HealthPathways Update (March 2017) - Focus on Diabetes
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HealthPathways Update
Focus on diabetes

29 March 2017

What's New

New pathways launched since 1 February 2017 include:
(Pathway "Go Live" date from 1 February 2017 to 10 March 2017)

Diabetes pathways due for review

Take a look at us now…

Time flies in the world of healthcare, which is why keeping up to date is so important. In 2015, the ACT & Southern NSW HealthPathways project localised 25 diabetes care-related pathways, and the two year review cycle is soon commencing. Pathways will be clearly identified to indicate when they are undergoing a review.

Since the original pathways a new set of General Practice treatment guidelines has been released, and whilst a number of these changes are reflected in the pathways, there have been new ways of looking at nutrition, new drugs, new diagnostic tools and, unfortunately, many thousands of new cases of diabetes. There’s never been a more exciting time to be a HealthPathways Clinical Editor!

While our group of subject matter experts in the field of endocrinology and diabetes education will be busy helping update our clinical info, it is essential that anyone reading the pathways has their say too. Just click on the  button to comment and help us keep the diabetes pathways up to date, relevant and practical for GPs in the ACT and Southern NSW!

Reduce your "waist" 
This month's patient information sheet includes:
- Measuring your waist and the importance of waist circumference and disease risk
- Reading food labels to reduce Total Fats
- Tips on how to include more regular physical activity into your daily routine.

Click here to download Reduce your "waist".

Diabetes Education Referrals:
what happens after a GP presses “send”

Once received, a referral, (with recent pathology; health and medication summary) is processed by the service you have referred to, and the patient is allocated to a diabetes educator. The diabetes educator then will triage your patient, and contact them to arrange an appointment. Diabetes educators usually see adults with type 1 or type 2 diabetes mellitus or gestational diabetes mellitus, however most services will provide some local support to children, in collaboration with the child’s tertiary hospital paediatric-endocrinology team.

Ideally, as the patient’s trusted GP, you should encourage your patient to attend the clinic with the person who supports them with cooking and shopping, as it is valuable to discuss lifestyle change with the patient plus their significant other or carer.

The topics discussed will depend on your patient’s clinical needs, however often include:
•    Healthy food choices, low GI carbohydrate foods and portion sizes
•    Regular eye checks
•    Foot care needs
•    Regular activity to help lower BGLs
•    Basic causes of diabetes
•    Complications of diabetes and how to reduce the risk 
•    Importance of seeing GP regularly to monitor diabetes
•    Explanations of how medications work and their side effects
•    How and when to use a blood glucose meter 
•    Strategies to recognise and manage stress or anxiety
•    Correct injection technique
•    How to use insulin pumps and continuous glucose monitors 

Patients will be given printed resources and encouraged to review further information at reputable sites such as:
Baker IDI  https://www.baker.edu.au/health_fact_sheets
Diabetes Australia: https://www.diabetesaustralia.com.au

The frequency of diabetes education appointments depends on your patients’ requirements, ranging from a one-off appointment, or up to 4 appointments.  Some services have diabetes groups, which are an excellent opportunity for people to learn from their peers as well as other health care workers on how to best manage their diabetes.
 
Julie Griffin RN  CDE
Credentialed  Diabetes Educator, Eurobodalla Community Health

 

Top 10 Search Terms used

  1. Hepatitis C
  2. Diabetes
  3. Hip Dysplasia (DDH)
  4. Hypercholesterolaemia
  5. Asthma in Adults, in Children
  6. Liver Function
  7. DVT
  8. Prostate
  9. Zika
  10. Anaphylaxis 
Data from HealthPathways Search Terms -
1 October to 31 December, 2016

 

Contact Us

We welcome participation in the development and localisation of pathways. For more information, please contact your local HealthPathways team:

ACT - Capital Health Network (ACT PHN)
Phone: (02) 6287 8099
Email: healthpathways@chnact.org.au

Southern NSW - COORDINARE (SE NSW PHN)
Phone: (02) 4474 8421
Email: healthpathways.snsw@coordinare.org.au
View the Capital Health Network
Education Events calendar
View the COORDINARE
Education Events calendar
Retrieve your HealthPathways Login details
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