Thank you very much for the question. It's very important, because basically self-management rests on how you engage with people living with chronic disease, and the longer you can keep them healthy, the less costs will increase and the less human misery will result as a result of living with a disease.
Like our colleague, we feel that direct education with those living with a disease is the optimal way to educate people, including people over the age of 65. Our presentation referenced that in terms of direct interventions in working with elderly Canadians. We've seen that with what are commonly called high-risk groups, in particular with aboriginal groups through the aboriginal diabetes initiative. They employ community health care workers who live in those communities who can engage directly on a one-to-one basis with people living with diabetes. Other high-risk groups--for example, African Canadians, Southeast Asian Canadians, South Asian Canadians--all have higher rates of diabetes, and peer support workers work very well in those communities as well.
It's important to note that there are diabetes education programs that exist across Canada, but there is actually no set standard for accreditation of those programs. So we strongly support one-to-one diabetes education programs or education in small groups, but there have to be standards underlying those interventions. We've developed those standards, and one of the things we're trying to do is get all provinces and territories to adopt those standards.