Diabetes

There is strong evidence from randomised controlled trials that type 2 diabetes is preventable or can be delayed with lifestyle modification interventions that improve diet, increase physical activity and reduce body weight / waist circumference in people with a diagnosed risk of developing type 2 diabetes.

For people at risk of diabetes and other chronic diseases, the first, and most common point of access to the health system is through primary care. To this end, we offer and recommend a range of programs and support services to ensure your patients at risk of diabetes are receiving the best possible care.

Programs to support patients at high risk of diabetes
  • Get Healthy Service - This is a free, confidential telephone-based service which helps people to make lifestyle changes including healthy eating, being physically active and achieving and maintaining a healthy weight.
  • GP Exercise Referral Scheme - This program is designed for people with or at risk of chronic disease to improve confidence with lifestyle change and increasing physical activity levels.
  • Go4Fun - This is a free healthy living program for children aged 7 - 13 who are above a healthy weight.
  • Heart Foundation Walking Groups - This program aims to make regular physical activity enjoyable and easy, especially for people who are not used to being active.
ComDiab- for people who have, or are at risk of T2DM

 

ComDiab is a FREE community group education program for people who have, or are at risk of type 2 diabetes. Participants will learn about type 2 diabetes and what they can do to improve their health and live well. The program is provided to complement and support the treatment and care provided by general practitioners, nurses, diabetes educators, and allied health professionals.

ComDiab is expertly designed and delivered by trained registered nurses who are accredited with Diabetes NSW and ACT. The program involves interactive group sessions to help participants to:

  • Understand and monitor their diabetes or diabetes risk
  • Make healthy food choices
  • Be physically active
  • Take measures to prevent or control diabetes
  • Prevent diabetes complication

Programs are offered regularly across CESPHN. For more information on upcoming programs please see below.


Community Diabetes Education Programs in the South Eastern Sydney region

Programs are held at:

Sutherland Hospital and Community Health Service (HealthOne, 126 Kareena Rd, Miranda NSW 2228).

Dates and Times: TBC

Research & Education Centre, St George Hospital (4-10 South Street Kogarah, NSW 2217).

Dates and Times: TBC

For bookings and enquiries, call 1300 427 603 (for South Eastern Sydney region).


Culturally and linguistically diverse sessions

 The Community Diabetes Education Program aims to support people living with or at risk of type 2 diabetes who speak Cantonese, Mandarin, Greek, Vietnamese, Bengali, Nepali and Arabic languages. Those attending a workshop will learn about:

  • Understanding diabetes
  • Making healthy lifestyle changes
  • Living with diabetes

Workshops are free and delivered by Diabetes NSW & ACT health professionals. These sessions are delivered either directly in language by bilingual facilitators or with the assistance of an interpreter.

Bookings are essential. For more information on upcoming programs or to register click here, or call Diabetes NSW & ACT on 1300 342 238.

Upcoming sessions:

 

Date

Language

Location

Registration Link

25th March 2022

Cantonese

Strathfield

Register

28th April 2022

Mandarin

Hurstville

Register

28th April 2022

Cantonese

Hurstville

Register

9th May 2022

Greek

Kogarah

Register

11th May 2022

Vietnamese

Belmore

Register

30th May 2022

Bengali

Lakemba

Register

16th June 2022

Mandarin

Belmore

Register

 

  

Diabetes Healthy Feet

Diabetes mellitus (DM) is a risk factor for lower limb amputations and it is estimated that 85% of such procedures are preventable in Australia. To decrease the prevalence of diabetes-related amputations, the NSW Diabetes Prevention Framework states that people with DM require an integrated care approach for effective diabetes management. In line with the Framework, Diabetes Healthy Feet aims to increase coordination between primary and tertiary care providers to facilitate timely and appropriate foot care for diabetes patients in the CESPHN region.

For more information on the program, please click here

Practice support

We can assist your practice in setting up programs and resources to help prevent people from developing type 2 diabetes.

Click here to visit the practice support section.

Checking diabetes risk (AUSDRISK tool)

The AUSDRISK tool is a short list of questions to help both health professionals and consumers assess the risk of developing type 2 diabetes over the next five years. Adults with a total score of 12 or more are defined as being at high risk of developing type 2 diabetes.

For further information on the tool, and to order copies, click here.

We have translated this tool into a range of languages, including

We have also developed templates for document Best Practice (47 KB) and document Medical Director (27 KB) . Please see the practice support section above for assistance with loading templates into your clinical software.

Health assessments for diabetes risk

Patients aged 40 - 49 years, or 15 - 54 years for Aboriginal and Torres Strait Islander people, who score 12 or more on the AUSDRISK tool are eligible for a health assessment for type 2 diabetes risk evaluation. This assessment is completed using MBS Items 701, 703, 705 or 707 (or 715 for Aboriginal and Torres Strait Islander people). Click here for more information, or here for more information on 715 health assessments.

HbA1c for diabetes diagnosis
  • In 2015, Medicare accepted the use of HbA1c for a diagnosis of diabetes.
  • An HbA1c value of 48mmol/mol (6.5%) or more indicates a positive result, suggesting the diagnosis of diabetes.
  • HbA1c assessment should be considered in asymptomatic patients who are at high risk of developing type 2 diabetes (as defined by their AUSDRISK score).
  • The relevant MBS item number is 66841, which can only be reimbursed once during a 12-month period.
  • See the pdf MBS item description (98 KB) , and the Australian Diabetes Society position statement.