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AJGP Clinical Challenge May 2019: Diabetes

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hrs

To provide guidance for the general practitioner in the diagnosis and management of diabetes.

Relevance to General Practice

It is estimated that one million Australian adults had type 2 diabetes (T2DM) in 2014–15. Severe hyperglycemia in T2DM can lead to hyperosmolar hyperglycaemic state, which has a mortality rate of up to 20%. The Australian Diabetes Society has released statements indicating that patients with glycated haemoglobin (HbA1c) of 6–6.4% should not be retested for T2DM by either HbA1c or fasting blood glucose (FPG); however, there is evidence that patients with FPG levels consistently greater than 7 mM may still have normal HbA1c levels and would benefit from diet and lifestyle modifications to prevent microvascular complications. Each year, approximately 2500 Australians are diagnosed with type 1 diabetes (T1DM). Although T1DM has historically been managed by finger pricks and multiple injections, new technology – including insulin pumps, which are used by 12% of patients with T1DM – is changing treatment options for patients with T1DM.
References on file.

Learning outcomes
  • Identify new and changing therapeutic options for management of type 1 diabetes.
  • Outline the key points to consider when teaching patients with type 2 diabetes to self-administer insulin.
  • Discuss the hyperglycaemic states that can occur in patients with type 2 diabetes.
  • Describe the correlation between fasting plasma glucose and glycated haemoglobin in the early diagnosis of type 2 diabetes.
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    D2. Applied professional knowledge and skills

    • Comprehensive and holistic management plans are developed collaboratively

    D3. Population health and the context of general practice

    • The patterns and prevalence of disease are incorporated into screening and management practices

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    AJGP Clinical Challenge May 2019: Diabetes
    Provider Type
    Education Provider
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd