Who else can help treat and manage type 1 diabetes?

Diabetes is best managed and treated with the help of a team of health professionals with a range of expertise. This team may include the following professionals.

General practitioner

A general practitioner will be responsible for coordinating diabetes education, management and care, and can provide a referral to an appropriate specialist doctor or other health professionals.

Practice nurse

In many practices, a practice nurse will play an important role in establishing, managing and implementing systems for diabetes care.

Pharmacist

A pharmacist can provide information and advice on any of your medicines, including how to take them correctly, possible side effects and medicine interactions, and ways to help you manage your medicines. Ask your pharmacist about using a safety net card for your prescription medicines. Your pharmacist can also help to check your medicines list and make sure it is up to date when you change medicines.

Your doctor can also organise for you to have a Home Medicines Review, where a pharmacist will visit you in your home to discuss your medicines. Some of your medicines may no longer be needed.

Watch the video below to find out more about Home Medicines Reviews.


©2009 NPS and Diabetes TASMANIA

Phone for medicines information

Call NPS Medicines Line on 1300 MEDICINE (1300 633 424) to get information about your prescription, over-the-counter and complementary medicines from a pharmacist.

Diabetes educator

Diabetes educators are specially trained people who can provide information about diabetes, diet, physical activity and how to test blood glucose levels, medicine to control diabetes (injected insulin), foot care and any other needs. A general practitioner can refer you to a diabetes educator. For more information, visit the Australian Diabetes Educators Association website, or contact a local community health centre or major hospital, and ask for an appointment with a diabetes educator.

Dietitian

Dietitians play an important role in helping people with diabetes. A general practitioner can refer you to a dietitian. Lifestyle changes including a healthy diet, regular physical activity and a healthy weight are important to help control glucose levels.

For more information on dietitians, visit the Dieticians Association of Australia website.

A podiatrist examining the feet of someone with diabetes

A podiatrist can advise on the best way to care for your feet to reduce the risk of injuries and complications.
Image: Shutterstock.com

Podiatrist

A podiatrist is a health professional specialising in problems with feet, ankles, knees, legs and hips. People with diabetes can experience problems with their feet; for example, wounds that won't heal. This is because diabetes can affect blood flow to the feet and this reduces the body's ability to heal foot wounds. Diabetes can also cause damage to nerves in the feet, which means that the ability to feel pain or temperature extremes is reduced, increasing the chance of injury. A general practitioner can refer you to a podiatrist for regular check-ups. Your podiatrist can advise on the best way to care for your feet to reduce the risk of injuries and complications.

The Australasian Podiatry Council can help you find your nearest specialist.

Physiotherapist or exercise physiologist

A physiotherapist or exercise physiologist can work out a personalised physical activity program especially for diabetes. This is particularly helpful for people who are normally relatively inactive and just starting out on an exercise program. A general practitioner can refer you to a physiotherapist or exercise physiologist.

Specialist diabetologist, endocrinologist or paediatrician

A specialist diabetologist or endocrinologist is necessary for anyone with health problems related to their diabetes, and children with diabetes should be referred to a paediatrician. A general practitioner can refer you to a diabetologist, endocrinologist, or a paediatrician.

Ophthalmologist or optometrist

Anyone who has diabetes needs to be regularly checked by an ophthalmologist or optometrist. An annual vision check is recommended. This is because some eye conditions, such as cataracts (clouding in the lens of the eye affecting vision), damage to the retina (diabetic retinopathy), and glaucoma, are more common in people with diabetes. This way, any problems with vision can be picked up and treated if they are identified early. A general practitioner can refer you to an ophthalmologist or optometrist. All Australians (including people with diabetes) can have a Medicare-funded vision check by an optometrist once every 2 years, with or without a doctor's referral.

Dentist

Dental problems are common in people with diabetes, so anyone with diabetes needs to see a dentist regularly (e.g. once every year).

Psychologist, social worker or counsellor

Some people with diabetes may find that they need the support of a psychologist, social worker or counsellor. A general practitioner can refer you so that you can get the help you need.

Register with the National Diabetes Services Scheme

The National Diabetes Services Scheme (NDSS) can provide diabetes-related blood glucose monitoring equipment at subsidised prices, and provides information and support on a range of topics. Registration is free. Ring them on 1300 136 588 or visit www.ndss.com.au.

References
  • Craig ME, Twigg SM, Donaghue KC, et al for the Australian Type 1 Diabetes Guidelines Expert Advisory Group. National evidence-based clinical care guidelines for type 1 diabetes in children, adolescents and adults. Canberra: Australian Government Department of Health and Ageing, 2011. www.diabetessociety.com.au/downloads/ Type1guidelines14Nov2011.pdf (accessed 15 November 2011).
  • Type 2 diabetes: priorities and targets. NPS NEWS (www.nps.org.au/health_professionals/publications/nps_news/current/type_2_diabetes_priorities_targets)
  • Yudkin JS, Richter B, Gale EA. Intensified glucose lowering in type 2 diabetes: time for a reappraisal. Diabetologia 2010;53:2079–85.
  • Turnbull FM, Abraira C, Anderson RJ, et al. Intensive glucose control and macrovascular outcomes in type 2 diabetes. Diabetologia 2009;52:2288–98.
  • Kearney PM, Blackwell L, Collins R, et al. Efficacy of cholesterol-lowering therapy in 18,686 people with diabetes in 14 randomised trials of statins: a meta-analysis. Lancet 2008;371:117–25.
  • Law MR, Morris JK, Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ 2009;338:b1665.