2013 Annual Report

stronger together ANNUAL REPORT 2013

““The The Canadian Diabetes Association has been my educator and helper since my diagnosis in 1996. The Association’s team supported me throughout my most difficult and fearful years. When I was most angry, they calmed my fears. This support and sense of community has helped me immensely as I manage the disease. Now, I can share my knowledge about staying healthy with others living with type 2 diabetes.” — CLAUDETTE LINDSAY, VOLUNTEER, DONOR AND CARIBBEAN DIABETES COMMUNITY CHAPTER MEMBER

We’re leading the fight against diabetes by helping people with diabetes live healthy lives while we work to find a cure.

ANNUAL REPORT 2013

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A Message from the Interim Chair of the Board

Leading the fight Teamwork is critical in the fight against diabetes. Members of our community share what being part of the fight against diabetes means to them.

A Unique Community Since joining the Canadian Diabetes Association, I have been struck by the remarkable combination of contributors who make up our team. We have leading health care professionals, educators, advocates, scientists and people with diabetes all actively working together as part of the Canadian Diabetes Association – something that’s unique in the world. This diversity of expertise adds enormously to the strength of the Association and our power to improve life for people living with diabetes. Many team members are volunteers, including the 120 health care professionals who contributed to our 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. This year, for the first time, they were joined on the committee by people living with diabetes. We also owe immense gratitude to our community volunteers, fundraisers, corporate supporters and generous donors, who make our work possible every day across Canada. 2012-2013 supporter highlights included:

• More than 20,000 volunteers in communities across Canada helped raise $2,318,208 for research and program support through our door-to-door community campaign. • 1,277 volunteers supported 35 Diabetes Expo community events that reached more than 7,380 people affected by diabetes. • 30 volunteers received the Queen Elizabeth II Diamond Jubilee Medal in recognition of their service to the Association. The Association’s Board of Directors mirrors the Association’s diverse community base. Coming from a variety of backgrounds, including people living with diabetes, we share a commitment to lead in governance best practices as we support our mission. In June 2013, we were proud to see these efforts recognized with the Imagine Canada Standards Program accreditation. As an Association, we are stronger together, engaging people living with and affected by diabetes, and working together with volunteers, researchers, health care professionals, donors, corporations, governments and communities to fight the impact that the tsunami of diabetes is having on our lives.

• More than 111,000 new supporters (including volunteers, fundraisers, donors and corporate supporters) from across the country were welcomed between September 1, 2012, and July 31, 2013. Suzanne Deuel Interim Chair of the Board of Directors

The Standards Programs Trustmark is a mark of Imagine Canada used under licence by the Canadian Diabetes Association.

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CANADIAN DIABETES ASSOCIATION

A Message from the Interim President and CEO

United in a Team Effort

Together With One Goal Diabetes is a relentless disease – I know that on a very personal level. The talented individuals who have helped the Canadian Diabetes Association lead the fight against diabetes over the past year bring together an extraordinary array of talents. All of the people we serve, as well as our researchers, health care professionals, and community leaders have been made stronger by engaging with this remarkable team of staff and volunteers. For people living with all types of diabetes, Association support in 2012-2013 meant gaining the knowledge and guidance to self-manage the disease through new tools, expos and new peer support networks, an innovative community pilot program called Live Well! Bien Vivre!, and travelling programs to reach high-risk First Nations populations. And for our research community, being part of the Association team meant $7.2 million in 2013 funding for 109 ground-breaking projects. Health care professionals gained updated best practices in diabetes care through our 2013 publication of the Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. It was one of the year’s highlights for the entire community.

Our 2012-2014 strategic plan continues to guide us all toward our common mission. Lead. Live. Cure. outlines a plan that touches every aspect of our organization. It includes a focus on improved productivity and efficiency, with investment in new technology and continuous development of our people. The plan’s focus on accountability and transparency saw our cost-of-fundraising ratio reduced to almost 30 per cent. In 2013, we became one of 43 Canadian charities to receive Imagine Canada Standards Program accreditation, which recognizes excellence in five areas: board governance, financial accountability and transparency, fundraising, staff management and volunteer management. None of these achievements would have been possible without the unwavering support of the Association’s dedicated staff and volunteers, passionate fundraisers and generous donors. I am inspired by their commitment and that of the people we serve. We are – and will continue to be – stronger together. In the following pages, you will learn more about the work we’re doing with members of our diabetes community in the areas of programs and services, research, professional education and advocacy to support our Lead. Live.Cure. strategic plan.

Physicians, specialists and diabetes educators were able to translate the Guidelines’ world-leading data and recommendations into tools for everyday practices, with new educational and training options for patients and professionals. New programs included professional education webinars. For advocates, the Association’s leadership, credibility and support helped bring about the announcement of government-funded insulin pump programs in Alberta and Nova Scotia.

Doug Macnamara Interim President and Chief Executive Officer

ANNUAL REPORT 2013

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Programs & Services es Lead. Live. Cure. – Stronger For The People We Serve People living with diabetes are at the heart of our 2012-2014 strategic plan – Lead. Live. Cure. To help them improve their self-management, specific goals were laid out for 2013 programs and services. Targeted outcomes included: • Improved confidence and motivation in establishing goals for self-managing diabetes. Identified in conjunction with a primary health care team, goals included developing a personal diabetes management plan and using a workbook or recording tool to keep track of food choices, carbohydrates, medications, blood-glucose test results and more. • Improved blood glucose control and A1C results. • Behavioural changes related to carbohydrate counting and food choices, regular exercise and regular blood testing. • Quality of life. Successfully matching carbohydrates and medications to activity levels for sustained high performance at work or school, with family and for leisure activities.

“Through golf, I am interested in helping the Association by educating today’s youth about diabetes.” — DAVID MARKLE, VOLUNTEER AND CANADIAN GOLF PROFESSIONAL, WHO LIVES WITH TYPE 1 DIABETES

““Working Working together we can make great strides in the prevention and self-management of type 2 diabetes. Collaboration is the basis of the unique Live Well! Bien Vivre! program and partnership. The communitybased health coach approach fits with our focus on funding grassroots initiatives that make a real difference in the lives of individuals living with diabetes.” — PATTY FAITH, MEDAVIE BLUE CROSS AND THE MEDAVIE HEALTH FOUNDATION

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““By By using proven programs in New Brunswick communities and providing health coaches for those persons most at risk, the Live Well! Bien Vivre! project will positively impact population health and decrease the associated costs of disease complications.” — DEBRA J. DICKESON, NEW BRUNSWICK DEPARTMENT OF HEALTH / MINISTèRE DE SANTé

“The Live Well! Bien Vivre! program gave me the encouragement and support to make the decision to commit to a healthy lifestyle.” — GWEN STEEVES

Working Together – Live Well! Bien Vivre! Semi-retired nurse Gwen Steeves is one of many individuals achieving healthier outcomes with help from Live Well! Bien Vivre! – a new community–based approach to preventing and managing type 2 diabetes. Gwen signed up for the program because she found it difficult to follow her diabetes management recommendations, even though her health was suffering. With the support of one of the program’s specially trained regional health coaches, Claude Vautour, Gwen made an action plan to get around the barriers to her health goals. She identified stress as a major factor, and began incorporating breathing and other exercises into her routine. After seeing health improvements, including lowered blood glucose levels, Gwen focused on her eating goals. With Claude’s support, she increased her vegetable intake from almost zero to three to five servings a day. “The program helped me find a new way of looking at things that had seemed insurmountable,” she says. Today, Gwen continues to make progress and is well on the road to successful self-management. Thanks to a collaboration between the Medavie Health Foundation, the Canadian Diabetes Association and the Government of New Brunswick, Live Well! Bien Vivre! is an outstanding example of community teamwork.

Diabetes is a life-threatening disease, with major potential complications. But with improved self-management, it can be better managed and people can live healthy, fulfilling lives.

With the help of health coaches who provide information and support, Live Well! Bien Vivre! participants can reach their diverse goals, from better diabetes self-management to realizing personal dreams.

“The Live Well! Bien Vivre! program in New Brunswick is a tremendous opportunity for people living with diabetes. The funding and expertise provided by our two partners will allow the Association to refine a new behavioural approach that combines personalized mentorship and access to local services, resulting in long-term lifestyle changes that may lead to better diabetes management.” — LISA MATTE, REGIONAL DIRECTOR, MARITIMES, CANADIAN DIABETES ASSOCIATION

ANNUAL REPORT 2013

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Programs & Services Our D-Tour program welcomed teens transitioning to adult care.

Twelve Summer D-Camps welcomed campers from across the country.

D-CAMPS

We introduced new Leadership programs in British Columbia and Alberta.

We introduced four new Family Camp programs.

D-Camps – Creating Community Alyssa Francis has been attending the Canadian Diabetes Association’s Camp Huronda since she was eight years old. She is now 11 and continues to love every minute of it. “Camp is the only place where I feel really at home away from home,” says Alyssa. “Everyone there understands what it’s like to live with type 1 diabetes.” Alyssa learned to give herself insulin injections for the first time at Camp Huronda, one of the Association’s 12 D-Camps. The experience gave her incredible confidence. When she is 16,

she hopes to become a counsellor there. “I would love to help young kids with diabetes learn to manage it the way I did,” she says. Counsellors and campers living with type 1 diabetes, together with health care professionals, create a community that really works to improve young people’s confidence and competence in better managing their diabetes. Alyssa’s mom, Moira, says, “It was the first place that as parents we could leave Alyssa and not have to worry about

her health. The fact that the camp has doctors and nurses on duty 24 hours a day allows for complete relief on my part.” D-Camps offer young kids all across the country the opportunity to spend time with other kids with type 1 diabetes. This is equally important for teens, who are moving from pediatric to adult care. Parents also gain valuable support as part of the D-Camps community of families living with diabetes.

PROGRAM MILESTONES

Online support is a hit – Diabetes information webinars will start later this year in the Prairies for people living with diabetes, following an extremely well-received pilot in Alberta and Saskatchewan in 2013.

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One hundred per cent of the pilot participants who responded to the survey strongly agreed that the webinar information was valuable and practical. The same participants were also asked to rank their preferred method of future education, choosing between face-toface, video conference and the Internet. Video conference and the Internet were the top choices.

“Camp Huronda is one of the few places where my daughter, Alyssa, doesn’t stand out for her diabetes; she stands out for the awesome kid she is!” — MOIRA FRANCIS

Based on these results, two series of webinars with multi-session curriculum for improved diabetes self-management will begin in early 2014. There will be an interactive series for people living with type 1 diabetes, and one for people living with type 2 diabetes. They will be hosted by people living with the disease, and will feature guest experts, engage participant questions and provide real-life examples people can apply to their own lives. Real people, real diabetes challenges, really practical support for improved self-management practices.

ANNUAL REPORT 2013

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Programs & Services “My “My support group helped me understand my diabetes.” — RUHINA RuHINA BHALLOO BHAllOO

Support Groups – It’s Easier Together

Travelling Diabetes Resource Program

Ruhina Bhalloo lived with diabetes for 14 years without understanding how to manage the disease. Now, thanks to the Association’s South Asian Peer Support Group, she’s finally in control.

Diabetes is three to five times more prevalent in First Nations communities. To reach this high-risk population, First Nations elders invested more than 300 volunteer hours and visited 44 communities across Saskatchewan through our Travelling Diabetes Resource Program. The program received support from the Saskatchewan Lions Groups, Cameco Corporation, and the Saskatchewan Indian Gaming Association (SIGA).

“The group is amazing,” she says. “Before I joined, my morning sugar levels were 14, but I wasn’t ready to follow my doctor’s advice to move to insulin. I didn’t understand why I needed it or what it was about.” Ruhina says the group changed everything. “The leaders helped me understand diabetes. They made me feel comfortable about insulin and they shared information about self-management.”

In 2012-2013, Association volunteers reached out to more than 1,200 First Nations people, with educational resources and motivating personal stories.

Support support groups for people with diabetes motivate and support behavioural changes and improved self-management. By bringing together members of high-risk populations, such as those of Aboriginal, Hispanic, Asian, South south Asian, or African descent, we help them learn from each other.

She says she used to think medication was the only thing that counted, but now she’s much better informed and has made healthy eating changes. The results say it all for Ruhina: “My morning sugar levels are down to seven. They are finally behaving!”

More Effective Together PROGRAM Program MILESTONES milestones (CONTINUED) (ContinUeD)

• Are You at Risk? This cross-Canada public awareness initiative employed a questionnaire to raise awareness of diabetes risk factors and screening. • More than 650 volunteers were trained and ready to deliver Learning Series presentations to individuals and groups in workplaces and community settings.

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CANADIAN Canadian DIABETES diabetes ASSOCIATION assoCiation

• Four new Family Camp programs were introduced; 12 Summer D-Camps welcomed almost 1,400 campers; our D-Tour program saw 70 teen participants transitioning to adult care; new Leadership programs in British Columbia and Alberta welcomed 60 teen participants; D-Camps Facebook groups launched.

• More than 100 Greater Toronto Area (GTA) community diabetes chapter meetings and events were held in 2013, including four expos with more than 2,000 participants. New community chapters included the University of Toronto, Iranian, South Asian and Brampton, bringing the GTA total to 13.

MORE THAN

135,000

people attended more than 1,000

Canadian Diabetes Association expos, health fairs, presentations and information sessions held across Canada in the past year.

Corporate Partnership – 10th Annual Aboriginal Gathering The North West Company Prince Albert, Saskatchewan, was the site of this important day-long conference in The North West Company has been an Association partner for many years and, through their Northern Stores and NorthMart brands, has partnered with the Canadian Diabetes Association to deliver community-run events and healthy food recipes in more than 30 northern communities. The North West Company and the Association continue to work on the development of this program that will eventually be made available in all 133 northern communities in which the company works. “At The North West Company we are committed to promoting healthy living because we recognize that many diseases, like diabetes, can be significantly reduced or managed through better nutrition and increased physical activity,” says Edward S. Kennedy, President and CEO, The North West Company.

May 2013 that focused on diabetes awareness, healthy living and managing or preventing diabetes among this high-risk population. More than 300 people attended, including Patrina Nanaquwetung; many came from distant communities. Patrina Nanaquwetung’s family history includes diabetes. She lives with prediabetes, and developed gestational diabetes during her pregnancies. Patrina wanted to attend the gathering to learn more about the disease and how she could start to make small changes in her lifestyle now to try and prevent or delay the onset of diabetes. “I found the Aboriginal Gathering so useful,” she says. “There is a sense in my community that everyone will get diabetes and you will become very sick. It was great to see that people want to learn more about diabetes, and find out what they can do to be healthier.” Here’s what Patrina learned: “I knew that pop was bad for you before, but didn’t realize just how bad and how much sugar there is in it. Since the gathering we have all cut back on pop and are trying to drink more mineral or flavoured water instead. “I am more aware of my high blood pressure since the gathering. I get it tested on a regular basis now. “I am more aware of my risk of diabetes and the importance of being screened regularly for diabetes to try to get it detected early to help minimize complications in the long run.” The Canadian Diabetes Association is grateful for the support it receives from companies across the country. Whether hosting an event, encouraging employee volunteerism or providing much-needed financial support, you make a significant impact on the lives of more than nine million Canadians living with diabetes or prediabetes.

FUTURE GOALS

• We are conducting an inventory of food skills programs in New Brunswick to see what is available and to provide support where it’s needed.

• We will grow year-round programming and support for our extended D-Camps families with new Family Camp programs and an expanded D-Tour program for teens.

• Our telephone-based peer support pilot program will enhance the social and emotional support networks that help people manage and live well with their diabetes.

• We are adding new community diabetes chapters in the GTA, including Ryerson University, Italian and African groups. With our partner, Self-Help Resource Centre, training will be provided for volunteers to start and facilitate groups.

• Enhanced collaboration with Loblaw Companies Ltd., The North West Company, major employers and more to enhance the Canadian Diabetes Association’s support for people living with diabetes and their ability to self-manage the disease.

ANNUAL REPORT 2013

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Research How Do You Fight Diabetes? Dr. Jill Hamilton gained personal experience of type 2 diabetes during her medical training, as she helped her grandfather learn to self-manage the disease. Keen to make a difference earlier in people’s lives, she joined the division of endocrinology at Toronto’s Hospital for Sick Children (SickKids). Today, Dr. Hamilton builds on these two experiences as she leads an Associationfunded team that’s shedding light on why some babies may be at greater risk for obesity and diabetes later in life. The ground-breaking study is entitled Epigenetic Changes in DNA of Infants Exposed to Gestational Diabetes in Utero. It is based on the notion that being exposed to a mother’s blood glucose (sugar) during pregnancy might cause

changes in how a baby’s DNA is turned on or off, changing how blood glucose and insulin are regulated. “I am seeing children in my practice who are developing type 2 diabetes at an increasingly early age,” says Dr. Hamilton, who is also a senior associate scientist at the Research Institute at The Hospital for Sick Children, and an associate professor at the University of Toronto. “By gaining a better understanding of the patterns of genes that are turned on or off and the relationship to pathways affecting glucose metabolism, we will have a deeper understanding of why gestational diabetes increases this risk in babies. This information will let us develop more intervention opportunities to cut risks and promote healthy living for children and adults too.”

Association-funded research teams are at the heart of the fight against diabetes, and are the cornerstone of support for people living with the disease. Since the establishment of the Charles H. Best Research Fund in 1975, the Association has invested more than $120 million in research grants and awards.

Dr. Jill Hamilton and members of her research team 10


1975

2013 more than

$120 million invested in research grants and awards

As a leading supporter of diabetes research in Canada, each year the Canadian Diabetes Association funds Canada’s most renowned scientists and clinicians, like those featured this year. Their interests are diverse, but their goals are the same – to improve the lives of people living with diabetes and to find a cure. We applaud all the scientists on our team for their inspired achievements, and thank our generous supporters for making their work possible.

“With better understanding of how gestational diabetes affects babies during development, we can really alter the potential of a child’s risk of later-life diabetes.” — DR. JILL HAMILTON, MD, FRCPC, ENDOCRINOLOGIST, THE HOSPITAL FOR SICK CHILDREN

““We’ve We’ve known for some time that type 2 diabetes is caused by a combination of genetic and behavioural factors. We concentrated a lot of energy on addressing behaviour because we thought the genes were set in stone. Dr. Hamilton’s research turns that notion on its ear, showing that the genetic risk of the disease is not only based on fixed DNA sequences but on changes to genes due to environmental exposure in utero. The Association is delighted to be able to support the work of researchers like Dr. Hamilton and many others who not only have the discipline and dedication to move science forward in logical incremental steps, but also the courage and audacity to make a big leap forward in our understanding.” — DR. JAN HUX, CHIEF SCIENTIFIC ADVISOR, CANADIAN DIABETES ASSOCIATION

Dr. Jan Hux ANNUAL REPORT 2013

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Research 21 new operating grants 15 new personnel awards

$7.2 million

Funding 73 ongoing projects

toward research funding

Team Focuses on Whole Family Diabetes Prevention

Could Aboriginal Comminity Control Cut Diabetes Rates?

Re-growing Nerves to Reverse Hand and Foot Damage

Families often share lifestyle habits. If a mother has gestational diabetes, could her child and its father be at increased risk of type 2 diabetes? Could improved habits reduce the risk?

Many First Nations communities have higher rates of diabetes, yet some communities seem to be protected. Led by Dr. Ellen Toth of the University of Alberta, a team is examining whether this protection may be due to a community’s degree of control over their way of life, including maintaining traditional values.

Diabetic neuropathy is a common complication that involves damage to nerves in the hands and feet.

Dr. Kaberi Dasgupta and her team from the Research Institute of McGill University Health Centre will analyse three Quebec databases to try to answer these important questions in a study entitled Gestational Diabetes – A Diabetes Risk Indicator in Father and Child? The results could lead to diabetes prevention methods that focus on the entire family.

Entitled Diabetes and Self-Determination in Alberta Communities, this compelling study will assess whether greater control by a community or nation over its members is related to lower diabetes rates. If so, communities may be able to use this information to protect their members’ health.

In a study entitled Diabetes and Skin Sensation, Dr. Douglas Zochodne and his team at the University of Calgary have found that very low levels of insulin can help skin nerve fibres re-grow. They are investigating whether re-growth, as a result of insulin and other growth factors in the body, can help improve numbness and wound healing. These findings could result in new ways to stop or reverse diabetic neuropathy.

RESEARCH MILESTONES

Dr. Ellen Toth Dr. Kaberi Dasgupta

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Dr. Douglas Zochodne

In 2013, 21 new operating grants and 15 new personnel awards were added to our 73 ongoing funded projects, for a total investment of $7.2 million toward research funding. Funded areas included genetics, obesity, complications, pathophysiology, prevention and management, and the search for new treatments.

Our Diabetes Educator Section Celebrates 40 Years! The Diabetes Educator Section (DES) is a multidisciplinary professional section of the Canadian Diabetes Association. It leads, advocates for and supports excellence in diabetes education for health care professionals and people living with diabetes. The section started in 1972, when educators from the Tri-Hospital Education Centre invited fellow dietitians, nurses and social workers to meet once a month for lunch and to hear speakers and exchange ideas. The group was named The Association of Diabetes Educators. In 1974, a steering committee chaired by Isabel Lockerbie launched the Professional Health Workers Section (PHWS). It was renamed the Diabetes Educator Section (DES) of the Canadian Diabetes Association in 1987. DES gained early renown for the high standards it set within the diabetes community. In 1980, the section published the first Standards and Guidelines for Diabetes Education in Canada. Today, the section’s many important contributions include the leadership of the annual Canadian Diabetes Association/ Canadian Society of Endocrinology and Metabolism (CDA/CSEM) professional conference, and the management of the Standards Recognition Program and The Diabetes Communicator newsletter for DES members.

Timeline 1953: Canadian Diabetes Association is established. 1973: The Association of Diabetes Educators is formed. 1974: The first Annual General Meeting and Conference is held in Orillia, Ont. The Professional Health Workers Section (PHWS) is conceived by a steering committee chaired by Isabel Lockerbie. 1976: The first issue of Beta Release is published. 1983: Membership reaches 753 members. 1987: The PHWS name is changed to the Diabetes Educator Section. 1988: First edition of the Diabetes Quarterly is published. 1992: The first Canadian Diabetes Association Clinical Practice Guidelines are published. 1993: Beta Release changes its name to the Canadian Journal of Diabetes Care, and the first joint meeting of DES and C&SS is held.

2013: A joint vascular conference will bring together delegates from the Canadian Cardiovascular Congress, the Canadian Diabetes Association/Canadian Society of Endocrinology & Metabolism Professional Conference, the Canadian Stroke Congress and the Canadian Hypertension Congress. The fifth edition of the Canadian Diabetes Association Clinical Practice Guidelines are published and the Canadian Journal of Diabetes becomes indexed in MEDLINE. 2006: Diabetes Quarterly changes its name to The Diabetes Communicator. 2002: The members-only section of the Canadian Diabetes Association website is launched. The Canadian Journal of Diabetes Care changes its name to Canadian Journal of Diabetes. 1997: The first joint DES and C&SS Conference and Annual General Meeting is held in London, Ont.

DES events feature guest speakers, award presentations and local cultural celebrations.

FUTURE GOALS

In fall 2013, the Association will present a new research strategic plan to the Association’s Board of Directors. This will outline our plans to measure the impact of all types of diabetes research, including foundational, clinical, population and health, and health services research. The Association team will then begin working on a comprehensive research impact report.

ANNUAL REPORT 2013

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National Diabetes Trust & Clothesline

®

It’s Win-Win For The Whole Team Diabetes is a disease Meagan Abbott knew about while growing up, thanks to educational programs in her school and local events put on by the Canadian Diabetes Association. However, it became personal three years ago when she was diagnosed with type 1 diabetes at the age of 24. “It was quite a surprise at that age. No one in my family has type 1, though my grandfather has type 2,” she says. The Canadian Diabetes Association website was her “go-to tool.” She found tips, information, recipes and articles that helped her adjust to the diagnosis and deal with it positively and hopefully. But she didn’t stop there. “When the reality settled in, I set out to find some way that I could contribute to diabetes research and bring us closer to a cure,” she says. Meagan recalled seeing Clothesline bins in Calgary, and decided to introduce the program to Fort McMurray, Alta., which she now calls home. “I want to be a part of the cure, to speed it up if I can,” she says. “Clothesline is a great way to get involved!”

Meagan put together a team of five volunteers (along with their spouses) who spend a few hours each week moving bags of used clothing from the Clothesline bin to a storage unit. “Every one of them can name a close friend or family member with either type 1 or 2,” she says. “It’s incredible how many people are touched by this disease.” Just as incredible is the community’s response. “We empty the bin daily and each day it is full,” says Meagan, who started the program in November 2011, and has raised more than $17,000.

Clothesline thanks partners like the Regional Municipality of Halton in Ontario for providing an annual Non-Profit Diversion Credit for Reuse Subsidy. Each year in Halton Region, Clothesline diverts approximately one million kilograms of clothing and household items from landfill. This translates into a savings of 16 million kWh of energy and reduces our donors’ carbon footprint by 2.2 million kilograms of CO2 emissions. This energy savings is enough to power more than a thousand households for an entire year.

Raising funds and awareness about diabetes has become Meagan’s passion: she and a friend hosted a fundraising party last summer, and this fall, she will be participating in her first Freedom Run event. “My goal is to raise as much funds as possible for diabetes research. It’s also exciting to meet other people who have a similar passion for the cause!”

Fill A Truck grand prize winner Stephanie Snyder

MILESTONES

• Clothesline collected 48 million kilograms of donated clothing, small household items and electronics in 2012. • Diversion of these items from Canadian landfill reduced the carbon footprint of our donors by 120 million kilograms of CO2 emissions. This energy savings is equivalent to driving a compact car around the globe 43,000 times, planting 8.6 million trees or providing power to 49,000 households for an entire year.

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• Clothesline has been recognized and commended by the Federal Ministry of the Environment since 2009 for giving Canadians environmentally responsible ways to donate that help to improve the lives of Canadians with diabetes or prediabetes. • Clothesline visited two million Canadians in the past year, providing free pick-up of clothing, and household and electronic items. New donation bins were added in many communities for a total of 2,030 bins across the country.

“I set out to find some way that I could contribute to diabetes research. Clothesline is a great way to get involved.” — MEAGAN ABBOTT

Clothesline visits

2 million households a year,

picking up donations of gently used clothing, small household items and electronics. These donations translate into funding that goes toward the Association’s research, education and advocacy programs. Across Canada in municipalities like Halton Region, the Canadian Diabetes Association is leading the fight against diabetes by helping people with diabetes live healthy lives while we work to find a cure. This fight is made possible in part through strong alliances and through the generosity of partners, such as the Regional Municipality of Halton. Specifically, the Association is supported annually through Halton Region’s Non-Profit Diversion Credit for Reuse Subsidy. Each year in Halton Region, Clothesline diverts approximately one million kilograms of clothing and household items from landfill. This translates into a savings of 16 million kWh of energy and reduces our donors’ carbon footprint by 2.2 million kilograms of CO2 emissions. This energy savings is enough to power more than a thousand households for an entire year. When donating to Clothesline, you are not only helping the more than nine million Canadians living with diabetes or prediabetes, but also helping the environment.

FUTURE GOALS

• Clothesline’s In The Bag program added more school involvement and participation from community organizations like Lions Clubs. This innovative program continues to provide schools with an educational vehicle to raise funds that support school programs and events, while helping the Association preserve the environment and improve the lives of Canadians living with diabetes.

• Clothesline customer service agents spoke to more than 10 million Canadians in the past year. Campaigns such as the third annual Fill A Truck event in May 2013 emphasized the grassroots nature of Clothesline, with 75 individual community events held on one day from coast-to-coast.

In 2014, a National Clothesline fleet rebrand will be phased in. Events will be held in 2014 to lead up to the program’s 30th anniversary in 2015. As part of the National Diabetes Trust, Clothesline is committed to reducing costs and adding new revenue streams to make responsible use of donor dollars. Our donors make an extraordinary contribution to our worldleading diabetes research, education and advocacy in the drive to find a cure.

ANNUAL REPORT 2013

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Professional Education Together For Diabetes Control The publication in April of the Canadian Diabetes Association 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada was one of the highlights of the past year for the entire diabetes community. The Guidelines represent the best and most current evidencebased clinical practice data for health care professionals. They have been rated as among the best in the world, and support the Association’s status as a global leader in diabetes care, management and prevention. But behind their impressive credentials, Dr. Alice Cheng, chair of the 2013 Guidelines, describes simple goals and down-toearth healthy outcomes. She shares the story of one of her patients, who arrived for an appointment with an article torn from a Chinese language newspaper. He explained that he wanted Dr. Cheng to see the Guideline’s new A.B.C.D.E.S. recommendations in the article. Unknown to the patient, the physician interviewed in the article was Dr. Cheng herself, using her Chinese name.

“We’re translating information into ways that the patient and health care provider can share.” — DR. ALICE CHENG, CHAIR, 2013 CLINICAL PRACTICE GUIDELINES

MILESTONES

• The 2013 Clinical Practice Guidelines messages reached Canadians all across the country and in a variety of languages thanks to media coverage in national, regional, local and ethnic media with their publication in April. • More than 75 Continuing Medical Education (CME) events for family physicians were held across Canada to educate them about implementing the 2013 Guidelines recommendations to improve the quality of care for people living with diabetes.

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• Self-Monitoring of Blood Glucose (SMBG) tools for people living with diabetes and health care professionals were introduced. • A range of professional physical activity workshops and counselling sessions were introduced in partnership with the Lawson Foundation. More than 2,000 diabetes educators across Canada have been trained.

more than

2,300 delegates attended the 2012 conference IN SURVEY FEEDBACK

more than 95% Dr. Cheng says it was so satisfying to see her patient taking control of his diabetes. “For every individual like him, there are many more,” she says. They are sharing knowledge with their primary health care providers and diabetes educators in ways that weren’t possible before.” Funding for the development of the Guidelines was provided by Novo Nordisk Canada Inc., Eli Lilly Canada Inc., Merck Canada Inc., Bristol-Myers Squibb and AstraZeneca, and Novartis Pharmaceuticals Canada Inc.

more than 81%

more than 92%

they would ✓ said the quality ✓ said it met their ✓ said professional needs recommend the of the conference conference to colleagues

was above average or excellent

15th Annual Canadian Diabetes Association/ Canadian Society of Endocrinology and Metabolism (CDA/CSEM) Professional Conference and Annual Meetings

Funding for dissemination and implementation was provided by Janssen Inc., Novo Nordisk Canada Inc., Boehringer Ingelheim Canada /Eli Lilly Canada Alliance, Sanofi Canada, Bristol-Myers Squibb and AstraZeneca, Merck Canada Inc., Takeda Canada Inc., and MEDEC (Diabetes Committee). The Canadian Diabetes Association thanks these organizations and our generous donors for their commitment to diabetes in Canada.

FUTURE GOALS 2013 Guidelines dissemination and implementation will continue

over the next two years. Interactive decision-support tools and team-based workshops for diabetes health care providers will simplify assessment and personalize diabetes management and care. The goal: fewer complications and fewer barriers to care for people living with diabetes, who will be able to work with their health care providers using updated tools as a part of individualized diabetes education sessions.

Dr. Catherine Yu, Chair, 2013 Clinical Practice Guidelines Dissemination and Implementation Committee

Vascular 2013: Coming Together for Vascular Health The CDA/CSEM Professional Conference will join forces with the Canadian Cardiovascular Congress, the Canadian Stroke Congress, Hypertension Canada Congress, and the Heart and Stroke Foundation in Montreal in October. People with diabetes are at high risk of heart and stroke disease. The potential benefits for our community are enormous. This event is an opportunity for community building and knowledge exchange.

ANNUAL REPORT 2013

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Advocacy The Diabetes Charter For Canada This grassroots initiative will serve as an important advocacy tool for the Association. The Charter will provide all levels of government with a standard of equity to ensure that people living with diabetes have comparable access to diabetes care, programs and services, medications, devices, education and other supports. These standards will provide indicators to assess governments’ performance in providing care for people living with diabetes. The charter will be a guide for individuals and the Association to advocate on behalf of all people living with the disease, and enhance the accountability of governments and service providers to people whose lives are affected by diabetes. The Diabetes Charter is being developed through: • A literature review and environmental scan of international and national charters • A panel from the diabetes community, including people living with the disease, caregivers and health care providers • An expert advisory committee • Four consultative workshops and a survey of people living with diabetes, health care providers, government representatives and other health charities, who helped develop draft content by identifying key expectations and obligations, and indicators to measure progress in diabetes care • Canadian Diabetes Association Board and Executive Leadership Team dialogue

Strengthening Skills Through Training Empowering advocates to confidently engage with government officials, key policy makers, and the media is the cornerstone of our success. 2012-2013 training initiatives included: • Social media training was offered to Association advocates in regions across Canada for the first time • Saskatchewan volunteer training days to prepare for the November 2012 Diabetes Day in the Legislature • Volunteers in both British Columbia and Nova Scotia received advocate training to prepare for elections in these provinces in 2013. Volunteers in Ontario also received this training in anticipation of a forthcoming election in this province as well.

Through listening to this input from valuable stakeholders, we will be stronger together in our advocacy work.

Nova Scotia student Avery Bussey attended the government’s announcement of a publicly funded insulin pump program in the province.

MILESTONES

FUTURE GOALS

• A $5-million commitment was made by the Alberta government for a publicly funded insulin pump program.

• Advocate to governments to follow the new Diabetes Charter to ensure accountability to people living with diabetes by providing the support they need to manage their disease.

• An insulin pump program investment of $5.3 million a year was pledged by the Nova Scotia government. • During the 2013 election campaign in British Columbia, more than 700 letters highlighting the needs of people living with diabetes were sent by diabetes advocates to Member of the Legislative Assembly (MLA) candidates.

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• Provide patient input to government bodies reviewing diabetes medications for listing on drug plan formularies. We will ensure these important decisions consider the real-life experiences of people living with diabetes.

Many Voices As One British Columbia resident and volunteer, Tanyss Christie, doesn’t have to look far to know who she is fighting for in the battle against diabetes. After living with type 1 diabetes for almost 30 years, she now advocates passionately on behalf of her five-year-old daughter, Avery, who was diagnosed with the disease at 22 months old, as well as other children and families with diabetes. Tanyss says the cost burden of diabetes on families in B.C. is tremendous. “Insulin pump assistance therapy ends at 18 years old here,” says Tanyss. “This is such a trying financial stage for young adults, and the cost of a replacement pump can be $7,000 or more. Not being able to continue with insulin pumps can result in poor health outcomes and higher long-term costs. It doesn’t make sense.” In Canada, government coverage of diabetes medications, devices and supplies varies across provinces, leaving people living with diabetes to assume the burden of some costs for these supports. As part of her advocacy efforts in the past year, Tanyss addressed Members of the Legislative Assembly (MLAs) in

Victoria, B.C., and plans to continue the fight for expanded insulin pump funding and for consistency of care across Canada. “It’s not a disease where you can just take a pill and it will get better,” says Tanyss. “Diabetes is not going away. Everyone needs to get on board.” Tanyss is one of the many inspired advocates who is helping define the Canadian Diabetes Association as the voice of people living with diabetes. Years of dedicated efforts by our Alberta and Nova Scotia advocates paid off in 2013 with the announcement of publicly funded insulin pump programs in both provinces. This success follows new insulin pump programs in 2012 in Manitoba and New Brunswick. P.E.I. remains the sole province without a provincially supported program. The government recently passed a unanimous motion in the house calling for a Diabetes Action Plan. This included the call for an insulin pump program. Expectations are high that we will see this priority achieved within the year.

“I’m fighting for my daughter, Avery, and all young children with diabetes because they deserve a healthy and carefree future.” — TANYSS CHRISTIE

• Work on a government insulin pump program in P.E.I. • Raise awareness about the challenges faced by kids with diabetes in school, and their families with a national Kids in School campaign. Association staff and volunteers will advocate for provinces to establish a comprehensive policy that ensures students with diabetes can participate fully in all aspects of school life.

Complications account for more than 80 per cent of diabetes costs. These could be reduced if Canada had a more comprehensive strategy for people living with diabetes that’s aimed at reducing the severity of disease, including delaying or avoiding diabetes complications. Dedicated advocates, such as Colin Mallet and Nel Peach (who was awarded a Queen Elizabeth II Diamond Jubilee Medal in 2013 for her service to the Association), support the fight against diabetes.

ANNUAL REPORT 2013

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Board of Directors

Executive Team

Suzanne Deuel Interim Chair and Secretary

Doug Macnamara Interim President and Chief Executive Officer

David Butler Jan Cochrane Maureen Kotopski Ram Krishna Donald D. Mann, Past Chair Jim Newton Dr. Jay Silverberg Michael Swartz

Walter Kurz Chief Financial Officer and Vice President, Shared Services Jovita Sundaramoorthy Vice President, Research and Education Mapy Villaudy Vice President, Fund Development and Marketing Dr. Jan Hux Chief Scientific Advisor

Nigel Carpenter Chief Information Officer Aileen Leo Executive Director, Government Relations and Public Affairs Jim Casey Executive Director, Field Operations Andrew Young Acting Executive Director, Programs, Services and Partnerships Janelle Robertson General Manager, National Diabetes Trust

Kelvin Tran Dr. Bruce Verchere

Council of Regions Members PACIFIC AREA

Fraser Valley Dr. Parmjit Sohal Vancouver Coastal Colin Mallet Northern British Columbia and Yukon Richard LeFebvre

Manitoba and Nunavut Karen Omichinski Northern Saskatchewan Peter Dickinson Southern Saskatchewan Clinton Davies, Georgia Joorisity ONTARIO AREA

North West Ontario Mark Gleeson (replaced John Trevisanutto) South East Ontario Jim Young Eastern Ontario Tom Herbert

Vancouver Island Chuck Pusateri

Central East Ontario Glen Heatherington

South West Ontario Susan Harris

Interior British Columbia Nel Peach

Central South Ontario Michael Swartz

ATLANTIC AREA

PRAIRIES AREA

Central West Ontario Johanne Fortier

Northern Alberta and Northwest Territories Farah Ahmad Southern Alberta Philip Bobawsky (replaced Doug Macnamara)

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Greater Toronto Diana Provenzano North East Ontario Franca Cavaliere, Laura Fryia

Nova Scotia Brian Wentzell New Brunswick Roxanne Watson Prince Edward Island Wendy-Sue DeBoer Newfoundland and Labrador Dawn Gallant

Financials 2013 Canadian Diabetes Association Financial Summary CANADIAN DIABETES ASSOCIATION Revenue Pie Charts

REVENUE BY SOURCE

SUPPORT FROM THE PUBLIC BY SOURCE

HOW THE FUNDS ARE USED

ANNUAL REPORT 2013

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Financials Report of the Independent Auditor on the Summary Financial Statements To the Members of Canadian Diabetes Association The accompanying summary financial statements, which comprise the summary statements of financial position as at August 31, 2013, August 31, 2012, and September 1, 2011, the summary statements of revenue and expenses for the years ended August 31, 2013, and August 31, 2012, and the related note, are derived from the audited financial statements of Canadian Diabetes Association (the “Association”) for the years ended August 31, 2013 and August 31, 2012. We expressed a qualified audit opinion on those financial statements in our report dated October 10, 2013. The summary financial statements do not contain all the disclosures required by Canadian generally accepted accounting principles. Reading the summary financial statements, therefore, is not a substitute for reading the audited financial statements of the Association.

MANAGEMENT’S RESPONSIBILITY FOR THE SUMMARY FINANCIAL STATEMENTS Management is responsible for the preparation of a summary of the audited financial statements in accordance with the basis described in Note 1 to the summary financial statements. AUDITOR’S RESPONSIBILITY Our responsibility is to express an opinion on the summary financial statements based on our procedures, which were conducted in accordance with Canadian Auditing Standard (“CAS”) 810, “Engagements to Report on Summary Financial Statements.”

OPINION In our opinion, the summary financial statements derived from the audited financial statements of the Association for the years ended August 31, 2013 and August 31, 2012 present a fair summary of those financial statements on the basis described in Note 1. However, the summary financial statements are impacted, to the same extent as the audited financial statements, by the possible effects of the limitation in scope of our audit of the audited financial statements of the Association for the years ended August 31, 2013 and August 31, 2012. Our qualified opinion on the audited financial statements is described in our report dated October 10, 2013, and indicated that the Association, in common with many not-for-profit organizations, derives revenue from donations and fundraising activities, the completeness of which is not susceptible to satisfactory audit verification. Accordingly, verification of these revenues was limited to the amounts recorded in the records of the Association and we were not able to determine whether any adjustments might be necessary to individual giving and direct marketing, and events revenue, excess of revenue over expenses, and cash flows from operations for the years ended August 31, 2013 and 2012, and current assets and fund balances as at August 31, 2013, August 31, 2012 and September 1, 2011. Our qualified opinion states that, except for the possible effects of the described matter, those financial statements present fairly, in all material respects, the financial position of the Association as at August 31, 2013, August 31, 2012 and September 1, 2011, and the results of its operations and its cash flows for the years ended August 31, 2013 and August 31, 2012 in accordance with Canadian accounting standards for not-for-profit organizations.

Chartered Professional Accountants, Chartered Accountants Licensed Public Accountants October 10, 2013

SUMMARY FINANCIAL STATEMENTS

Summary statements of financial position as at August 31, 2013, August 31, 2012 and September 1, 2011 (In thousands of dollars)

August 31, 2013

August 31, 2012

September 1, 2011

$

$

$

Assets Cash and investments Restricted cash and investments Capital assets Other assets Amount due from National Diabetes Trust

14,216 4,746 3,513 3,620 3,619

16,743 5,401 1,628 3,943 2,854

16,975 5,083 2,238 6,214 -

Total assets

29,714

30,569

30,510

4,503 5,271 7,747 2,138

3,733 5,429 10,068 1,867

4,658 5,103 11,170 2,220

Total liabilities

19,659

21,097

23,151

Fund balances

10,055

9,472

7,359

Total liabilities and fund balances

29,714

30,569

30,510

Liabilities and fund balances Accounts payable and accrued liabilities Research grants and personnel awards payable Deferred revenue Other liabilities

The above information has been extracted and summarized from the complete 2013 audited financial statements.

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SUMMARY FINANCIAL STATEMENTS

Summary statements of revenue and expenses years ended August 31, 2013 and August 31, 2012 (In thousands of dollars)

Revenue Support from the public Individual giving and direct marketing Income from National Diabetes Trust Bequests Corporate giving Events Gaming Car recycling Clothesline operations Government health programs Services Support from other charities and charitable foundations Administrative services and interest - National Diabetes Trust Government grants Other income

Expenses Programs Services Research Government health programs Support Fundraising Administration

Excess of revenue over expenses for the year

2013

2012

$

$

10,213 8,859 8,103 5,794 4,287 190 62 -

10,698 5,873 6,558 6,280 3,993 225 97 11,454

37,508 4,868 3,563 2,558 1,348 1,107 795

45,178 7,749 4,571 2,535 799 1,359 1,426

51,747

63,617

20,942 7,160 4,902

21,724 7,099 7,776

33,004

36,599

12,208 6,000

20,625 5,433

18,208

26,058

51,212

62,657

535

960

The above information has been extracted and summarized from the complete 2013 audited financial statements.

NOTES TO THE SUMMARY FINANCIAL STATEMENTS August 31, 2013 and 2012

1. Basis of the summary financial statements The Canadian Diabetes Association (the “Association”) has prepared these summary financial statements to be included as part of their annual report.

The criteria applied by management in the preparation of these summary financial statements are as follows: (a) the information in the summary financial statements is in agreement with the related information in the audited financial statements; (b) a summary statement of cash flows has not been presented, as the relevant information can be obtained from the audited financial statements; and (c) the summary financial statements contain the information necessary to avoid distorting or obscuring matters disclosed in the related audited financial statements, including the notes thereto. The audited financial statements can be obtained from the Association. 2. National Diabetes Trust On January 1, 2012, the Association transferred its Clothesline operations to the National Diabetes Trust, which was established to develop, invest and operate the Clothesline operations. The Trustee of the National Diabetes Trust is the National Diabetes Trustee Corp., a Canadian resident not-for-profit corporation without share capital established to carry out the fiduciary responsibilities of the National Diabetes Trust. The Trustee is controlled by the Association, since the Association determines its projects and direction.

The assets and liabilities of the Association’s Clothesline operations as at January 1, 2012 were transferred from the Association to the National Diabetes Trust at their carrying amounts as at that date. The income and capital beneficiary of the National Diabetes Trust is the Association, and the Trustee is required to transfer the net income of the National Diabetes Trust to the benefit of the Association in each year.

ANNUAL REPORT 2013

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Donor Listing Thank You for Your Support We would like to express our sincere appreciation to all those who made donations to the Canadian Diabetes Association during the period of September 1, 2012, to August 31, 2013. We are extremely grateful for your commitment and ongoing support.

Thank you to the members of the Banting Circle for their generous support.

George Abakhan, CA, CIRP Connie Abram Dale Alderson Barry Allan John Allan Mary-Louise Anderson Gerry Anderson Frank & Sally Andrade Paul Antony Sherwin Atienza Andrew Au & Mabel Chiu Frederic Ayacha Dale Babiuk Shawn Backes Kent Bacon Jean Bain Brian Baker Sheryl Baker Steven Baldwin Arthur Bargen Frank Barnard Dorothy Barnett Robert & Francine Barrett Annemarie Baxter Chris & Nancy Blight Arnold Blight Ronald Bodnar Christina Boggan Greg & Betty Bond 24

Paul Boothe Willy & Patricia Bos In Memory of Sheila Anne Naomi Boyd Donald Bradford Conrad Braunwarth Serge Briere Chris Brodeur James Bromley Audrey Brummitt Jean L. Bruneau Michelle Burjaw William Burns Bruce Burnyeat Donald Byrne Aaron Campbell Michael Carmichael Debbie Carson Barbara Carstensen Peter Casey Jim Casey James Castelli Christina Cavanagh Una Chamandy Carlos & May Chan Larry Chapman Yvon Chartrand Gerald & Frances Chaulk Sylvia Chiang George Chiu James Chmilar Deuel Chuang John & Pattie Cleghorn The Cleghorn Family William Clifford Jason & Bari Cloth Nigel Coe


Kevin Colleaux Dorne Collison Ruth Cooke Jessie Cooper Sharon Courrier Frances Cowan John Cowan Russel Cox Elizabeth Crawford Mary Crawford Brett Crichton John & Mary Crocker Michael Cruickshank Dusko Cvijic Tong-Shin Dai Miles Dammann Joanne Damore Robert & Margaret D’Aurelio Ronald Dawson Mark de Hart Kevin DeAbreu Andromeda Dean Cindy Ditner Danny & Penny Dodge Emily Douglas Richard Draper Pierre Duchaine Linda Dutcyvich Joseph Eagles Michael Edgar Blake V.L. Elliott Jr./ Mister Blake Foundation Robert & Marianne Eng Henry Ens Grand Estrada Norma Faulkner

Paul Faynwachs Nairn Ferguson Gary Fernandes Todd Francis Gerald Freedman Laurence & Bunny Friesen Harvey & Leah Fruitman Sam Fung Melody Gaboury David Gallinger David A. Galloway & Jan Venus Robert Garback Deanne Garven Ed Giles Christopher Gilliss Leslie Godden Hanson Goe Rusty Goepel Andrew Goff Donna Goldenberg Beryl Goldman Barbara Goldring Virginia Golightly Wayne Gooch Robert Goodall David Goodman Janet Gouinlock Robert Gouinlock Nancy Gould John Greco David Greenwood Jack Greydanus Colin Gruending Matthew Guberman Mr. Laurie Guthrie Horst Hagen

Elana Hahn Barbara Hall Kathleen Hallick Ireen Harrison Clarence Heard Glen Heatherington Taunia Heffer Mike Heidinger Genevieve Henderson Robert Heng Ron & Susannah Higgs M. Elizabeth Hill Yvonne Hirning Carrie Hoffman Brian Huff Patsy Hui Wai K. Hui Erik & Ruth Hulsman Tony Hung James Hunt Brian Hunt Chip Ingraham The Jackson Family Fund (Held within the Oakville Community Foundation) Brenda Jamieson Craig Jansen Elizabeth Jarvis Wayne Jenkins Joe Joseph Joseph Judd Keith & Diane Jupp Virginia Kennedy Peter Kenny Alan & Bernice Kirkpatrick

Members, continued John Knox Charlie & Thelma Kramer Elizabeth Krysko Walter Kurz Aaron Lafontaine Dominic Laginski Jonathan LaGreca Catherine Lahaise Monica Lambeck Ollie Landega Paul Lane Karen Larson David Lau Paul Lazarenko Sharon LeClair Charlene Lee Madeleine Leeder Cole Mel & Helen Leiderman John Lelievre Jeffrey Leroux Pearl Lester Edward Letts Gary Levene & Deborah Eisenberg Marilyn Lew William Libicz Peter Lo Drew Lobley Renato Loro Tom & Carolyne Lynch Elaine Macdonald Shane MacDougall Donald & Margaret MacKenzie Michael MacKinnon Doug Macnamara Sharon Maguire Colin Mallet Lisa Malysh Daniel Man Joe Manget George & Jean Mann Mary Manocchio John Manson

Doreen Marr Richard Martinson Karen Maryniuk Kevin Mather Lisa Matte Tony Mauro Frank Maximchuk Arnold & Kathryn McAllister Robert & Louise McAllister Brett & Deanna McAllister Andrew & Louise Mcaskile Erin Mcdougall Irene McIntosh Kevin Mckee Jason Mckinnon Richard McMillan Gary & Joyce McMurray Cheri McPherson David Mcpherson Harold Melanson John & Frieda Melnick Kevin Melsted Marcia Mendes-d’Abreu Laurie Mereu Roger Merkley Daniel Metzger Susan Mingie Brian Mingie Sergio Mio E. Moran Michael Moult Wallace Muloin Karen Nagel Mark Nairn Jeff Newman David Nichols Hendrina Nord Nick Nuraney Jack O’Neill Paul & Mary Oster Richard & Helen Ostrowski Vivian Painter Scott Pasley

Rustom Patel Gordon & Nel Peach Mark & Marci Pearlman Paul Phoenix Leon Plotkins Hart Pollack Oscar Poloni Patrice Poppleton Isabel Powell Kenneth Powell Allyson Power Gloria Pratt Edward Prebinski Elaine Preston Marie Price Louis & Diana Provenzano Sydney Rabinovitch Debbi Rasmussen Miss Diane Raymond Clifford Rempel Janice Reslein Michael Rice Janet Richards Gerald Rieger Johanna Rink Mike & Tara Rioux Ernesta Rivais Paul Robbins Janelle Robertson Thomson Rogers John Rogers Ken Rohachuk Audrey Ross Eleanor Ross Timothy Ross Frederick Routery Deborah Ryan Alan Ryley Marjorie Sauder Marianne Seger Nicole Sehn Richard Shantz Carol & Doug Shea Linda Shore Nausheen Siddiqui Irene Siemens Ruth Silden

Bernie Silverman Laura Simmons Kulrajmohinder Singh Joginder Singh Alan Siu Edward Smith Gordon Smith Jodi Solish Gelsa Spinelli Paul Stack Joseph Starodub Robert Steane G. Steele Andy & Gaye Stein Craig Steinback Edward Stephenson W. Stewart Kathleen Stieglitz David Storoshenko Glenn Styres Daniel Sumeraj Jovita Sundaramoorthy Audrey Swain Ruth Swain Michael Swartz Teresa Tang Scott Taskey Joanne Tawton Allan & Shirley Taylor Graydon Taylor In Memory of Angela Thacker Lola Thexton E. Mary Thompson Tracey Tippins Paul Tolaini Linda Toope Cate Tootill John Tory Darren Towells Dean Toye Steve & Gert Tracy Don Trent John Trevisanutto Velia Trevisanutto Earl & Marion Trouten Clay & Linda Ullrich

Alice Van Ankum Jared Van Bussel Gary Van Haren Anthony & Joan Vant Geloff Herbert Veisman Penny Velan Eric Vengroff Leo Verhelst Mapy Villaudy Karim Virjee Wilfred Vos Kenneth Wade Arthur Wakim Margaret Walker John & Jennifer Wallace John & Helen Walsh Ernest Walter Kelly Waltz Gerald Wappel Simon Warga John & Frances Warneke Dr. Robert G. Warnick Karen Warrendorf Katherine Warrendorf Greg Wasberge Linda Wemp Bev Werbecky Bernard White Rachelle Wilcox Wilma J. Williams William Wilson Margaret Wilson Alan & Susi Wilson Vincent Wise Michael Withrow Kristine Wolski Kam Bak Yee Wong Mildred Wood Tom Wooding Michael Wyant Kwang Yang Jerry Young Olivia Young Barbara Zimmerman 52 Anonymous Donors ANNUAL REPORT 2013

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Donor Listing Thank you to the following generous organizations and foundations for their support.

593123 Alberta Ltd. A. Lassonde Inc. Abbott Laboratories, Ltd. Aecon Group Inc. Affinity Credit Union Agway Metals Inc. Amgen Canada Inc. Amor Da Patria Community Centre of Toronto Animas Canada AstraZeneca Canada Inc. Balmoral Office Group Inc. Bayer HealthCare – Diabetes Care Division Bayshore Home Health BD Medical – Diabetes Care BHP Billiton Matched Giving Program Blistex Corporation Boehringer Ingelheim (Canada) Ltd. Brian & Susan Thomas Foundation Bristol-Myers Squibb/ AstraZeneca Canada Alliance Cal LeGrow Foundation Cal Wenzel Family Foundation Cameco Corporation Canadian Footwear Ltd. Canadian National Railway Company Canola Info/Canola Council of Canada Cenovus Energy – Employee Foundation Chadi & Company

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Chartwell Retirement Residences Children’s Hospital Aid Society Chippendale Foundation CIBC Clifford & Lily Fielding Foundation CMG Computer Modelling Group Ltd. Community Foundation of Ottawa Community Initiatives Fund Compass Pharmacies Conexus Credit Union Co-operators/CUMIS Covidien Canada Dauphin Clinic Pharmacy Donors Choice – Killarney & Area E-L Financial Corporation Ltd. Eli Lilly Canada Inc. Eli Lilly Canada Inc./ Boehringer Ingelheim Alliance Excelleris Technologies LP Flame Of Hope Golf Classic London General Mills Canada Corporation Genzyme Canada Inc. GlaxoSmithKline Inc. Glenn’s Helping Hand Foundation Inc. Gold Bond Ultimate Government of Canada – Province of New Brunswick Grand Court Order of the Amaranth Great-West Life, London Life & Canada Life Green Shield Canada


Guelph Community Foundation Home Hardware Stores Ltd. Honeybush Health Ltd. HOPE Ottawa Carleton Inc. Husky Energy Inc. Information Services Corporation (ISC) Janssen Inc. Janzen’s Pharmacy Ltd. Jarrod Oils Ltd. Jewish Foundation of Manitoba John Ung-Ling Ting Professional Corporation John Zubick Ltd. Johnson & Johnson Inc. Kiwanis Club of Vancouver KPMG Kraft Canada Inc. Lagniappe Foundation Lawson Foundation Leon’s Furniture Ltd. LifeScan Canada Ltd. Lions Clubs of Canada Loblaw Companies Ltd. Loyal Protestant Association Manitoba Association of Health Care Professionals Manulife Financial Mark’s Work Wearhouse Masonic Foundation of Ontario Masons McNeil Consumer Healthcare Medavie Health Foundation MEDEC

MedicAlert Medisys Health Group Medtronic of Canada Ltd. Merck Canada MLF Consulting Ltd. National Bank of Canada Nestlé Health Science Newfound Foundation Novartis Pharmaceuticals Canada Inc. Novo Nordisk Canada Inc. Order of the Eastern Star – Grand Chapter of NS & PEI Pacific Blue Cross Health Foundation Performance Boat Club Charities Pfizer Canada Inc. Pharmasave Central Progressive Foods Inc. Project Read Literacy Network Raymond James Canada Foundation RBC Foundation Realty Executives Western Canada Regina Capital Cosmopolitan Club Regina Queen City Kinsmen Rexall Foundation Roche Diagnostics Canada Rubicon/ Pharmasave Rx&D, Canada’s Research-Based Pharmaceutical Companies Sandra & Leo Kolber Foundation Sanofi Aventis Canada Inc.

Saskatchewan Indian Gaming Authority Saskatoon Community Foundation Saskatoon Subway Shaw Communications Inc. Shopease Foods Inc. Silver Hills Bakery South Saskatchewan Community Foundation Inc. Stickling’s Specialty Bakery Ltd. Storck Canada Inc. Strategic Charitable Giving Foundation Subway Franchisee Advertising Sudbury Rocks Running Club Sun Life Financial Sunrise Soya Foods Sure Flow Equipment Inc. Takeda Canada Inc. TD Waterhouse TELUS The Arthur J E Child Foundation The Calgary Foundation The Cash Store Financial Services Inc. The Charles Norcliffe Baker & Thelma Scott Baker Foundation The Chastell Foundation The Community Foundation of Prince Edward Island The John & Judy Bragg Family Foundation The Kinsmen Club of Saskatoon The London & District Concrete Forming Contractors Assoc.

Organizations & Foundations, continued

The Lorne & Evelyn Johnson Foundation The North West Company Inc. The Poker for Diabetes Foundation The Toronto Star Fresh Air Fund The TorontoDominion Bank The Winnipeg Foundation TransCanada Pipelines Ltd. Unilever Canada Inc. Union 52 Benevolent Society United Way Newfoundland & Labrador Wellington Laboratories Inc. Williamsburg Arms Thank you to the following individuals whose legacy continues through a gift of a lifetime.

The Estate of David Alsford The Estate of Audrey Anderson The Estate of Sidney Laurence Applebaum The Estate of Violet Flora Ast The Estate of Nouritza Attalla The Estate of Nicholas Henry Bachmeier The Estate of Anthony Derek Bamford The Estate of Irma Doreen Barnhart The Estate of Kenneth Cyril Bothwell Beaton

The Estate of Herbert Clarence Sargent Beatty The Estate of Florence Mary Beaulieu The Estate of Martin John Bellak The Estate of Etta Margaret Berry The Estate of Marguerite Marie Bessent The Estate of Hendrik Bos The Estate of Frank Joseph Boser The Estate of Jacob Bottinga The Estate of Ernest Bradshaw The Estate of Marjorie Bridge The Estate of Louis Stephen Brody The Estate of Margaret Jane Brown The Estate of Gordon Butler The Estate of Mary Ellen Buxton The Estate of Audrey E. Carberry The Estate of Estella Chan The Estate of Roger Jean Charbonneau The Estate of Roberto Chionglo The Estate of Helmer Christensen The Estate of Myrna Clark The Estate of Frank M. Clegg The Estate of Norma Joan Coleman The Estate of Peter Collins The Estate of Rudolph Carl Conti

The Estate of Douglas James Crowe The Estate of Olivia Sotto Cruz The Estate of Lula Marie Curtis The Estate of Joyce Violet Cwyk The Estate of Lionel Murray Dauphinee The Estate of Margaret Grace Davies The Estate of Katherine Marie Demarest The Estate of Freda Eveline Dilley The Estate of Olive Pearl Dockrill The Estate of Pearl Dookeran The Estate of Nita Mae Dorer The Estate of Joseph Adrien Dumaine The Estate of Russell Dunbar The Estate of Gordon Lawson Edgar The Estate of Charlotte Price Evans The Estate of Annie Isobel Fawthrop The Estate of Gavin George Fergusson The Estate of Norma Fieldhouse The Estate of Gertrude Filuk The Estate of Gordon James Finlayson The Estate of Barbara Ford The Estate of Donna-Lyn Freed The Estate of Gerald Fry

The Estate of Helen Margaret Geisler The Estate of Carl Donald Geldart The Estate of Shirley Margaret Glassford The Estate of Julie Glavackas The Estate of Muriel Augusta Goldgruber The Estate of John Goruk The Estate of Robert Carlyle Graham The Estate of Allan Ibra Hamilton The Estate of William A. Hares The Estate of Tatsuo Hayashi The Estate of William Haynes The Estate of Alma Heap The Estate of Dorothy Myrtle Henne The Estate of Helen Ruth Holdsworth The Estate of Anne Honan The Estate of Marjorie Alice Houlden The Estate of Frances Jane Howland The Estate of Stanley Beavan Hughes The Estate of Helen Hurley The Estate of James Davidson Irving The Estate of Elfrieda Irwin The Estate of John Davis Isbister The Estate of Eli George Ivanchenko

The Estate of James Young Johnstone The Estate of Katharyn Karrys The Estate of Katharine Louisa West Davie Keith The Estate of Sadee Kershner The Estate of Nusrat Khan The Estate of Elsie E. King The Estate of William Gordon Kitchener The Estate of Frank Joseph Knourek The Estate of Walter Kostiuk The Estate of Angela Teresa Kristjanson The Estate of Eugene Kuzmin The Estate of Barbara Cora Lagar The Estate of James Keene Lambie The Estate of Helen Marguerite Lancashire The Estate of Clarence George Lange The Estate of Eva Leatherbarrow The Estate of Gladys Beatrice Lee The Estate of Walbert J. Leidl The Estate of Mo Chun Molly Leung Au The Estate of Muriel Alice Levy The Estate of Pauline A. Lewis The Estate of Alma Regina MacDonald

ANNUAL REPORT 2013

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Donor Listing Legacy Gifts, continued

The Estate of Violet Mary MacGillivray The Estate of Hugh MacMillan MacLean The Estate of John Gordon Madden The Estate of William Makarchuk The Estate of Susan Zabel Mancantelli The Estate of Leah Mandell The Estate of Lydia Mandziak The Estate of Eleanor M. Martin The Estate of James Mayne The Estate of Grégoire Mayrand The Estate of Margaret Rose McArdle The Estate of Blair McAulay The Estate of Ronald Henry McCasin The Estate of Elma Leone McFarland

The Estate of Jean Cameron McKay The Estate of Margaret Everill Delrose McLachlan The Estate of Marjorie Elizabeth McLean The Estate of Barbara Jean McLeod The Estate of Patricia Ann McLeod The Estate of Primrose Christine McMillan The Estate of Margaret Elizabeth McQuinn The Estate of Thomas James Meindl The Estate of Gertrude Evelyn Middaugh The Estate of Willard Ivan Miller The Estate of Clarke Herbert Mills The Estate of Mary Mojecki The Estate of Doris Annetta Moore The Estate of Olive Morrison

The Estate of David Edward Mower The Estate of Dorothy Evangeline Mower The Estate of Mary Jean Neal The Estate of James Bruce Nicholson The Estate of Carl Nielsen The Estate of Margaret Clarinda Nuttall The Estate of Frances Anne O’Connor The Estate of Mary Eileen O’Hara The Estate of Andrea Oliviero The Estate of Bernice Paget The Estate of Grace Olive Parker The Estate of Thelma Adele Parker The Estate of Rachel Parsons The Estate of Theresia Paul The Estate of Lillian Piluk The Estate of Jean Pouliot

Our thanks to all donors who have made a gift to the Canadian Diabetes Association, including those who have requested anonymity. The Banting Circle* is a very special group of our most loyal and dedicated donors. These donors are leading the fight today and helping to create a world without diabetes in the future. *The Banting Circle recognizes all donations of $1,000 and more.

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The Estate of Isobel Annie Morison Pugh The Estate of Phyllis Randall The Estate of David Buchanan William Reid The Estate of George Reid The Estate of Clifton Graham Roberts The Estate of William James Robins The Estate of Arthur August Roth The Estate of William Philip Rowley The Estate of Anne Sheldon Sanderson The Estate of Dora Helena Seymour The Estate of Mrs Glen Sheldon The Estate of Eleanor L. Sheppard The Estate of Helen Simon The Estate of Mary Victoria Smith The Estate of Donald David Smith The Estate of Howard Stanley Smythe The Estate of Ruth Sootheran The Estate of Lois Bertha Steen The Estate of Pauline Steen The Estate of Arlene Donna Steinke The Estate of Glenn Stokes The Estate of Barbara Phyllis Strang

The Estate of Thomas Leonard Stubbs The Estate of Isobel Elizabeth Stuppard The Estate of Jean Marie Swan The Estate of Lily Ruth Tanney The Estate of Vera May Tebby The Estate of Roland Leonard Temple The Estate of Joan Shirley Teynor The Estate of Clifford E. Thayer The Estate of Mary E. Thibeault The Estate of Katie Townsend The Estate of Jean Etta Turnbull The Estate of Grace Turnbull The Estate of Bertha Jennie Turple The Estate of Peter Visser The Estate of Dennis Alexander Wamsley The Estate of Bryce Waters The Estate of Elizabeth Lillian Watt The Estate of Mary Dorothy Whibbs The Estate of Elizabeth A. Williams The Estate of Margaret McCarthy Willis The Estate of Mildred Jean Wright

The Canadian Diabetes Association Thanks You for Your Support We would like to express our deep appreciation to all those who made donations to the Canadian Diabetes Association during the period of September 1, 2012, to August 31, 2013. We are extremely grateful for your commitment and ongoing support.

“I’ve been a member of the board of the Canadian Diabetes Association since 2010. I have been volunteering for the Association for about nine years. I feel passionate about our cause and have worked with advocacy, education, Greater Toronto Area support groups, served as a regional delegate and chair, and am now on the audit and Clinical Practice Guidelines committees. Being involved in peer support groups where we talk about lifestyle and self-management issues has also helped me manage my diabetes better. My message is always to stay well informed and have a positive attitude in managing your diabetes.” — RAM KRISHNA, VOLUNTEER AND BOARD MEMBER

ANNUAL REPORT 2013

29

Canadian Diabetes Association 1400-522 University Avenue Toronto, ON M5G 2R5 1-800-BANTING (226-8464) [email protected] diabetes.ca Charitable Registration Number: 11883 0744 RR0001

COVER PHOTO:

British Columbia resident and volunteer, Tanyss Christie, lives with type 1 diabetes. She advocates on behalf of her five-year-old daughter, Avery, who also lives with the disease, as well as other children and families with diabetes.

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Located in London, Ont., Banting House National Historic Site of Canada (NHSC) was first recognised as the birthplace of insulin in 1923. It was here that Dr. Frederick Banting conceived the idea that led to the discovery of insulin and saved millions of lives. Since 1981, the Canadian Diabetes Association has been the proud steward of this important part of Canadian history and important symbol for people living with diabetes. In 2013, the Government of Canada supported Banting House NHSC with a $147,419 investment from the Community Infrastructure Fund for restoration projects.