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2018 ADEA-NSW/ACT Branch Conference

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Program 9 March
Program 10 March

Friday 9 March 2018

1.30-3.30pm – Continuous Glucose Monitoring Workshop

The aim of this workshop is to provide a beginners overview that will increase understanding, knowledge and skills in Continuous Glucose Monitoring (CGM) for adults with diabetes.

Lucy Casson, CDE and Nurse Practitioner

Professor Jane Overland, CDE and Nurse Practitioner

1.30-3.30pm – Carbohydrate Counting Workshop

The aim of this workshop is to increase understanding, knowledge and skills in carbohydrate counting to support diabetes management.

Roslyn Smith, Senior Diabetes Dietitian, Liverpool Hospital
4.00-5.00pm – NSW Branch Meeting
6.30-9.15 – Sanofi Sponsored Dinner

Professor Roger Chen – “What clinical trials have taught us… and what we still need to know”

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Saturday 10 March 2018

8.00-9.00am – Registration 
8.45-9.00am – Welcome by Branch Chairs 
 9.00-9.45 – The (not) new diagnostic criteria for gestational diabetes-do they make a difference?

Historically, the diagnostic criteria for gestational diabetes (GDM) were based on the risk of future type 2 diabetes in the mother, or relatively ad hoc decisions based upon local data with consideration of clinical workload and wish to minimise the impact on pregnant women.  The completion of the HAPO (Hyperglycaemia and Pregnancy Outcomes) trial in 2008 provided for the first time, a very large, multicentre, international cohort (n=25,505 pregnant women at 15 centres in nine countries) with results blinded and no without treatment.  The data relating neonatal and maternal outcomes to the maternal 75g oral glucose tolerance test (OGTT) glucose results (without a prior glucose challenge test) revealed a greater importance of the fasting glucose in the relationship and the glycaemic equivalence thresholds between different time points on the OGTT.  Turning this into the diagnostic criteria (fasting glucose ≥5.1 mmol/l and/or 1 hour ≥10.0 mmol/l and/or 2 hour glucose ≥8.5 mmol/l) occurred through meetings of international bodies and these criteria were adopted by the Australasian Diabetes in Pregnancy Society (ADIPS) in 2013.  Since this time, a variety of studies within and outside of Australia have reported the impact on diagnostic rates, workload, pregnancy outcomes and cost.  Have they made a difference?  Time to present the data to date and the issues that have been raised.

Professor David Simmons,Professor of Medicine, Macarthur Clinical School, Western Sydney University

Director, Macarthur Diabetes Service, Campbelltown Hospital

 9.45-10.30am – Diabetes and Older People: A Multicultural Perspective

The global population is ageing. There is an association between older age and diabetes. Some Culturally and Linguistically Diverse Communities (CALD) are at risk of diabetes and other health issues that can affect diabetes management e.g. haeglobinopathies. Some 49% of Australians are from CALD backgrounds. Older people have different diabetes care needs from younger people and the focus of care is likely to change as the diabetes burden increases and function, life expectancy and safety profile change, and affect quality of life.  Individuals construct health beliefs, expectations, rituals and explanatory models from within their cultural and social groups. Thus culture, as well as diabetes, must be considered when caring for older people. Language can present challenges if an individual cannot communicate in English, especially when they have hearing and/or vision deficits and when clinicians use discriminatory language and elderspeak. The presentation will provide an overview of older people with diabetes, cultural considerations and strategies clinicians can use to work with older people with diabetes from CALD groups.

Copy of presentation here.

Professor Trisha Dunning, AM,  Deakin University
 10.50-11.00am – NDSS and Multicultural Portal


Vania Khoury, RN CDE, National CALD Priority Lead, Diabetes Australia
 11.00am-12.00pm – Culture and Diabetes: Who Cares?

This presentation is designed to help CDEs reach people from different cultural groups more effectively. There are many different cultural groups existing in Australia and each group is heterogeneous. The effects of culture and religion on diabetes care will differ significantly related to many factors other than culture. The breadth and diversity within our community can make it difficult to use a “one size fits all approach” to effective diabetes care.  The aim of this presentation is to highlight some of these issues in order to overcome barriers and improve health outcomes.

Copy of presentation here.

Dr Sarah Abdo, Endocrinologist & Staff Specialist, Bankstown Lidcombe Hosptial
 12.00-1.15 – Panel – Diabetes Care for All

The panel discussion will follow the journey of a young woman of Middle Eastern background with Type 1 diabetes transitioning from child to adult care.

Copy of presentation here.

Panelists: Dianna Fornasier (CDE); Lisa Robins (Psychologist); Sarah Abdo (Endocrinologist); Linda Mann, (GP)
 1.15-2.15pm – Lunch
2.15-2.45pm – Oral Abstracts

Empowering with Technology: The Use of Flash Glucose Monitoring in Enabling Independence with Disability Care

Type 2 and You

Alison Wright, RN

Alison Amor, RN CDE

2.45-3.30pm – Update on Medications for Diabetes

Management of blood glucose levels has recognised benefit in achieving optimal outcomes in diabetes. Treatment is individualised depending on patient wishes and aims of therapy, for many people with diabetes this will often require the use of multiple medications. In recent years the increasing range of available medication has expanded the options to better fit individual circumstances. However, limited comparative and long-term outcome evidence and the need to keep abreast of newly published data adds to the complexity of medication selection. This presentation is intended to provide a practical update on this topic.

Jane Ludington, Pharmacist CDE
3.45-4.30pm – Cultural Considerations when Caring for Children with Type 1 and 2 Diabetes in a Culturally and Linguistically Diverse Population

The diabetes clinic population at the Children’s Hospital at Westmead draws from the Greater Western Sydney area, a highly culturally and linguistically diverse (CALD) population. The number of newly arrived and other migrant families from India, China and Iraq have increased significantly in recent years.  The richness of a CALD population brings challenges to health care teams working with children and adolescents with diabetes and their extended families. A wide range of factors including cultural influences, attitudes towards health and disease, religious beliefs and practices, parenting styles,  previous diabetes education / treatments, food choices, eating patterns and the influence of extended family will impact upon behaviour, adherence and diabetes outcomes.  Building cultural competence and a greater understanding of these factors will help us to engage with families in order to achieve optimal care for children with both type 1 and type 2 diabetes.

Copy of presentation here.

Debra Sadie, RN CDE & Kristine Lobley, Pediatric Diabetes Dietitian, Westmead Children’s Hospital

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   Dr Sarah Abdo is a Staff Specialist at Bankstown Lidcombe Hospital. She graduated from University of Sydney and completed Endocrinology specialist training at St Vincent’s Hospital, Garvan Institute of Medical Research and Bankstown Hospital. She currently holds a conjoint Senior lecturer appointment at Western Sydney University and has private consulting rooms in Padstow. She has completed research into Gestational Diabetes outcomes across different ethnic groups as well as developing guidelines for management of Diabetes in pregnancy during Ramadan. A patient education leaflet was developed and has been translated into Arabic and shared across various health districts. She spends most of her time as a clinician but also enjoys regular teaching of medical students as well as presenting to GPs and allied health professionals.
   Roslyn Smith is an Accredited Practicing Dietitian who has specialised in Diabetes for over 20 years. She is currently a Senior Diabetes Dietitian at Liverpool Hospital in South Western Sydney, and is undertaking research into the carbohydrate intake of women with gestational diabetes. She is an active member of the Dietitians Association of Australia Diabetes Interest Group steering committee, and owns a general private practice.
 Professor Trisha Dunning AM, RN, MEd, PhD, Graduate Certificates: Obstetrics, Infant Welfare, Paediatrics, Family Planning, Aromatherapy, Relaxation Massage.  Graduate Diplomas: Health Education, Professional Writing. Trisha is the Chair in Nursing and Director Centre for Nursing and Allied Health Research and is a credentialed diabetes educator.  She is an active member of many local, national and international committees, these include a Vice President of the International Diabetes Federation (IDF), Chair of the IDF Ethics Committee, member the External Relations and Science Taskforce Committees.  She is a member of the Board of Diabetes Australia Victoria and the International Relations Committee of Diabetes Australia. Trisha is also the inaugural Chair of the ADEA Research Foundation.
   Lisa Robins is a Senior Psychologist who specialises in the assessment, diagnosis and treatment of psychiatric and emotional issues which impact on diabetes management. She currently works as the Psychologist for the Diabetes Centre at Bankstown-Lidcombe Hospital, and is the Director of Diabetes Clinical Psychology. She holds qualifications in Clinical Psychology and Diabetes Education and Management, and is a PhD Candidate with her research focussing on depression treatment for people with diabetes.
  Professor David Simmons is Professor of Medicine, Macarthur Clinical School, Western Sydney University; Head of Department Endocrinology & Diabetes, Campbelltown Hospital; Chair, Campbelltown Hospital Clinical Council.

From 2007 to 2014, Professor Simmons was the lead diabetes consultant at Cambridge University Hospitals NHS Foundation Trust, overseeing major changes in the local model of care.  Between 2003-2007 he was the inaugural Professor of Medicine at the University of Auckland Waikato Clinical School, New Zealand and 1998 – 2002 he was the Foundation Chair in Rural Health at the University of Melbourne, Australia.  During this time, he established a full department, a clinical school (where he was acting Dean) and a range of undergraduate, postgraduate and research activities relating to rural and indigenous health.

With over 270 publications, Professor Simmons has won several national and international awards for his work in diabetes epidemiology, diabetes in pregnancy and diabetes service development.  He is a past president of the Australasian Diabetes in Pregnancy Society (ADIPS) and was a member of the World Health Organisation technical working group on the criteria for hyperglycaemia in pregnancy.  He was previously the chair of the Diabetes UK Health Professional Education Steering Group.

   Jane Ludington  BPharm DipHospPharm MHPEd GradCertDiabEd CDE and is accredited for medication review by AACP. Jane is currently working with the Diabetes Service at St Vincent’s Hospital, Sydney and practices as a Clinical Educator at the Faculty of Pharmacy, University of Sydney.
   Dianna Fornasier is a Credentialled Diabetes Educator, Clinical Nurse Consultant and Nurse Practitioner working full time in general practice with over twenty-six years of experience in the delivery of diabetes education and management across a broad spectrum of environments and cultures. She has worked in private practice, non-profit organisations, tribally-run health care consortiums and government entities in the area of diabetes education and mostly primary health care in rural remote areas of Alaska. She has clinical experience in remote rural medicine, intensive care, diabetes and primary care. She routinely presents at conferences and publishes journal articles on the topic of diabetes education in Australia and was a nominated speaker at the Diabetes World Conference in Melbourne in 2013. She is a Chief Investigator with the University of Wollongong, currently concluding a research project which is the development and validation of tool to assess the skills and knowledge of people with type 2 diabetes on insulin.
   Dr Jane Overland is a Nurse Practitioner who has worked in chronic disease management for over 30 years. She is responsible for providing clinical management, psychological support and education to a wide range of people with diabetes.  She is also a Clinical Associate Professor with The School of Nursing, The University of Sydney.  She is an active researcher and she has authored over 30 peer reviewed research papers and three book chapters. She is the co-author of ‘Straight to the Point’, the pre-eminent book for adults living with Type 1 diabetes.
   Lucy Casson is a Nurse Practitioner with 23 years of Paediatric nursing experience.   She was the senior diabetes nurse at Sydney Children’s Hospital, Randwick until June of this year, when she resigned to focus full-time on her private practice.  Lucy established ‘Total Diabetes Care’ with Jane Overland in late 2016 and together they are helping people across Sydney to manage their diabetes.  Lucy is well recognised for her experience with insulin pumps and continuous glucose monitoring and is a regular attendee at diabetes camps throughout the year.
 Dr Linda Mann is a GP in the Inner West of Sydney, a VMO at RPAH where she looks after young pregnant women, and a Rural Medical Practitioner for a month a year in Borroloola NT. She was an editor of ” Diabetes Management in General Practice ” for 10 years up to 2013. Working in these different communities , where diabetes  appears  in all its manifestation, she has a working knowledge of the effect of the diagnosis and the day to day life of people living with diabetes, whether they are Aboriginal folk in remote Australia, professional folk  in inner Sydney, or bumping up against this diagnosis during their life.
Debra Saide is a Clinical Nurse Consultant and Credentialled Diabetes Educator, The Institute of Endocrinology and Diabetes , Children’s Hospital at Westmead. She also has a private practice in Burwood. Deb has worked as a Diabetes Educator in both adult and paediatric services. Her particular interest is working with people living with Type 1 diabetes. Her current work places primarily include working with a culturally and linguistically diverse population.
Kristine Lobley is the Senior Clinical Diabetes Dietitian, The Institute of Endocrinology and Diabetes, Children’s Hospital at Westmead. Kristine has over 25 years experience in paediatric nutrition and dietetics.  She currently works with families raising children who have Type 1 or Type 2 diabetes, many of whom are migrant, newly arrived and refugee families. Kristine brings a wealth of experience to her role, having worked in clinical paediatrics, child development, early childhood nutrition in migrant and at risk communities and child obesity prevention.  Her areas of interest include responsive feeding in children aged under 5 years with T1D, optimizing engagement and service delivery for adolescents with T2D and the challenges of dietary education when working with non-English speaking families.
  Melissa Xerri is 22 years old and was diagnosed with Type 1 diabetes nearly ten and a half years ago. She started on an insulin pump 8 years ago and a continuous glucose monitor about one and a half years ago. Her sister was diagnosed after her and is also on an insulin pump but not a monitor. She works full-time as a personal trainer and fitness instructor leading a mostly healthy and active lifestyle. Outside of work she enjoys four wheel driving, camping and holidays in the outback and remote areas of Australia.
  Leanne Gregory is an Accredited Practising Dietitian with St Vincent’s Diabetes Service. She has worked in diabetes, obesity and bariatric management in both Australia and the UK. She helps people living with type 1 diabetes on a daily basis, both individually, in multi-clinician appointments, and as part of the OzDAFNE program. She drinks too much tea.

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Delegates can book rooms for 20% off the best available rate (at the time of booking). Rates are dynamic and may change and this offer is available up to 30 days prior to 9 March 2018. Delegates need  to use the following code to book accommodation at this rate: ADEAOPENBLOC. Make your booking by contacting the venue on (02) 8762 1111.

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