non-insulin-treated T2D patients are currently not eligible under the publicly funded criteria. PharmaCare lists CGMs/FGMs as a benefit if you meet these key eligibility requirements : You are enrolled in one of the covered plans: Fair PharmaCare, Plan C (Income Assistance), Plan F (At Home Program), or Plan W (First Nations Health Benefits). You have diabetes mellitus and meet the device-specific minimum age (e.g., 2+ yrs for CGM, 4+ for FGM) Crucially: You require intensive insulin therapy (i.e., multiple daily insulin injections or insulin pump therapy) - this is explicitly stated as a condition. You (or your caregiver) agree to comprehensive diabetes education and regular follow-up. The device is deemed medically necessary, and the prescriber obtains a Special Authority (SA) request for coverage. If you have T2D but are not on multiple daily injections of insulin or an insulin pump, then you typically do not meet the “intensive insulin therapy” criterion - and so you’re not eligible under the current PharmaCare CGM/FGM policy. You’ll likely need to rely on private insurance plans or paying out-of-pocket if you wish to use a CGM/FGM, because the provincial benefit doesn’t cover you under your current treatment regimen. It’s worth checking your extended health benefits or workplace insurance to see if your plan covers CGMs for non-insulin T2D. The cost of CGM systems can be a significant barrier, as many devices and sensors are not covered under standard insurance plans. Even in provinces like British Columbia, where some coverage is available for individuals on intensive insulin therapy, the application process can be complex, and not all eligible individuals may be aware of the funding options. Moreover, the influx of data from CGMs can lead to information overload for some users. Without proper education and support, patients may experience alert fatigue or become overwhelmed by the constant stream of glucose readings, potentially leading to underutilization of the device. So as part of the approval process, mandatory diabetes education is required. Recognizing the importance of equitable access to diabetes management tools, in March 2025, Diabetes Canada advocated for expanded coverage and streamlined access to CGMs across the country. Their efforts aim to ensure that all individuals with T2D, regardless of socioeconomic status, have the opportunity to benefit from this technology. Perspectives from Patients and Healthcare Providers Patient Perspective : Many individuals with T2D report that CGMs have transformed their approach to managing their condition. The ability to monitor glucose levels in real-time allows for immediate corrective actions, reducing the frequency of hypoglycemic episodes and enhancing overall well-being. Patients also appreciate the convenience of reduced fingerstick testing, leading to less discomfort and a more seamless daily routine. Healthcare Provider Perspective : Healthcare professionals recognize the value of CGMs in improving patient outcomes. CGMs provide clinicians with detailed data on glucose trends, enabling more precise adjustments to treatment plans. However, providers also emphasize the need for comprehensive patient education to ensure effective use of the technology and to mitigate potential challenges such as data overload. The Future of CGMs in T2D Management As technology continues to advance, the future of CGMs in T2D management looks promising. Emerging features like predictive alerts, integration with insulin pumps, and enhanced data analytics are poised to further personalize diabetes care. Additionally, ongoing research into expanding CGM access and affordability aims to make this technology accessible to a broader population, ensuring that more individuals with T2D can benefit from its advantages. While challenges remain in the widespread adoption of CGMs for T2D, their potential to revolutionize diabetes management is undeniable. With continued advocacy, education, and support, CGMs can play a pivotal role in improving the lives of individuals living with T2D in British Columbia and beyond.

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