33791 - Models of Diabetes Care in PHC Dr Nabil Sulaiman...

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Models of Diabetes Care in PHC Dr Nabil Sulaiman The University of Sharjah The University Melbourne
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This Presentation Trends in diabetes Lifestyle interventions- evidence Models of interventions in PHC: Diabetes Nurse Educator (DNE) COACH model Chronic Disease Self management
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Diabetes in UAE High prevalence in the Gulf Countries. In the UAE the prevalence is: 24% of adults 40% with diabetes and IGT Diabetes is occurring in younger age
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Environmental and behavioral changes New dietary habits (what and how we eat), Lack of physical activity, Overweight/ obesity, and Stresses of urbanization and working condition will lead to further rise of CVD and diabetes, and their risk factors.
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Evidence RCT in Finland and the USA have demonstrated that the incidence of diabetes can be reduced by about 57% by modifying: Physical activity and Diet (Tuomilehto et al 2001, Knowler et al 2002)
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Lifestyle Changes However, uptake of such lifestyle changes has been poor Programs developed to enhance the uptake, such as: Diabetes Nurse Educator Coach program Chronic Disease Self- management Others
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In Primary Health Care In Australia, people with T2D have 80% of their care in General Practice Diabetes requires the GP to practise biomedical, anticipatory and psychosocial care using evidence- based and patient-centred medicine and Patient to engage actively in managing their illness.
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Diabetes Nurse Educator Trained nurse Engage, educate and empower patient to manage diabetes and impact of disease on patient and family Based on trust and partnership between PHC centre- Diabetes nurse educator and patient Patient determines agreed targets Continuity and access
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Diabetes Coach Program Tested in Melbourne using RCTs for CVD Trained nurse or dietitian to do COACH Following diagnosis or after discharge from hospital Education and empowerment Patient determines agreed targets Follow up consultation or phone calls Showed benefit in several outcomes
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33791 - Models of Diabetes Care in PHC Dr Nabil Sulaiman...

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