Basic premise: there are between 1.5 and 2 million people in Australia with diabetes We only have a couple thousand endocrinologists to manage all of them This is unsustainable
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So what's a sustainable solution? Well, reducing the rate of diabetes is a good idea, but will take decades What we did was pretty simple: teach GPs how to manage diabetes better and let them do it
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There may only be a dozen specialists covering a large group of people, but there are probably 10 times as many GPs. Our new paper demonstrates that, with minimal support, we can upskill the GPs to the point where patients rarely need to see an endo for regular care
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We've shown that not only do patients benefit from this approach - at 3-year follow-up, they were better on a variety of metrics - but entire GP clinics can improve in terms of diabetes management
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It ties back into what
@RACGP says - GPs can (and do) do an enormous amount!pic.twitter.com/IMfh8kGGcL
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Take-home: rather than spending huge sums of money increasing the number of endocrinologists that we train, instead provide proactive support to GPs to better manage diabetes in the community
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This saves money, it saves time, and it's better for everyone - especially the patient!
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On big outcome that we are currently investigating is that this project appears to have pretty much gotten rid of our waitlist for endo consults at the hospital
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There will soon be a blog dropping on all of this explaining it better as well!
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Is that Ian Corless who used to work at Merck Sharp & Dohme?
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Not sure! I have only worked with him in the context of the PHN
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