Tuba City Health Promotion Program
Diabetes Treatment & Prevention Services

Diabetes Prevention Program

The Tuba City Diabetes Prevention Program (DPP) is one of 36 national sites affiliated with the Indian Health Service’s Special Diabetes Program for Indians (SDPI)-funded Demonstration Projects. Our DP program has been a strong force in spreading the news of preventing diabetes and providing the tools to do so, for our community. According to the University of Colorado Coordinating Center, Denver, Colorado, we have consistently been one of the top sites in reaching a large number of adults for screening, and have enrolled a significant number of these individuals into our program. We have been able to effectively provide the laboratory screening, the Lifestyle Balance intervention, follow-up support and data acquisition, and have received strong and favorable evaluations from our participants.

The Tuba City Diabetes Prevention Program is helping people in our community learn how to prevent or delay the onset of diabetes thru health education, experiential learning methods, motivational interviewing, community health screenings, and fitness activities. The Tuba City DPP has also been responsible for initiating a system for direct communication between physicians and program participants. This has allowed the passage for our program participants to take the necessary steps in making healthier lifestyle choices at a clinical level. Given the enormity of the DPP mission, a critical ingredient to our success has been the number of partnerships formed and the amount of collaboration accomplished. We could not have succeeded alone.

The goals of the DPP are to decrease the prevalence of diabetes, improve the overall health in Native American communities, and to establish and sustain community partnerships in diabetes prevention efforts. The DPP stands by its commitment to deliver quality diabetes prevention services for Native Americans diagnosed with Pre-Diabetes and teaching these adults (18yrs & over) how to make better food choices, increase physical activity levels, and learn stress management skills. DPP also focuses on modest weight loss through health education and learning behavior change skills.

The DPP educates and creates an opportunity to build the capacity of each participant using the Lifestyle Balance Intervention, which is delivered through 16 informative, health education sessions. Each participant learns and adopts healthy lifestyle behavior changes within themselves, their family, community, and broader population. The goal and commitment to our community involves positive and innovative programming and working with participants to create a healthier, balanced, and harmonious life.


National Diabetes Month Campaign


Know the Risk Factors….

Ask yourself these questions:

  • Am I Native American?
  • Does someone in my family (a parent or sibling) have diabetes?
  • Do I weigh more than I should?
  • Did a nurse or doctor tell me that I was “borderline” or could lose some weight?
  • For women: Did I have gestational diabetes during pregnancy or delivered a baby that weighed over 9 pounds?

Know where you stand when it comes to diabetes. Risk factors increase when you answer “yes” to any of these questions. Prevention begins today!

Take the DPP Challenge….

Over 800 people in Tuba City have taken the DPP Challenge. Are you ready to take the DPP Challenge? Here are the steps:

  1. Obtain a random blood sugar reading from the DPP Staff.
  2. A lab slip will be given to you.
  3. Go to the TCRHCC Lab while fasting (no food or drinks after 10 p.m.)
  4. Once labs are complete, you will be scheduled to see a DPP Physician

Take the DPP Challenge and receive a special incentive!!


Taking the DPP Challenge will also provide you with more information on your:

  • Glucose levels
  • Cholesterol levels
  • HDL/LDL levels
  • Kidney/Liver function
  • Thyroid function

Past and current DPP participants have seen success with:

  • Weight loss between 10-25 pounds
  • Healthy cholesterol and glucose levels
  • Improved blood pressure
  • Increased fitness levels

“Before the program, I considered myself a healthy person but I was overweight, stressed and had horrible eating habits. Today, with the knowledge, encouragement and the support system from the DPP and staff, I have learned to make a healthy balance between what I eat and how to be physically active.”
- DPP Participant

So what is the best way diabetes can be prevented? Through lifestyle changes!

Whether you want to learn more about your health or just want a quick check-up, our program can help you get started. Remember, “Prevention Begins with You.”


More information about the Diabetes Prevention Program can be found at:

Diabetes Prevention Program Study

American Diabetes Association

Indian Health Service: Division of Diabetes Treatment and Prevention

Centers for American Indian & Alaskan Native Health

For Current DPP Participants:

To schedule an appointment for a Lifestyle Balance Coaching (LBC) Session or to reschedule a missed LBC lesson, contact Elena Curley, DPP Health Educator, at (928) 283-1423 or Elena.Curley@tchealth.org.