T2DM: Primary Prevention, Case Detection and Diagnosis
Duration: 60 minutes
Program ID: 913a | Purchase Price: $210.00 (Available as part of a DVD set of 4 programs on 4 discs)
Type 2 diabetes affects 7.4% of the Australian population in people aged 25 years or older. However, for every person diagnosed with type 2 diabetes, there is one person who goes undiagnosed. Diabetes, diagnosed and undiagnosed, is a major risk factor for causing cardiovascular disease, blindness, renal failure, and lower limb amputation. Many people with type 2 diabetes have the disease for a number of years before it becomes clinically apparent. Nearly 80% of people with undiagnosed diabetes have identifiable risk factors.
Screening for type 2 diabetes in asymptomatic individuals is one strategy for decreasing the diabetes burden, with the rationale that diagnosis and intervention earlier in the disease process may more effectively prevent or delay the development of diabetes-related complications.
Type 2 diabetes is a complex metabolic disorder triggered by lifestyle factors superimposed on a genetic predisposition. The principal lifestyle risk factors for type 2 diabetes include obesity, energy-dense diets, and a low level of physical activity.
One approach to preventing Type 2 diabetes is to target those individuals known to be at a particularly high risk. Lifestyle modifications, such as physical activity, dietary change, and weight loss are all methods used in the prevention of type 2 diabetes.
This program discusses case detection and diagnosis of type 2 diabetes. Case detection in the primary health care setting provides an opportunity to identify the estimated 500,000 Australians with undiagnosed type 2 diabetes. The program also discusses primary prevention of type 2 diabetes, with an emphasis on lifestyle modifications.
This program, one of a four part series on type 2 diabetes, looks at two evidence based guidelines:
- Case Detection and Diagnosis of Type 2 Diabetes, and
- Primary Prevention of Type 2 Diabetes.
The program discusses practice points and changes in goals for detection and prevention related to these guidelines.
The November 2009 issue of Australian Rural Doctor features a "How to Treat" section which is based on this program.
Program Presenters
- Chair: Dr Norman Swan - Presenter of the Health Report on ABC Radio National
- Professor Alan Barclay - Accredited Practicing Dietitian, University of Sydney NSW.
- Professor Mark Harris - General Practitioner and Director of the Centre for Primary Health Care
- Associate Professor Ashim Sinha - Director of Diabetes and Endocrinology at the Cairns Base Hospital and Diabetes Centre, Associate Professor and Senior Research Fellow at James Cook University.
Learning Outcomes
- Outline the three-step case detection and diagnosis procedure for detecting people with undiagnosed type 2 diabetes
- Identify and treat type 2 diabetes at a stage before clinical presentation
- Apply a systems-based approach to developing lifestyle modification plans for patients at risk of developing T2DM
- Develop culturally appropriate lifestyle interventions
Broadcast Dates
This program was first broadcast on the Foundation's satellite network on Tuesday 13 October 2009.
Funding Bodies
This program and distribution of the Diabetes Guideline Series has been funded by the Australian Government Department of Health and Ageing.
Accreditation
This program is accredited or endorsed for CPD/CPE by the Royal Australian College of General Practitioners, the Australian College of Rural and Remote Medicine, the Royal College of Nursing Australia and the Australian Physiotherapy Association. An application for accreditation from ADEA will be made for this program.
