T2DM: Diabetic Retinopathy, Chronic Kidney Disease
Duration: 60 minutes
Program ID: 913c | Purchase Price: $210.00 (Available as part of a DVD set of 4 programs on 4 discs)
Diabetes mellitus has become one of the most common non-communicable diseases in the world and results in substantial morbidity and mortality, primarily from cardiovascular complications, eye and kidney diseases and limb amputations. Each year 3.8 million deaths globally are attributable to diabetes. In Australia diabetes is the fastest growing chronic disease, with the total number of Australians with diabetes and pre-diabetes now estimated at 3.2 million. It is the sixth leading cause of death in Australia.
This program looks at two evidence-based guidelines that address co-morbidity in type 2 diabetes:
- Guidelines for the Management of Diabetic Retinopathy and
- Evidence based Guidelines for Diagnosis and Management of Chronic Kidney Disease in Type Two Diabetes.
In Australia diabetes is the most common cause of blindness in people under the age of 60 and incidence of blindness is 25 times higher in people with diabetes than in the general population. Everyone with diabetes will eventually develop diabetic retinopathy and overall between 25 and 44% of people with diabetes will have some form of diabetic retinopathy at any point in time. However vision loss or blindness is preventable through early detection and timely treatment. Good control of diabetes and regular eye examinations (at least once every two years) can prevent vision loss.
Diabetes is the leading cause of kidney failure in the developed world and accounts for approximately 35% to 40% of new cases each year. In Australia diabetes accounts for 32% of all end stage renal disease. Development of renal disease in people with diabetes is slow and persons may not feel unwell for years. However rigorous monitoring of risk factors by GPs and well controlled BGL will assist to lessen the potential renal affects of diabetes.
This program features a filmed case study of a 43 year old man diagnosed with type 2 diabetes when he was 27 and at 38 was diagnosed with diabetic retinopathy in his left eye and by 41 was declared legally blind. It outlines his journey.
This program was first presented live as a webcast and satellite broadcast on Tuesday 22 September. To view the program via video webstreaming, click on the webcast/webstreaming button on the right side of this page.
Program Presenters
- Chair: Dr Norman Swan - Presenter of the Health Report on ABC Radio National
- Professor Alan Cass - Director Renal and Metabolic Division, The George Institute for International Health; Professor and Director of the Poche Indigenous Health Centre, Faculty of Medicine, University of Sydney
- Dr David Guest - General Practitioner, Goonellabah, NSW
- Professor Paul Mitchell - Professor of Ophthalmology, University of Sydney, and Director of Ophthalmology for the Sydney West Area Health Service, NSW
- Associate Professor Stephen Twigg - Endocrinologist; Department of Medicine, University of Sydney and President of Australian Diabetes Society
Learning Outcomes
- Use a systems-based approach for assessing risk factors and co morbidity in patients with type 2 diabetes
- Identify key goals for management in patients with either diabetic retinopathy or diabetes related kidney disease
- Utilise the Guidelines to develop a patient management plan for patients with either diabetic retinopathy or diabetes related renal disease
Broadcast Dates
This program was first broadcast on the Foundation's satellite network on Tuesday 22 September 2009.
Funding Bodies
This program and the 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 Australian Diabetes Educators Association will be made for this program.
