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Mount Druitt's new diabetes clinic - a new model of care for Type 2 diabetes management

GP VMO Dr Aajuli Shukla talks to patient Mohammed Arif over telehealth.

Mohammed Arif of Seven Hills was rushed to Blacktown Hospital suffering from multiple strokes – this was the wake-up call he needed to take his Type 2 diabetes more seriously.

In March, Mr Arif was referred to the new diabetes clinic at Mount Druitt Community Health Centre by his GP and on August 6, was taken off insulin and is the first person to be successfully discharged back to his local GP.

The new clinic, officially opened on August 27, will help manage people living with complex Type 2 diabetes in Mount Druitt and Blacktown. This clinic is also there to enhance the skills of local GPs to help manage their patients and reduce hospital waiting lists.

The clinic, which has been operational since May, is three years in the making — a continual collaborative effort from Blacktown Hospital and the Western Sydney Diabetes (WSD) team.

WSD was established in response to the growing threat diabetes poses to the health and wellbeing of the Western Sydney community.

The clinic runs on a model where four GPs attend and see patients with complex Type 2 diabetes under the supervision of endocrinologists from WSD, a diabetes educator and a dietitian.

Referring GPs join the consults via telehealth to discuss their patient’s management plan.

WSD director Professor Glen Maberly said over the past four years, diabetes screening in general practices across Western Sydney Local Health District  identified 17% of patients with diabetes and 27% with pre-diabetes.

But in Mount Druitt it was found 29% of patients had diabetes and 41% had pre-diabetes.

“Mount Druitt is central to our Western Sydney diabetes hot spot,” Prof Maberly said.

“The community health centre is a location to help us support the needs of the community, including Aboriginal people and people from many cultures and backgrounds, important groups with a high prevalence of diabetes.”

Nurse Practitioner Ana Murugesan inserts a Flash CGM on a patient at the community diabetes clinic.

The clinic provides many services including diabetes self-management skills, dietary advice, eye screening, foot checks, and blood glucose monitoring technology to identify trends, such as unrecognised hypoglycaemia (abnormally low blood glucose).

“The aim of this clinic is to build the capacity of our GPs, to improve their diabetes management skills that can be applied to other patients they see,” Prof Maberly said.

Mr Arif is doing well and has also quit smoking and lost 8kg. He credits his success to the clinic.

“Having that weekly call, that weekly support,” he said. “I just didn’t want to disappoint them.”

Learn more about the new clinic here.

If you have any health or diabetes concerns, please speak to your GP for advice.

The free Get Healthy Information and Coaching Service also has a telephone coaching program specially designed for people at high risk of developing type 2 diabetes.

WSLHD invests more than $2 million annually for the WSD initiative and provided funding of $110,000 for refurbishments at Mount Druitt Community Health Centre.

Media contact: WSD eEngagement and Education Manager, Heloise Tolar Heloise.Tolar@health.nsw.gov.au or 0417 872 245.

 

Diabetes detection at Kimberwalli for NAIDOC Week 2024

Western Sydney Diabetes will be carrying out diabetes detection during NAIDOC Week celebrations on Tuesday, July 9 at Kimberwalli, Whalan.

Diabetes is a condition where there is too much glucose in the blood. The body can’t make insulin, enough insulin or is not effectively using the insulin it does make.

Over time high glucose levels can damage blood vessels and nerves, resulting in long term health complications including heart, kidney, eye and foot damage.

NSW Health estimates that diabetes rates in western Sydney are 13 per cent in adults and have been rising for over a decade.

Aboriginal and Torres Strait Islander people are three times more likely than non-Indigenous Australians to have diabetes. Type 2 diabetes is a direct or indirect cause for 20% of Aboriginal people’s deaths.

People who are admitted to any hospital in the WSLHD and identify as Aboriginal and Torres Strait Islander have an average rate of diagnosed diabetes of nearly 20%, compared to just 14% in non-Aboriginal people.

(Right) WSD's Diabetes Prevention Officer Aruni Ratnayake with WSLHD Aboriginal Chronic Care nurse Shirley Brown, doing a HbA1c test on Lisa Howlett at the NAIDOC Week event at Riverstone 2023.

From 10am to 3pm, WSD and WSLHD staff be doing finger prick tests during NAIDOC (National Aboriginals’ and Islanders’ Day Observance Committee) Week to measure participant’s blood glucose levels (a HbA1c test) and detect pre-diabetes and diabetes.

All participants will be offered lifestyle change resources and those with pre-diabetes and diabetes will be given a letter and encouraged to see their regular General Practitioner (GP).

The whole process takes about 10 minutes.

WSD was established in response to the growing threat diabetes poses to our community’s health and wellbeing.

It is led by Western Sydney Local Health District and Western Sydney Primary Health Network (WentWest), Diabetes Australia and Department of Planning and Environment to address the Western Sydney diabetes hotspot.

WSD is encouraging adults to go to their GP and get a HbA1c blood test if they:

  • Have a family history of diabetes;
  • Have an inactive lifestyle;
  • Are overweight or obese;
  • Had diabetes during a pregnancy; or
  • Have a Pacific Island, Indian subcontinent, African, Asian, South Asian, Aboriginal or Torres Strait Island background.

Details: 10am-3pm, 1 Mimika Avenue, Whalan, kimberwalli@det.nsw.edu.au