On November 21st, 2024, as Edmonton grappled with icy roads and heavy snowfall, three International Medical Graduates (IMGs) set out on a mission to bring health education to the Montana First Nation. The weather was unforgiving—roads were slippery, visibility was poor, and the cold was biting. Yet, our shared purpose carried us forward.
Dr. Romasa Joyo, Dr. Usman Adewole, and I, Dr. Aisha Ashraf, joined forces under the guidance of our facilitator, Albert Roland Alcaraz from AIMGA (Alberta International Medical Graduates Association). Dr. Joyo took the wheel that morning, navigating the treacherous conditions with determination and care, as we made our way to connect with the community and share insights about diabetes.
A Cultural Connection Through Food
Before the session, we were invited to share a traditional meal with the community. The warmth and hospitality were as nourishing as the food itself. We enjoyed a comforting mushroom soup, freshly baked sourdough bread with a flavorful garlic dip, and salty crackers. Each dish carried a story, reflecting the community’s deep connection to their land and traditions.
As we ate, the room buzzed with conversation. The participants expressed gratitude for the session and shared their hopes for future discussions on topics like osteoarthritis and hypertension.
An Interactive Session on Diabetes
The session began with Dr. Romasa Joyo offering a foundational overview of diabetes. She explained its physiology, types, and how the condition affects the body. Her approachable style made complex medical concepts easy to understand, captivating the audience. Elders and younger participants alike listened intently as she broke down Type 1 and Type 2 diabetes, and gestational diabetes (GDM), using simple yet effective analogies.
Dr. Usman Adewole followed, focusing on the causes and risk factors. He highlighted lifestyle, genetics, and environmental influences, painting a comprehensive picture of why diabetes develops. His engaging discussion prompted participants to share their experiences and ask insightful questions, such as how traditional diets and activity levels might influence their risk.
When my turn came, I spoke about the treatment and management of diabetes, screening guidelines, and its potential complications. I emphasized the importance of regular blood sugar monitoring, adopting balanced diets, and staying active, while respecting cultural and dietary practices. We explored the critical role of early screening, especially for gestational diabetes (GDM) during pregnancy, and discussed complications like neuropathy, kidney damage, and heart disease.
Together, we delved into GDM, addressing its unique challenges and long-term implications for both mother and child. Many participants found this particularly relevant, as they shared their personal stories and concerns about managing diabetes during pregnancy.
Reflections on the Journey
Driving back to Edmonton through the snowy landscape, we reflected on the day. This was more than a teaching session—it was an opportunity to listen, learn, and connect. The Montana First Nation welcomed us not just as healthcare educators but as partners in their journey toward better health.
Their engagement during the session, thoughtful questions, and desire for more interactions reaffirmed our commitment to bridging gaps in healthcare through education and collaboration.
Looking Ahead
We are deeply grateful to AIMGA for facilitating this experience and to the Montana First Nation for their trust and hospitality. We look forward to returning, bringing more health education sessions tailored to their needs. From discussions about osteoarthritis to hypertension and beyond, our mission is clear: to empower and support Indigenous communities on their path to wellness.
With every session, we hope to build not just knowledge but lasting relationships—one snowy journey at a time.
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