Prevention program for 40-49 year olds.
Project Officer: Melissa Franklin
Phone: 8752 4914

Project Officer: Alison Mudie Tuesdays only
Phone: 8752 4930

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Type Two Diabetes Risk Evaluation

Target: people aged 40-49 at risk of developing Type 2 diabetes

Claiming rules

• Once every three years
• Claimed with bulk billing incentive

Can be completed by the

• GP
• GP and practice nurse

The patient

• aged between 40 - 49 years of age Complete AUSDrisk assessment tool
• Have consent from parent or carers
• Be provided with a copy of Get set for Life
• Clinical risk factors
• Lifestyle factors
• Smoking
• Poor nutrition
• inactivity

Biomedical risk factors

• blood pressure
• weight
• impaired glucose metabolism
• recent diagnostic test results
• family history of chronic illness

The health assessment will include

• evaluation of patients risk using AusDRISK completed at least 3months before the health assesment
• physcial examination and update of patients history and clincial investigation
• make the assessment of patients risk
• initiate patients readiness to change interventions
• recommend Lifestyle Modification Program (LMP)
• Contact CSGPN for referral number and provider
• Implement motivational interviewing and lifestyle coaching

Other services to support newly diagnosed diabetics

• ComDiab
ComDiab is a Sydney South West Integration Program (SSWIP) initiative which aims to provide GPs with an alternative diabetes education referral pathway for people diagnosed with ‘low risk’ type 2 diabetes. Community Health Nurses and/or Practice Nurses deliver basic diabetes education over two 1-hour sessions at several locations around Sydney.
To refer into ComDiab, dowload the referral form or install the Best Practice/Medical Director template onto your practice software. Your patient then calls Community Health Access Intake Nursing (CHAIN) on 1300 722 276 for program times and locations.
• ComDiab Referral Form template for MD and Best Practice
• ComDiab Referral Form Word template for printing and faxing
• Diabetes NSW group services
• Diabetes Education SSWAHS

Referrals

Referrals to a Lifestyle Modification Program (LMP) are for eligible patients who are aged 40-49 years and have scored 12 or over on the AUSDRISK tool.

To refer, GPs need to

1. administer the AUSDRISK tool
2. complete either the generic referral form or an electronic referral form
3. ring CSGPN on 9799 0933 to get an authorisation number
4. fax referral to the division on our secure fax number 9009 0602 and we will pass it onto the nominated provider

Downloads

• Electronic Referral Form - Please do not open the template prior to uploading, will work both in Medical director and Best practice.
• Generic Referral Form
• Importing Best Practice (BP) templates from CSGPN website
• Importing Medical Director templates from CSGPN website
• AUSDRISK Tool online version
• AUSDRISK Tool PDF version
• MBS Item Numbers for Type 2 Diabetes Risk Evaluation

For more information click on LMP Referral Steps, LMP Program Schedule and the DoHA website.