American Indian/Alaska Native; Arctic peoples; Culture; Diabetes – Prevention; Education; Health education; Indians of North America; K-12 curriculum; Non-insulin-dependent diabetes – Study and teaching; Tribal schools; Type 2 diabetes; Youth


Community-Based Research | Medicine and Health | Place and Environment | Public Health | Race and Ethnicity


Preventing and reducing the onset of type 2 diabetes among American Indian/Alaska Native youth requires ground-breaking strategies to affect knowledge, attitudes, and cognitive decision-making skills. In an unparalleled endeavor to address the growing epidemic of type 2 diabetes in tribal communities, a K-12 Diabetes Education in Tribal Schools (DETS) curriculum was created by eight tribal colleges and three federal agencies. This article highlights the results of the implementation phase, the final evaluation step in acquiring and measuring student knowledge and attitude gains through pre-post standardized assessment.