Wednesday, 24th August Australian Diabetes Society and the Australian Diabetes Educators Association Annual Scientific Meeting 2016

6:15AM - 7:00AM
Foyer E

Yoga Instructor - Paula Cross

*Pre-Registration for this session is essential

7:00AM - 8:30AM
Central B

Monring tea provided

*NB: access to central Room B is via the Exhibition Hall

7:00AM - 8:30AM
Organisers Boardroom
7:00AM - 8:00AM
Central C
Chair: Stephen Twigg
Sponsored by:

FreeStyle Libre T1DM Clinical Outcomes Trial Results (IMPACT)
Speaker: Dr Julia Mader

IMPACT is a randomised controlled study to evaluate the impact of Flash Glucose Monitoring on hypoglycaemia in well-controlled type 1 diabetes. Especially in patients with good glycaemic control there is a relevant risk of hypoglycaemia increasing the burden of disease. IMPACT is a 6-month, prospective, open, multicentre, randomised, controlled, two-arm study, which enrolled 241 adult patients with type 1 diabetes from 22 sites across Europe (Austria, Germany, Spain, Sweden and the Netherlands). The intervention group used sensor glucose data obtained by Flash Glucose Monitoring, whereas the control group used capillary fingerstick measurements for self-management of blood glucose. At 6 months, time in hypo-and hyperglycaemia was significantly reduced in the intervention group with similar A1c between groups. Patients in the intervention additionally reported an improvement in quality of life and treatment satisfaction. In this breakfast symposium, Dr. Julia Mader from the Medical University of Graz, Austria, will present the results of IMPACT, and also share global Flash Glucose Monitoring clinical use cases as part of the trial.

Visit the ADS ADEA Conference website for more detail- http://ads-adea.org.au/industry-trade-breakfast-symposia/

 



7:00AM - 8:00AM
Room 7
Sponsored by:

Insulin Pump Therapy

Speaker: Professor John Pickup

In this lecture Professor John Pickup will discuss the past, present and future of diabetes technology. To tell this story Professor Pickup will review how insulin pump therapy was invented and his integral role in its development. He will then look at modern diabetes technology and whether it is yet a quality treatment to help patients manage their diabetes. Finally he will look at potential future developments in diabetes technology and whether we can look forward to improved technology in the years to come.


Visit the ADS ADEA Conference website for more detail- http://ads-adea.org.au/industry-trade-breakfast-symposia/

 

7:00AM - 8:00AM
Room 6
Sponsored by:

Evolving Therapeutic Paradigm for Cardiometabolic Disease Management
Speakers: 
A/Prof Michael d'Emden and A/Prof Jonathan Shaw

Diabetes has been recognized as in independent risk factor for cardiovascular disease (CVD) and is often accompanied by other CVD risk factors.  This clustering of risk factors for CVD and diagnosis of diabetes can present a complex management challenge. People living with diabetes are often diagnosed with CVD and its complications at a younger age.  Large vessel disease, such as coronary heart disease and stroke, represent the leading cause of mortality and morbidity in people living with diabetes.  Cardiometabolic disease risk factors such as uncontrolled blood glucose, hypertension and dyslipidaemia require heightened attention. 

Management of dyslipidaemia is a persistent challenge in the clinical setting, with those at highest risk for CVD not always achieving appropriate lipids levels with current treatment therapies. 
Can recent advances in treatments, such as PCSK9 inhibitors, change the way we manage people living with diabetes and cardiovascular disease?


Visit the ADS ADEA Conference website for more detail- http://ads-adea.org.au/industry-trade-breakfast-symposia/

 

 

8:30AM - 9:10AM
Arena 1
9:15AM - 9:45AM
Arena 1
Chair: Tracy Aylen
9:50AM - 10:30AM
Arena 1
Chair: David James
Sponsored by:
10:30AM - 11:00AM
Exhibition
Sponsored by:
11:00AM - 12:00PM
Arena 1
Chair: Giuliana Murfet
12:00PM - 1:00PM
Organisers Boardroom
Chair: Kate Marsh

Lunch provided

1:00PM - 2:00PM
Exhibition
1:00PM - 2:00PM
Room 6

Lunch provided

*NB: to participate you must be a member of this ADEA Special Interest Group

1:15PM - 2:00PM
Foyer E

Yoga Instructor: Paula Cross

*Pre-Registration for this session is essential

1:30PM - 3:30PM
Central B
Chair: Janet Lagstrom

Aim:
Aim: To introduce registered nurse, credentialed diabetes educators (RN-CDEs) to a model of professional practice for supporting General Practitioners (GPs) and Practice Nurses (PNs) in treatment intensification, in particular initiation of insulin, in primary care for people with type 2 diabetes (T2D).

Background and rationale: 

The Stepping Up model of care, based on an enhanced role for the PN supported and mentored by the RN-CDE, has been proven effective, with clinically significant reduction in glycaemic levels without deterioration in quality of life. The session will be a mixture of presentations interspersed with practical role playing for the health professional education aspect, assistance with motivational interviewing skills, therapy options to be considered, and discussion about pathology relating to diabetes care.

The RN-CDE is the only category of CDE managing diabetes exclusively. The expertise this allows can be more widely distributed and utilised if we train, mentor and support primary care health professionals assisting with progression of therapy (including injectables), and practical dietary and exercise management. Integrating the availability of frequent clinic visits to the referring GP with a competent PN (as only a few Medicare funded visits are available to the diabetes educator) will be discussed.

We present this model to assist diabetes specialist trained people (endocrinologists and diabetes educators), to increase primary carers diabetes management knowledge, to enhance the care of the ever expanding number of people with type 2 diabetes.

Overview:
Overview presentation of the Stepping Up Model of Care emphasising the large numbers of people with type 2 diabetes, and the current ratio of specialist diabetes trained people to care for them.

Case Study: Introduce a practice nurse from a busy bulk-billing/private billing clinic and the effect of the training on the people with T2D diabetes at her clinic and how it has translated into routine diabetes management. 

Key principle 1: MI
Brief overview of motivational interviewing followed by practical application, with division into pairs, with varied scenarios to be discussed, with the participants in the role of person with diabetes or GP/DE/PN. Gather to brainstorm results. 

Key principle 2: The range of glycaemic therapeutic options facing GPs, PNs and people with T2D
Ensure DEs feel comfortable with the large choices of oral and injectable hypoglycaemic therapy currently available. Safety aspects, various appropriate titration algorithms for titration, and essential knowledge needed by the HPs and PWD.
Hands on manipulation of various injectable devices (insulins, GLP1s), available after the session for interested participants.

Key principle 3: Monitoring
Discuss both useful blood glucose monitoring for change of therapy management, and the pathology routinely done for people with diabetes, and alert levels relating to different oral and injectable medications, including appropriate communication with the treating GP for any safety concerns or discussion of progression of therapy. Include in this section the importance of pathology showing improvement, as one aspect demonstrating the value of the DE working with the clinic GP and nurses. 

Conclusion:
Lessons from the implementation of Stepping Up. Give emphasis to the uptake being greater in lower socio-economic areas where patients are reluctant/cannot afford to pay for a health service.

Learning Objectives:

  • To understand the rationale for a reoriented professional practice model in primary care
  • To become familiar with the principles of a model of professional practice based on a RN-CDE mentoring role for GPs and PNs in implementing treatment intensification for people with T2D in primary care

 

*NB: The entrance to Central Room B is via the Exhibition Hall

If you wish to attend this masterclass, please ensure you arrive on time as places are limited

1:30PM - 3:30PM
Central C
Chair: Bodil Rasmussen

The aims of the workshop are to:

  • Outline the social, emotional, nursing and medical issues that need to be considered when planning care for/with older people with diabetes.
  • Involve workshop participants in discussing key aspects of care using a case study approach.
  • Challenge, provoke and engage the audience.

Overview of the symposium content

Professor Trisha Dunning - Who are older people?

Ms Nicole Duggan - Caring for older people with diabetes: nursing perspective

Dr Mark Kennedy - Caring for older people with diabetes: a medical perspective

Questions to the speakers and interactive case discussion

Learning outcomes

At the end of the symposium, participants will be able to:

  • Understand that each older person is highly individual and that care must be personalised to suit their functional status, life expectancy, risk profile and personal goals.
  • Outline the key social, emotional/psychological, nursing and medical issues that need to be considered when planning care for/with older people with diabetes and their families.
  • Understand the importance of adopting a proactive strategy for identifying and managing associated risks such as pain, falls, and medicine-related errors and adverse events.
  • Understand the effect of changing functional status on care and education needs, quality of life and self-care capacity.
  • Understand the importance of regular comprehensive assessments and medicine reviews to safety and proactive, preventative care planning.

2:00PM - 3:00PM
Exhibition
Sponsored by:
2:00PM - 3:00PM
Exhibition
Sponsored by:
2:00PM - 3:00PM
Room 5
Chair: Liz Obersteller
3:00PM - 3:30PM
Exhibition
3:00PM - 4:00PM
Organisers Boardroom
Chair: Joanne Ramadge

Afternoon tea provided

3:30PM - 5:30PM
Central C
Chair: Kirstine Bell

Speakers: Prof Trisha Dunning & Prof Martha Funnell

A practical workshop for CDE's who have a research idea or question and want to design a study and enhance their research skills.  The workshop will focus on designing a research project and will include information on designing qualitative and quantitative research studies, quality improvement activities and evaluation studies.  The session will feature presentations by leading researchers Professor Trisha Dunning and Martha Funnell.  These presentations will be followed by small group activities where delegates can discuss their  research ideas/questions with experienced researchers.

*Pre-Registration for this session is essential
Delegates who register for the workshop will receive a pack of information to help them prepare for the workshop.

3:30PM - 5:30PM
Central B
Chair: Jayne Lehmann

Content Outline:

The introduction of the National Disability Insurance Scheme across Australia in the near future will not include any funding for diabetes care. This will place an increased need for health services to be accessible to people with a disability and to provide customised services to address their unique needs. To support diabetes services to improve their ability to provide high quality diabetes care to people with ID, Professor Gary Wittert and Credentialled Diabetes Educators Jayne Lehmann and Anne Marks will share their clinical expertise in the care of diabetes in people with ID.  This symposium will include presentations that draw on the available research and clinical experience and resources used by the presenters to provide high quality diabetes care services to people with ID. Case studies will explore the issues related to diabetes care of people with Prader-Willi and Down Syndromes.
Co-morbidities like obesity, poor nutrition, limitations on exercise capacity, use of anti-psychotics, syndrome associated conditions and sleep-disordered breathing will be explored. The challenges involved with the use of non health professional support workers in the delivery of diabetes care will be explored. A range of resources designed for the specific education and support needs of people with diabetes and ID will be presented to inspire participants to increase their confidence and capacity to address the unique needs of this high risk target group.

Session Outline:

Presentation by Prof Gary Wittert

  • Overview of current data on the standard of health of people with ID to set the scene for why this is important to address
  • Overview of risk factors for diabetes e.g. obesity, poor nutrition, limitations on exercise capacity, use of anti-psychotics, syndrome associated conditions and sleep-disordered
  • Overview of issues compounding the risks e.g. supported care, lack of healthy cooking skills and recipe support for support workers, ill-equipped health and community systems to support preventive and acute care/early diagnosis etc

Group Interactive exercise

Presentation by Jayne Lehmann

  • The NDIS and its implications for the healthcare sector
  • Barriers to access by people with ID within a diabetes or health service
  • Resources and strategies to assist

Group Interactive exercise

Presentation by Anne Marks

  • The challenges of intensive insulin therapy for people with type 1 diabetes and Intellectual disability
  • Support strategies for families, diabetes educators, schools and respite care workers

Group Interactive exercise

Panel discussion

Learning outcomes:

At the conclusion of this session, participants will:

  1. Be aware of the high prevalence, and reasons for the high risk, of type 2 diabetes (T2D) in people with ID.
  2. Identify the co-morbidities and issues that require consideration in the provision of health care to people with ID and diabetes.
  3. Appreciate the range of resources and strategies to include people with ID in their diabetes self care to the best of their ability.
  4. Be able to state the barriers and facilitators for the prevention or optimal management of T1D and T2D in people with ID in various levels of supported care and the expected impact of the introduction of the NDIS.

The session will be run with presentations and interactive activities to actively engage the audience in their exploration of the topic and learning.

*NB: The entrance to Central Room B is via the Exhibition Hall

If you wish to attend this masterclass, please ensure you arrive on time as places are limited

4:30PM - 5:30PM
Organisers Boardroom
Chair: Elizabeth Obersteller
5:30PM - 7:00PM
Exhibition
Sponsored by: