Guest Lecture (Wendy) Oct 10th

Question 1

Language always has meaning

Answer 1

Informed by our culture and social environments
Beyond a tool for exchanging information
Influenced by context – Who, what. where, when, why, and how

Question 2

Methodology for analyzing language in policy

Answer 2

1. what is the problem represented to be in a specific policy?
2. Where are the silences? What is not being talked about?
3. What is the effect of this representation of the ‘problem’?

Question 3

Diabetes means

Answer 3

to siphon

Question 4

mellitus means

Answer 4

sweet

Question 5

Diabetes is from

Answer 5

300 BC

Question 6

Type 1 diabetes
vs Gestational
vs Type 2 diabetes

Question 7

What is type 2 diabetes?

Answer 7

Most common type of diabetes
Impacts 462 million people around the world
Contributor to other underlying illnesses
Causes are diverse including behavioural

Question 8

Two clinical tests at different intervals indicating chronic hyperglycaemia

Answer 8

OGTT
FPG
A1c (most common

Question 9

Terms associated with type 2 diabetes

Answer 9

Preventable
Stigmatizing
Inherited
Asymptomatic
Silent
Epidemic
Non communicable
Remission
Reversal

Question 10

Study Purpose

Answer 10

Explore how we come to know, think about, and address risk

Question 11

What does patient centred mean

Answer 11

• For the good of the patient
• Thought to be the way care works from a family physician perspective

Question 12

Patient centred practice for diabetes

Answer 12

• Diagnosing pre diabetes
• Contextualizing symptoms
• Time contingent (providers don’t have time to ask what you could do for physical activity)
• Cannot make assumptions about patient knowledge
• It can be about weight
• Age as a balancing act ( providers are more likely to effect change for younger patients than older ones)

Question 13

Addressing risk for type two diabetes from patients (pre diabetes)

Answer 13

Reaching and resisting pre-diabetes (Trying to make healthy life choices) It’s difficult to make healthy lifestyle choices in or world today
Navigating and using pre-diabetes to not eat certain foods but then be treated like they have type two diabetes.
Co-existing discourses (Those with kids, those with Parkinson’s will care more about those things than tending to their risk)
What could be through family history
Attending to pre diabetes

Question 14

A critical policy analysis of risk for type 2 diabetes in federal policy in Canada

Answer 14

Framework for diabetes in Canada was released in October 2022

Purpose “ provide a common policy direction to address diabetes in Canada

Informed by stakeholders

Question 15

Data Collection

Answer 15

Explored how solutions proposed represent the problem risk for T2D
Kind of a backwards approach

Question 16

A policy framing of risk for type 2 diabetes (representation of risk for T2D

Answer 16

• Make people aware of their risk (prevention is severely under funded) We need supports for pre diabetic people
• Absence of primary care (primary care were not consulted for policy making at the federal level) They consulted provinces and territories but they did not endorse
• Individual has to change (It’s always placed on the individual: The individual has to exercise more, the individual needs to eat less and better)

Question 17

“Can” risk

Answer 17

Screening for type 2 diabetes risk

Question 18

What can we do

Answer 18

• Can policy change systems so it’s not all on the individual. We need funding on primary care workers.
• Built environment: make walking easier, make healthy food cheaper.
• Implement policies which address risk for chronic disease (eg. We could have sugary beverage tax)

Question 19

Take home notes for briefing note

Answer 19

Ensure you know context
- Be concise and specific (Don’t try to solve it all)
- Focus on understanding what the problem is
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