Diabetes Nurse Educator


Diabetes Education

Every Second FRIDAY

MENTONE: 9:00am to 12:00pm

HAMPTON: 1:00pm to 4:00pm

What is Diabetes ?

Diabetes is a chronic condition in which there is too much circulating glucose (sugar) in your blood.  This can lead to numerous complications.  Whilst there is no cure for diabetes, good self care combined with support by your health care team can achieve successful management.

Types of Diabetes
  • Pre-diabetes / Impaired Glucose Tolerance (IGT) / Impaired Fasting Glycaemia (IFG)  is a condition in which blood glucose levels are higher than normal, although not high enough to be diagnosed with type 2 diabetes. Pre-diabetes has no signs or symptoms. People with pre-diabetes have a higher risk of developing type 2 diabetes and cardiovascular (heart and circulation) disease.
  • Type 1 Diabetes is an auto-immune condition in which the immune system is activated to destroy the cells in the pancreas which produce insulin. We do not know what causes this auto-immune reaction.
  • Type 2 Diabetes is a progressive condition in which the body becomes resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas. We do not know what causes type 2 diabetes. Type 2 diabetes is associated with modifiable lifestyle risk factors. Type 2 diabetes also has strong genetic and family related risk factors.
  • Gestational Diabetes (GDM) is a form of diabetes that occurs during pregnancy. Most women will no longer have diabetes after the baby is born. However, some women will continue to have high blood glucose levels after delivery. It is diagnosed when higher than normal blood glucose levels first appear during pregnancy.
Management

The aim of diabetes management is to keep blood glucose levels as close to the target range of between 4 and 6 mmol/L (fasting).  Optimising control of glucose  will help prevent both short-term and long-term complications.  Changes to lifestyle, combined with medication in all cases will result in good long term management of diabetes.

Our Diabetes Nurse Educator may  assist you in optimising your diabetes management

Your healthcare team including your doctor, specialist, dietician and Diabetes Educator, can help you with blood glucose monitoring, healthy eating and physical activity.

Consultations

Appointments are approximately 30 minutes duration.   For your initial appointment you are encouraged to bring your;

  • Glucometer for review (* if you monitor at home)
  •   Blood Glucose Diary  A record of your blood glucose levels for the last two weeks
  •   Diabetes Food Diary  You may also like to bring along a record of your food intake for the last few days for discussion
Diabetes Information Library

We will attempt to build a small library of useful information relating to diabetes management.  Check back for updates

Continuous Glucose Monitoring (CGMS)

Continuous glucose monitoring sensors (CGMS) involves wearing a small glucose sensor inserted in the interstitial fluid just under the skin.

The sensor will provide a reading every 5 minutes and is normally worn for a 6-7 day period depending on the brand of sensor. Once complete, the data is uploaded and plotted onto graphs, enabling identification of glucose patterns.

Your doctor or nurse educator may recommend continuous blood glucose monitor if you are experiencing fluctuations or concerning trends in your blood glucose levels, especially overnight.

CGMS can be offered to people using insulin pumps as well as to those on multiple daily injections, including people with type 1 or type 2 diabetes.

CGMS can be a very valuable problem solving tool for both you and your diabetes health team.

Appointments are approximately 30 minutes duration.  A second appointment is useful to help interpret the results and discuss management.  You may either make this time with the Diabetes Nurse or with your own treating doctor

 

Fees

Patients with an Enhanced Primary Care Plan and appropriate referral:

Consultation fee : $68.95   The Medicare rebate for eligible patients is $52.95 ( $16.00 out-of-pocket expense)

Veterans Affairs patients will be bulk-billed.

Patients without an Enhanced Primary Care plan and referral:

Consultation fee: $102.00.  Some private health funds may reimburse a portion of this fee

CGMS Sensors:

The cost of a sensor is $80.00  There is no Medicare rebate for the sensor

Deposit on CGMS Monitor:

A deposit of $100.00 is required for use of the monitor.  This deposit is refunded in full on return of the undamaged monitor.