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2019 ADEA Top End/Northern Australia Conference

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Program

Day One – Friday 10th May

8.00-8.30am Registration
8.30-8.45am Welcome & housekeeping, Acknowledgement to Country – Branch Chair
8.45-9.45am
  • Dr Jason Yates- Monogenic Diabetes Overview

The presentation will provide an overview of monogenic diabetes including genetics, pathophysiology and clinical presentation as well as management.  It will focus mainly on paediatric presentations and there will be time for questions throughout.

  • Dr Angela Titmuss – Type 2 diabetes in Indigenous young people: management and prevention complexities

The presentation will explore the emerging understandings of type 2 diabetes in young people, particularly considering the increasing numbers of young people affected across northern Australia. It will discuss the complexities of management and prevention, as well as the differences between youth and adult onset type 2 diabetes.

9.45-9.55am Oral Abstract #1
9.55-10.05am Oral Abstract #2
10.05-10.15am Oral Abstract #3
10.15-10.45am Morning tea/networking/trade displays
10.45-11.15am ADEA National Office – Purpose, Staff, ADRF, Resources, 2019 Projects, Credentialling
11.15-12.00pm Dr Jackie Stuart – Oral Health and Diabetes

The importance of detecting and managing dysglycemia for the maintenance of good periodontal health, is a neglected area of patient education. There is strong evidence of a bidirectional relationship between diabetes and periodontal disease and this suggests that people with periodontitis have an increased risk for dysglycemia and insulin resistance. A health plan that includes regular oral hygiene and any required dental treatment must be followed to maintain good blood glucose control, nutritional balance and stable diabetic medical status. This presentation will outline the interconnectivity between oral health and overall medical health. It will present some of the common oral signs and symptoms of diabetes and the oral diseases that have been implicated in contributing to diabetes. Oral hygiene techniques for the diabetic patient will be examined and diet considerations for good glycaemic control and good oral health will be presented.

12.00-1.00pm Lunch/networking/trade displays
1.00-2.15pm Panel Discussion – Diabetes and Renal Care

  • Dr Parul Nigam – Endocrinologist
  • Vikki Nebbia – Kidney Health Australia, Nurse Practitioner
  • Joanna Martin – Dietitian

Joanna Martin

The mortality risk for people with kidney disease and type 2 diabetes is higher than for patients with kidney disease alone. In particular, cardiovascular disease-related mortality among people with kidney disease is higher for those with type 2 diabetes. Interventions should be aimed at decreasing cardiovascular disease risk factors whilst still ensuring necessary dietary restrictions and requirements are met for diabetes and renal disease. This is challenging as recommendations for diabetes and cardiovascular disease have previously contradicted dietary recommendations for renal disease. Jo will discuss the challenges associated with competing dietary priorities including cardiovascular health for managing diabetes and renal disease.

2.15-3.15pm Dr Kunwarjit Sangla – Diabetes: Future Technology

This presentation will discuss how emerging technologies can assist health professionals with the management of people with diabetes.

3.15-3.30pm Afternoon tea
3.30-4.30pm Branch meetings
4.30-4.45pm Day one wrap up and close – Branch Chair
5.00-5.30pm Private Practice Special Interest Group meeting
5.30-7.00pm Cocktail Function

Day Two – Saturday 11th May

8.00-8.30am Registration
8.30-8.45am Welcome & housekeeping, Acknowledgement to Country – Branch Chair
8.45-9.45am Workshop 1 – “Let’s Talk Clinical!”

An overview of the clinical papers supporting the use of Flash Glucose Monitoring and Ambulatory Glucose Profile (AGP) in the daily management of Diabetes.

Presented by Bruce Passingham, Abbott Diabetes Care

Sponsored by 

Workshop 2 – Accuracy of Data 

This will be an insightful and practical workshop. The main focus will be to discuss the importance of accuracy in blood glucose monitoring and sharing the real and practical implications for people who are self-monitoring. It will also cover Continuous Glucose Monitoring and Flash Glucose Monitoring – and where applicable the importance of using the most accurate Blood Glucose Monitoring for calibration.

Sponsored by 

9.45-10.15am Leanne Kuchel, RN CDE – Healthy Living NT – Aboriginal Health Practitioner (AHP) Diabetes Mentoring Project

The AHP Mentoring Partnership Program is funded by the National Diabetes Services Scheme (NDSS) and was started as a pilot program early 2016 and is now delivered as part of Healthy Living NT’s (HLNT) NDSS services. The program dually aims to upskill AHPs based in remote clinics and strengthen the cultural competencies of diabetes educators. The object of this partnership is for the AHP and DE from HLNT to build a strong relationship where knowledge is shared. The partnership involves the DE to spend 2 periods of one week duration  living in the community and buddying with the AHP.

10.15-10.45am Morning tea/networking/trade displays
10.45-11.30am Bernadette Heenan, RN CDE, Cathryn Dowey, RN CDE and Regina Coleman, Aboriginal and Torres Strait Islander Health Practitioner – Diabetes Management in Indigenous Communities

This presentation will include:

  • an update on the DAQ/ADEA pathway for Health Workers working towards diabetes educator status;
  • personal insights from Regina Coleman (Chronic Disease Health Worker in Aurukun) on providing diabetes education and working with CDEs in remote communities over many years; and
  • the way forward for both Health Workers/Indigenous Health Practitioners and CDEs in their individual roles as well as in a team and the resources available to support them.
11.30-12.30pm

 

Panel Discussion – Diabetes in Pregnancy

  • Gill Dicker – RN CDE
  • Jane Cairney – Dietitian

The panel will discuss the following:

  • How innovative service and care provision strategies have been implemented and are being considered in a local diabetes in pregnancy service given the influx in the number of clients being diagnosed with GDM; and
  • Current challenges in the dietary management of gestational diabetes.
12.30-1.30pm Lunch/networking/trade displays
1.30-2.30pm Simon Cavanagh – Assistive Technologies in High Risk Footcare

With 85% of diabetes-related amputations being preventable if problems are detected early and managed appropriately, both expeditious healing and long-term prevention of ulceration are required. This presentation will look at current and emerging technologies that can be utilised by High Risk Foot Services in the war against active foot disease.

Dale Cooke, APD, Diabetes Queensland – Carbohydrate Counting Masterclass

This workshop aims to examine the intricacies of carbohydrate counting from a dietary perspective in order to gain a better understand of the day-to-day practical challenges.

2.30-3.00pm Samantha Swales, Program Manager – Diabetes in Schools Program

The presentation will provide findings of the Diabetes in Schools national consultation and share solutions that rise to the challenge of developing a nationally consistent education and training program for schools to support students with type 1 diabetes.

3.00-4.00pm Includes Afternoon Tea

Facilitator – Lynne McCleary, RN CDE

Debate: Do new technologies add value to our services as diabetes educators or not?

4.00-4.15pm Wrap up and close – Branch Chair

Call for Abstracts

The call for abstracts has now closed.

Speakers

Dr Jason Yates Dr Jason Yates is a paediatric endocrinologist working at The Townsville Hospital and Health Service in Queensland.  He trained at the Mater Children’s Hospital in Brisbane and has dual qualifications in General Paediatrics.  His focus is on T1DM management in children, in particular, focused on early diagnosis and reduction of Diabetes Keto-acidosis at first presentation.
Dr Angela Titmuss Angela Titmuss is a paediatric endocrinologist at Royal Darwin Hospital. She is completing her PhD through the Menzies School of Health Research, exploring the impact of maternal hyperglycaemia in pregnancy on the growth, cardiometabolic profile and developmental risk of pre-school aged children, part of the PANDORA study. She is also a lead investigator in the Hot North collaboration exploring the prevalence and experience of diabetes in Indigenous children and young people in northern Australia.
Dr Jackie Stuart Dr Jackie Stuart graduated from Dentistry at the University of Queensland in 1986. She has 28 years of clinical experience in general dental practice and has recently retired from clinical practice to become a volunteer adjunct lecturer for James Cook University and the University of Tasmania.

Jackie is currently completing her PhD studies on the topic “The relationship between the rural primary care network and dental practitioners in Queensland and the applications for dental technologies”. She volunteered as part of a research team from the Centre of Research Excellence in Primary Oral Health Care from 2013-2015, to discover the impact that interprofessional communication between dental practitioners and the primary care networks have on patient outcomes. This study was funded by the Australian Primary Health Care Research Institute (APHCRI). She subsequently co-authored several journal articles which have appeared in both the Medical Journal of Australia and the British Medical Journal.

As a result of the research findings, Jackie has developed a series of lectures on “Emergency dental presentations to the general medical practitioner and their management options”.  She has lectured in a volunteer capacity for; James Cook University sixth year medical students since 2015, the “Rural Medical Rounds” through Northern Queensland in 2016, the Northern Queensland Primary Health Network in 2017, and more recently for the General Medical Training program in Cairns, Townsville, Toowoomba and Brisbane.

Dr Parul Nigam Dr Nigam is an endocrinologist based in Townsville. She also holds the position of Senior Lecturer within the College of Medicine & Dentistry at James Cook University (JCU) on the Townsville campus.
Vicki Nebbia
Joanna Martin Jo completed a Bachelor of Health Science in Nutrition and Dietetics through Queensland University of Technology in 2005. Shortly after completing the course she moved to Cairns and commenced working as a clinical dietitian at the Cairns Hospital (CH). Jo worked at CH for 9 years and gained extensive knowledge and experience across many acute and chronic conditions and diseases, specifically renal disease and diabetes. In mid 2015 Jo moved to Townsville and commenced her current role as Senior Dietitian in the Chronic Kidney Disease Team based at North Ward Health Campus.
Dr Kunwarjit Sangla Dr Sangla, FRACP, Physician, Endocrinologist and Obstetric Medicine Physician. Director of Diabetes and Endocrinology. A/Prof. in Endocrinology, JCU. Townsville Health Services, Queensland, Australia

Dr Kunwarjit Sangla is the Director of Endocrinology and Diabetes at The Townsville Hospital and Health Services. He is also a Clinical A/Professor in Endocrinology at James Cook University. He is a Fellow of the Royal Australasian College of Physicians. He is an Internal Medicine Physician, Obstetric Medicine Physician and an Endocrinologist. He has published widely in peer reviewed national and international journals. He has a keen interest in Diabetes Emergencies including Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS). He has been invited as a guest speaker including plenary and key note sessions nationally and internationally. He was awarded Pre-Eminent status by Queensland Health in recognition of his contribution as a Physician. The Royal College of Physicians awarded him the Rural Services Medal in 2015.

Bernadette Heenan Bernadette is a Registered Nurse and Credentialled Diabetes Educator working at the Apunipima Cape York Health Council based in Cairns. In 2017  she was the recipient of the prestigious ‘Jan Baldwin National CDE of the Year’ award. Bernadette has  developed many resources to assist Indigenous clients in understanding their diabetes. She uses the latest technologies to help clients “see” what effect glucose is having on their bodies and  advocates for her clients at every opportunity.
Regina Coleman My name is Regina Coleman, I am a Western Kuku Yalanji, Tagalaka and Djirri woman.  I have traditional and cultural connection to Palmer River, Croydon and Mission Beach Regions. I have been a Health Worker since 2003 and now an Aboriginal and Torres Strait Islander Health Practitioner since 2016.  I started as a Trainee Health Worker in my hometown of Kuranda.  I have worked with Queensland Health Services and Non-Government Organisations – Aboriginal and Torres Strait Islander Medical Service/Health Council.   I worked as far as Cape York Peninsula and down to Mackay. I am currently working for Apunipima Cape York Health Service, I am a FIFO staff that fly’s into Aurukun on a weekly basis (Monday – Friday).  My portfolio is Chronic Disease.  I enjoy working with my people, making sure their health needs are met.
Leanne Kuchel
Leanne has been a Credentialled Diabetes Educator from Healthy Living NT (Diabetes Association of the NT) for the past 7 years. Her roles include providing education and support to people diagnosed with diabetes. She works both in the Darwin/Palmerston area and visits remote Indigenous communities in the Top End and Central Australia.
Gillian Dicker Gill is an Endorsed Nurse Practitioner (NP) and Credentialled Diabetes Educator (CDE) currently working in the Chronic Disease Diabetes Service. She has extensive experience in managing all types of diabetes (T1D, T2D, MODY, GDM) across the lifespan in both the hospital and community settings. Her special interests are diabetes in pregnancy and insulin pumps.
Jane Cairney Jane graduated from University of Surrey, UK in 1983 and moved to Australia 9 years later.  She has worked at Townsville Hospital as a Dietitian since 1992, and has worked with diabetes in pregnancy for the past 20 years.  She has taken part in a couple of research studies related to this area, and was on the working party to develop Queensland Clinical Guidelines for both Gestational Diabetes, and Obesity in Pregnancy.  She is currently Assistant Director of Nutrition and Dietetics at the hospital.
Simon Cavanagh Simon is currently the Professional and Lead Podiatrist for Townsville Hospital and Health Service, with 30 years experience in high risk foot management. He has worked both in the UK and Australia and in both metro and regional/remote centres. He was the first hospital based podiatrist to work at Royal Darwin Hospital. His time with the Top End Health Service resulted in him being awarded Allied Health Practitioner of the Year in 2017. He also sat on the newly formed NT Clinical Senate. Since commencing work with the THHS he has used his experience to develop the High Risk Foot Service with an overarching aim to end avoidable amputations.
Dale Cooke Dale is a dietitian who facilitates education programs at Diabetes Queensland for health professionals and people living with diabetes.  She trained as a dietitian 27 years ago when her husband was diagnosed with type 1 diabetes so she understands the day to day issues of people living with diabetes and their carers face.
Lynne McCleary I have been a Registered Nurse for over 45yrs and have been a CDE on and off for over 25yrs. I have worked in both the public sector and private sector as a Registered Nurse and a CDE. I inaugurated and was the coordinator of the diabetes clinic in Narrabri NSW and am happy to say that it is still operational.  In 2015 after the closure of the diabetes clinic I managed in Toowoomba, I decided that I would start a private diabetes clinic called AH Diabetes in Toowoomba. I was lucky enough that the team I worked with also decided to come with me and it has now grown into thriving business. We now run diabetes clinics in Springfield Lakes, Gatton, Warwick, Oakey, Dalby, Chinchilla and Toowoomba. I have a passion for providing people living with diabetes the education and information they need in any easy to understand way. I believe in a holistic approach with the person with diabetes being the centre of their care.
Samantha Swales

 

Samantha is the NDSS Director at ADEA National Office. Apart from looking after NDSS projects, Samantha is the National Program Manager, Diabetes in Schools at the ADEA.

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Venue

The venue is Rydges South Bank Townsville 23 Palmer St, Townsville Queensland 4810

Delegates have been offered a special accommodation rate of $117 per night (room only) or $147 per night (bed and breakfast) for a Deluxe Queen Room.

To receive this rate delegates can book online using the following promo-code: ADEAWEB.