Symposium Australian Diabetes Society and the Australian Diabetes Educators Association Annual Scientific Meeting 2016

Overcoming clinical inertia in glycaemic therapy for T2D in primary care: Theory & practice (#101)

John Furler 1 , Elizabeth Holmes-Truscott 2 , Jo-Anne Manski-Nankervis 1 , Kamlesh Khunti 3 , Jane Speight 2
  1. University of Melbourne, Carlton, VIC, Australia
  2. The Australian Centre for Behavioural Research in Diabetes , Deakin University, Melbourne, Victoria, Australia
  3. Diabetes Research Centre , University of Leicester, Leicester, United Kingdom

The two hour seminar will include a brief scene-setting presentation, three presentations each followed by 5 mins Q&A, a panel discussion

1.       Scene setting: Glycaemic levels in T2DM in Australia, current use of glycaemic therapy, limitations of current/usual practice in primary and secondary care in Australia.


2.       The psychosocial context of treatment intensification:  Barriers to early insulin initiation – Perspectives of individuals living with T2DM

This presentation will drawing on data analysis of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success) study, as well as baseline data analysis from the Stepping Up study (a cluster randomised controlled trial of a Practice Nurse-led model of care for insulin initiation in General Practice) with a focus on predictors of insulin resistance versus insulin willingness. This presentation will highlight potential opportunities for CDEs to use this evidence in their practice to support people with T2D.

3.       The inter-professional context of treatment intensification: Barriers to early insulin initiation – Health professional perspective

This presentation will draw on analysis of qualitative data and health professional survey data (including items drawn from the Diabetes Attitudes, Wishes and Needs study) from within the Stepping Up Study. Again this presentation will highlight potential opportunities for CDEs to use this evidence in their practice to support GPs and Practice Nurses working with people with T2D.

4.       Organisational interventions to optimise treatment intensification:

This presentation will draw on results of a systematic review or intervention to overcome clinical inertia in the treatment of glycaemia in people with T2D.

Panel discussion: Future directions for a primary care based treatment intensification. How does this work translate to current usual practice? Panel will include general practitioner, practice nurse, CDE and rural/regional representation.