2018 ADEA-NSW/ACT Branch Conference
|Program 9 March|
|Program 10 March|
|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”
|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.
|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.
|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.
|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.
|Debra Sadie, RN CDE & Kristine Lobley, Pediatric Diabetes Dietitian, Westmead Children’s Hospital|
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.