The Diabetes Service
- Updated protocol in Clinical practice guides / Inpatient/hospital care / Diabetes Ketoacidosis Management in Adults with Type 1 Diabetes
- Updated protocol in Clinical practice guides / Inpatient/hospital care / Hyperglycaemic Hyperosmolar State in Adults with Type 2 Diabetes
The regional Diabetes Service provides a variety of ambulatory and inpatient services for the person with diabetes. Management and education services are provided within a 'shared care' arrangement with the referring medical practitioner. Services are prioritised based on the CHSA Diabetes Service Clinical Priority Tool.
Services in country are staff by diabetes specialist nurses and allied health professionals, working in local teams. Many of the nurses are credentialed diabetes educators and have significant experience in most areas of diabetes management and education. The central team also provides clinical backup and consultation by distance to support areas with low access.
The service provided over 27,000 patient services in 2014-2015. Due to the geographical spread, services can be offered on site, via outreach or via videoconference or telephone link.
- education service for people with newly diagnosed type 2 diabetes and those experiencing alterations in their management
- education service for people with newly diagnosed and ongoing type 1 diabetes
- education service for children with diabetes and their families (type 1 and type 2 diabetes)
- education service for women with gestational diabetes & pre-existing diabetes in pregnancy (both type 1 and type 2 diabetes), shared care with maternity services
- ambulatory stabilisation of insulin (in some sites)
- consultation and review of high risk inpatients
- training and support of hospital staff.
Programs are designed to;
- build knowledge and capacity in people with diabetes, to self management diabetes on a day to day basis
- individualise self management action plans based on the persons need and risk factors.
Some specialised services are offered in a shared care arrangement with specialist metropolitan services such as management of insulin pump therapy.