In a major win for Australia’s diabetes community, the International Diabetes Federation Western Pacific Region (IDF WPR) Congress 2026 will be held in Melbourne, led by Australia’s leading diabetes organisations.

The Congress is the region’s most significant diabetes event and will be held in conjunction with the Australasian Diabetes Congress (ADC). The events will be co-hosted by Diabetes Australia, Australian Diabetes Society and Australian Diabetes Educators Association.

The event is expected to attract more than 2,500 global leaders in diabetes care, research, education and advocacy to the Melbourne Convention and Exhibition Centre over four days from August 18-21. Delegates will include clinicians, researchers, policy experts, educators and people living with diabetes from across the Western Pacific, the IDF’s largest and most affected region.

With 215 million adults in the Western Pacific now living with diabetes, which is the fastest-growing chronic condition in Australia, the Congress will serve as a critical platform for accelerating action, shaping policy and forging new collaborations to improve outcomes for people living with or at risk of diabetes.

“This Congress could not come at a more urgent time for Australians living with diabetes,” said Diabetes Australia Group CEO Justine Cain.

“Globally, one person is diagnosed with diabetes every 3 seconds. In Australia, more than 300 people are diagnosed every day.

“The impact of this costly condition is being felt across the nation. Hosting this Congress sends a clear message: diabetes is a national and global health emergency, and we are committed to working with the world’s best minds to deliver impact and innovation.”

“This congress is a chance to hear and learn from world-leading researchers, clinicians and health professionals. It will elevate the voices of people living with diabetes and shape policies that will save lives and reduce the burden of diabetes on our health system,” Ms Cain said.

Diabetes costs the Australian health system around $14.6 billion each year. Experts warn that without coordinated action the economic and social toll will continue to escalate.

Associate Professor Sof Andrikopoulos, CEO of the Australian Diabetes Society, said the Western Pacific region is at the epicentre of the global diabetes crisis.

“This Congress is an opportunity to showcase the latest research and evidence-based innovations in prevention, treatment and management. From cutting-edge therapeutics to integrated models of care, the program will support practical outcomes for health systems and people living with diabetes.”

“Australian researchers are already leading the way in diabetes technology and clinical practice. The Congress will foster the critical exchange of knowledge across borders and disciplines.”

Australian Diabetes Educators Association CEO Susan Davidson said credentialled diabetes educators (CDEs) and other health professionals from around the region would gather in Melbourne for the Congress which is an important professional learning opportunity.

“There is an urgent need in Australia and the Western Pacific region for better access to CDE services and hosting this conference in Melbourne will enable health professionals in the region to learn about the latest and most significant developments in diabetes management and care, as well as develop their professional networks and knowledge-share with their regional colleagues.”   

“Aligning the IDF Congress with ADC will continue to ensure CDEs and other health professionals have access to the most up to date advice for people living with diabetes,” Ms Davidson said.

The Melbourne Convention Bureau (MCB) joined in the successful bid for the IDF WPR Congress, with support from the Victorian Government and Tourism Australia’s Business Events Bid Fund Program.

A groundbreaking new partnership between Diabetes Australia and nib foundation will improve the lives of people living with both diabetes and disability.

The three-year initiative is one of the projects made possible by nib foundation’s recent Better Health Partner grant. Funds will enhance support for disability caregivers, equipping them with the specialised knowledge and practical skills needed to provide safe and effective diabetes care.

With this support from nib foundation, Diabetes Australia will kickstart the Safely Injecting Insulin program. The pilot program will train disability support workers so they have the knowledge, practical skills, and confidence to safely inject insulin.  

Diabetes Australia Group CEO, Justine Cain, said the partnership represents a significant shift towards a more integrated and fairer model of care.

“We know that people living with both diabetes and disability face unique health challenges, and unfortunately, they often have limited access to appropriately trained carers,” Ms Cain said.

“This partnership with nib foundation will change lives by ensuring that people receive the right care at the right time, improving their overall health and quality of life.

“This initiative will also ease pressure on health professionals and the broader health system by ensuring that disability support workers have the confidence and skills to support a person living with diabetes.”

The goal is to ensure it becomes standard for every person living with diabetes and disability to have access to appropriately qualified carers. This will enable more timely and personalised care, reduce preventable complications, and create better overall health outcomes.

nib foundation CEO, Amy Tribe, emphasised the foundation’s commitment to reducing the burden of chronic disease and improving equitable access to care.

“Our vision at nib foundation is for all people to live longer in better health, and that means supporting innovative initiatives that enable prevention and health equity. This partnership with Diabetes Australia aligns with our mission to reduce disparities in healthcare and improve support for those who need it most,” Ms Tribe said.

“Working with the national peak body for people living with diabetes, we’re confident this partnership between Diabetes Australia and nib foundation will create real impact.

“By investing in partnerships that focus on early intervention and better health outcomes, we can help transform the healthcare experience for vulnerable populations, including people living with both diabetes and a disability.”

Over the long term, nib foundation and Diabetes Australia hope to use the pilot program’s data to build a compelling case for making the training an industry standard. 

About nib foundation

nib foundation was created in 2008 as an independent charitable trust following a $25 million donation from nib. These funds were raised through the issue of new shares at the time of listing nib on the Australian Securities Exchange (ASX) in November 2007. Today, nib continues to support our mission of helping people and communities live healthier lives by providing unclaimed dividends from their shareholder base.

For more information: nib foundation

About Diabetes Australia

Diabetes Australia is the national organisation supporting all people living with or at risk of diabetes. We put people first. We work in collaboration with member organisations, consumers, health professionals, researchers and the community.

For more information: Diabetes Australia

New research from the University of Sydney reveals that the number of Australians living with diabetes may be up to 35 per cent higher than previously estimated.

The findings raise critical questions about the size of one of Australia’s most serious chronic health conditions.

The study, published in Diabetes Research and Clinical Practice, applied a sophisticated algorithm to integrated health data from Medicare, hospital records, and pharmaceutical claims. The results suggest there could be more than two million Australians living with diabetes, many of whom are currently missing from the official diabetes register.

Lead author Emma Cox, PhD Candidate from the Leeder Centre for Health Policy, Economics and Data, said the research highlights a much larger and more diverse population living with diabetes, particularly older Australians, people in remote areas, and culturally and linguistically diverse communities.

“This isn’t just a data issue, it’s a public health issue,” Ms Cox said. “A significant number of Australians are missing from national statistics. That makes it harder to plan services, allocate funding, and deliver prevention strategies where they’re most needed.”

The research was partially funded in 2017 by a Diabetes Australia Research Trust grant and builds on longstanding calls for better integration of medical data to understand the true burden of chronic disease.

Professor Grant Brinkworth, Director of Research at Diabetes Australia, said the findings offer a compelling call to action.

“This study tells us what many of us in the sector have said for years: we’re not seeing the full picture of diabetes in Australia,” Professor Brinkworth said. “Understanding the true scale is essential if we want to improve outcomes for individuals and manage the national impact of this condition.”

The study also found that many people who are living with diabetes are managing the condition through lifestyle changes or medications like metformin, groups who may be less likely to register with the National Diabetes Services Scheme (NDSS).

“If people aren’t visible in the data, they’re also invisible to policy and funding decisions,” Professor Brinkworth added.

The research reinforces the importance of improved screening, earlier diagnosis, and greater health system integration to ensure every person affected by diabetes is counted, supported, and resourced.

Diabetes Australia is committed to working with the Australian Government and health sector to ensure barriers to registration are removed with appropriate investment in the NDSS to enable timely registration and accurate reporting.

Read the full study: Is the burden of diabetes in Australia underestimated? – Diabetes Research and Clinical Practice

The Therapeutic Goods Administration (TGA) is urging the diabetes community to remain alert following the detection of counterfeit Ozempic-labelled injection pens at the Australian border. These fake products pose a serious risk to health and should not be used under any circumstances.

Although the counterfeit pens closely resemble genuine Ozempic 1mg products, they are falsely labelled with the batch number MPSD916, which has been confirmed as non-genuine by the manufacturer, Novo Nordisk. In addition to the fake batch number, typographic inconsistencies, such as altered text spacing and bolding, have been noted on the packaging.

These counterfeit medicines have not been assessed for quality, safety, or efficacy under Australian law. They may contain incorrect or harmful ingredients, and their use can result in serious side effects or adverse health outcomes. This latest alert is separate from a previous incident in September 2024, which involved counterfeit Ozempic pens found to contain insulin.

Diabetes Australia is reminding people to only purchase medications from legitimate Australian pharmacies. Medicines purchased online or from overseas sources may be fake and are not covered under the Personal Importation Scheme. Importing or supplying counterfeit therapeutic goods is illegal and endangers public health.

If you have a product marked with batch number MPSD916, do not use it. Take it to your local pharmacy for safe disposal. If you experience any symptoms after using an Ozempic product, seek medical advice immediately and report the issue to the TGA.

We urge the community to stay vigilant. Always verify product claims with trusted sources and avoid purchasing medications or devices from unknown online sellers.

For more information, visit the TGA website or contact Diabetes Australia at info@diabetesaustralia.com.au.

What’s in your first aid kit to help manage a wound, and when should you seek medical attention? Pharmacist and Credentialled Diabetes Educator Donna Itzstein, and Registered Nurse and Credentialled Diabetes Educator Amanda Callaghan, take us through some of the products available and how to use them. 

Skin wounds aren’t really a laughing matter. We all get them, particularly in summer when we tend to wear open-toed shoes and less clothing. Over the years, approaches to wound care have changed — not just the products on the shelf but the way wounds are treated. 

Recognising signs of infection 

Having diabetes can increase your risk of infections, and wounds, cuts and grazes take longer to heal if they become infected.  

It is important you can recognise the signs and symptoms of an infection so you know when to seek prompt medical attention. Technically all wounds and burns should be looked at by your medical team; however, before you can see your health team you can do some basic first aid. 

Head straight to the doctor if you have the following: 

• Bleeding that cannot be controlled, or a wound you think needs stitches  
• You can’t remember when you last had a tetanus injection 
• A wound that fails to heal, ulceration occurs, or if you have had ulcers previously 
• You have callouses on your feet or severely cracked heels, see a podiatrist 
• Wounds that break open or are more than skin deep 
• A wound that is weeping, develops an odour, or appears infected 
• Other symptoms such as bleeding from your mouth, nose, eyes, ears, or genital area 
• A bad headache, loss of consciousness, slurred speech, or blurred vision 
• Redness around the wound that increases in size or becomes more painful and swollen, or you develop a fever 
• Animal bites 
• Burns that are larger than a 20-cent coin or deeper than your first layer of skin, or are on your face or genital area. 

 Your medical team may stitch, staple or glue a wound if: 

• You cannot control the bleeding 
• A foreign object is in the wound 
• The wound is on your face, hands, mouth, or genitals. You may need stitching for cosmetic reasons and proper healing 
• The wound is greater than 6mm deep and you can see yellow fatty tissue or bone 
• If the edges of the wound need to be pulled together to cover a gap of exposed tissue 
• If the open wound is on an area of the body with a lot of movement. 

Wound cleansing 

Your medical team may recommend you use an antiseptic on your wound. An antiseptic on broken skin may reduce the risk of infection. Gently cleansing with saline or tap water (chlorinated or boiled and cooled tank water) can be used to remove dirt, sand, or gravel from a wound such as a graze, skin tear or shallow cut. You don’t usually need an antiseptic as antiseptic can slow healing or restart bleeding. Reserve antiseptic for situations where your skin is broken in the presence of highly infective agents such as another’s bodily fluids, faeces, or rotting matter. Always follow the instructions when using an antiseptic. If the solution is strong, dilute it to avoid burning. If you use a disinfectant wash, leave it on for three to four minutes, and rinse it off with tap water or saline.  

You should only clean the wound yourself once. If you think a wound requires re-cleaning, go to your GP or nurse practitioner. If you need to dry a wound after cleaning, use a product that will not stick or leave lint. Cotton wool can be used for gentle, wet cleaning of the area, but is not suitable for drying. 

Burns and blisters 

Creams, ointments and gels are generally not necessary for healing. The exceptions are burns and skin tears which your medical team may recommend a hydrogel for. Always run a burn under cool water for 20 minutes before doing anything else. For a small burn apply a liberal amount of gel and then apply a dressing. Do not burst a blister as it protects the underlying skin and reduces infection. 

If your wound is clean and not infected, leave it alone. If you want to add an ointment before applying a dressing you could use a povidone iodine such as Betadine, medical grade manuka honey, or a silver dressing to reduce the risk of infection. There is no need to reapply the ointment when you change the dressing. All infected wounds, burns or blisters larger than a 20 cent piece, burns that don’t feel painful, or deep burns regardless of size, will require immediate medical attention. 

Dressings for a wound 

Plastic and fabric strips are a product used for shallow cuts. They can be waterproof and non-waterproof and come in a range of sizes. If a cut is deep or infected see your GP. If you have had ulcers previously, see your healthcare team regardless of the size and depth of the wound. 

Film island dressings, such as Cutifilm Plus or Opsite Post Op, are for shallow cuts or grazes. The island part of the dressing is non-stick and is covered by an adhesive film. The film is waterproof so you can bathe without getting the wound wet. 

Primapore or Cutiplast dressings also have a non-stick wound contact layer but are covered by a stretchy fabric material that can move with body parts such as knees and elbows. Make sure the non-stick part of the dressing is bigger than your wound. Some dressings can be left on for seven days undisturbed to assist healing. These dressings absorb a small amount of weeping but if your wound is weeping larger amounts of fluid see your GP. 

If you have fragile skin the adhesives in island dressings may damage your skin. Instead, try a non-stick dressing such as Melonin or Cutilin. Place the plastic down on the wound and keep in place with a light crepe bandage, a self-adhering wrap such as Primagauze, or E.Z. BAN Wrap Cohesive Elastic Bandage. Wraps and bandages should never be tight enough to restrict blood flow. Allevyn gentle border is also suitable for fragile skin.  

Silicone coated dressings, such as Allevyn and Mepilex, are gentle and minimise pain without sticking to the wound, making them suitable for fragile skin. These are designed to be kept on your wound for a week and can be cost effective compared to multiple dressing changes. 

When to seek medical attention 

If you are not sure about a wound, seek medical attention. Delayed care with wounds and burns can lead to ulcers that are much harder to heal. 

By Hayley Nicholson, Exercise Physiologist, Credentialled Diabetes Educator

As we age, our bone density and muscle mass decreases, which increases the risk of falls and possible fractures. Falls can have a huge impact on mobility and independence, but there are steps that can be taken to reduce the risk. Common causes of falls include tripping over raised obstacles, slipping on wet floors, stumbling on stairs, and falling from ladders.

Reduced muscle strength, impaired balance or gait, poor vision, reduced reaction time and the use of multiple medications can all contribute to the risk of a fall. Inappropriate footwear and other environmental hazards can also have an impact, as can diabetes. Diabetes may cause problems with eyesight and reduce feeling in the feet and legs, particularly when blood glucose levels fluctuate quite a bit. This can make it more difficult to move around safely.

An estimated $2.3 billion is spent annually in Australia on treating injuries due to falls experienced by people aged 65 years and older. However, the good news is that most falls are preventable.

Recommendations

Exercise is a great way to reduce the risk of falls but how much and what type of exercise is best?

Exercise programs that include functional balance and muscle strengthening are the most effective in preventing falls. The exercises should be progressively challenging and of sufficient dose to maximise the benefits of reducing falls. It’s important to note that exercise participation needs to be ongoing, as benefits are lost when short-term programs are ceased.

It is recommended that exercises have a moderate to high intensity challenge to balance. That is, an exercise program should include exercises undertaken while standing or transferring weight (as opposed to seated). If possible, exercises should include a narrow base of support (eg: feet close together) but minimise the need for upper body support. Studies that have included exercises with a high challenge to balance for at least three hours per week were found to reduce falls by 40%.

Putting it into practice

Below are some exercises that could help you improve your balance. Before starting any exercise program however, it is important to get medical clearance from your doctor.

Single leg holds

Stand behind a chair on a flat stable surface. Shift your weight onto one foot and lift the other foot off the ground. Gently rest your hands on the back of the chair of required. Maintain this position for as long as possible (you might start with 10-30 seconds initially). As you become more confident, try holding this position for longer. Switch legs and repeat the exercise.

Tandem stand

Stand next to a wall on a flat stable surface. Stand with one foot directly in front of the other, heel to toe. Try to focus on a fixed point in front of you to maintain your balance. Use the wall for support initially, gradually reducing your support as your balance improves. Hold this position for 10-30 seconds. Switch feet and repeat the exercise.

Calf raises

Stand behind a chair on a flat stable surface. Lift your heels off the ground and slowly lower them back  to the starting position. Count two seconds to rise and two seconds to lower. Use the chair for support initially, gradually reducing your support as your balance improves Repeat 10 times.

Step ups

Step onto a raised platform (step) with one foot, pushing through your heel to lift yourself onto the step. Bring your other foot up so both feet are on the step. Step down with the leading foot, then the other, in a controlled manner back to the starting position. Repeat 10 times leading with each foot.

Sit to stands

Sit on a sturdy chair with your feet shoulder width apart and toes pointing forward. Place your arms across your chest. Lean forward, push through your heels and stand up. Slowly lower yourself back into the chair. Repeat 10 times.

The above exercises can be progressed by increasing the number of repetitions or changing the surface. Alternatively, the exercise can be made easier by utilizing the chair or wall for additional support.

This video show some useful exercises for building balance. If you are a beginner take it slowly and do half the number of repetitions of each exercise.

Other tips for preventing falls

In addition to increasing your balance through exercise, it’s also important to create a safe environment in and around your home. This might include ensuring you have adequate lighting, removing trip hazards like floor mats and electrical cords, installing grab rails, reducing clutter and wearing appropriate footwear. It could also be a good opportunity to have your eyes, hearing and feet checked if it’s been a little while since they were assessed. If you have experienced a few falls in the past, remember there are also lots of assistive devices available for extra support, such as walking sticks and wheelie walkers.

Need some assistance?

If you would like to reduce your risk of falls and you’re not sure where to start, you can reach out to your doctor for a referral to an Accredited Exercise Physiologist, under a diabetes care plan. They can assess your capabilities and limitations, review your medical history and formulate an appropriate exercise program tailored to you. If exercise is new to you, this is a great way to build your confidence under supervision so that you can participate safely on your own in the comfort of your own home.

References

Exercise is Medicine website – falls prevention https://exerciseismedicine.org.au/wp-content/uploads/2020/05/EIM-FactSheet_Falls-Prevention_Professionals.pdf
Tiedeman, A. et.al (2024). Exercise and Sports Science Australia updated position statement on exercise for preventing falls in older people living in the community, Journal of Science and Medicine in Sport, https://doi.org/10.1016/j.jsams.2024.09.003

UPDATE: 4PM 28 March 2025

An update has been received regarding the quarantined products referred to in the article below. Of the items stocked in the Diabetes Shop, only one needs to remain in quarantine.

The products that still need to be quarantined are:

• PD035 | RHS421 | 9421901692827 | Reynard Alcohol-Free Test Wipes 100pk
• | RHS475|  Reynard Swabsticks 2% Chlorhexidine (25 per box, 10 boxes per carton)

Original post below:

The diabetes community is being made aware of a critical quarantine affecting specific Reynard Health Supplies products, which were sold in the Diabetes Shop.

The Therapeutic Goods Administration (TGA) has issued a critical quarantine for the following items:

• Reynard Adhesive Removal Wipes
• Reynard Alcohol Prep Pads
• Reynard Alcohol/Chlorhexidine Swabsticks

These products are commonly used for personal diabetes management, including skin preparation and adhesive removal.

The TGA has initiated this precautionary measure following reports of potential contamination involving Achromobacter species, a group of bacteria known to cause serious infections, particularly in people with compromised immune systems. The likely source of the contamination has been linked to materials and products associated with the manufacturer Baoying County Fukang Medical Appliance.

While investigations are still ongoing, there is currently no confirmation that these specific Reynard products are contaminated. However, as a safety precaution, all affected stock must be quarantined immediately.

A critical quarantine, as defined by the TGA, requires the mandatory isolation and assessment of therapeutic goods to ensure they meet safety and quality standards. During this period, all customers and healthcare providers are urged to:

• Stop using the identified products immediately.
• Inspect and quarantine any remaining stock to prevent further use.

At this time, no replacement stock is available. Diabetes Australia will continue to monitor the situation closely and provide further updates as they become available from Reynard Health Supplies and the TGA. Customers will be notified when the quarantine is lifted or if further action, such as a recall, is necessary.

The safety of people living with diabetes remains Diabetes Australia’s highest priority, and we thank you for your cooperation during this precautionary measure.

The Federal Government has today announced that medicines on the Pharmaceutical Benefits Scheme (PBS) will cost no more than $25 from 1 January 2026.  

In a pre-election commitment that has been matched by the Federal Opposition, the maximum cost of a PBS prescription will drop from $31.60 to $25. 

Diabetes Australia Group CEO Justine Cain welcomed the announcement saying people taking diabetes medicines listed on the PBS will benefit from this cost of living relief.  

“A person’s bank balance or postcode should not be a barrier to good health. We must ensure medicines are affordable for people who need them. 

“Last year Diabetes Australia undertook a cost of living survey which showed that for 61% of people, the cost of diabetes medicines and technologies was their greatest challenge.  

“Lowering the cost of PBS medicines will help our community with the considerable strain of living with a chronic condition,” Ms Cain said.  

Diabetes medicines included in the price change include Metformin, Semaglutide, Empagliflozin, Dapagliflozin, and Empagliflozin with metformin. 

The Federal Government said the investment will cost $689 million over four years and the changes would come into effect on 1 January 2026 in line with regular indexation.  

People who achieve their goals set realistic ones. Setting New Year’s resolutions to “lose 30 kilos”, to “stop procrastinating”, or to “stop being stressed all the time” are not realistic goals. In fact, they could actually have an adverse effect on your mental health when you don’t meet your own expectations.  

Instead of setting a specific weight loss goal, try creating a goal that focusses on a healthy lifestyle, such as eating a full serving of vegetables every day or walking for 10 minutes at least two days per week. Lifestyle goals are more achievable and will lead to the same outcome (weight reduction).  

Goal achievers usually know their own strengths and weaknesses, which means they can recognise where and when they may need extra support. People who are more successful at reaching their goals tend to be more mentally prepared, ready to start that change, and more confident in their own ability to make progress towards their goal (and continue to do so).  

Goals vs Budgets 

Goal-setting is often likened to budgeting your money.  

If you have a plan about how you spend your money every week or every month, chances are that you will make ends meet. Whereas, if there is no plan, you may spend your money too quickly and could be left short when having to pay for something important later in the week.  

Very few people would spend money in the same way every week, even if given the same amount of money. Sitting down and making a plan can seem like a drag and will take some time, but will increase your chances of success. 

You can achieve your goals, by exploring your underlying reasons and rationale for wanting to change certain behaviours, and by getting the support you need.

Let’s explore some options. 

SMART or SMARTER goals 

Setting SMART goals means that you can clarify your ideas, focus on your efforts, use your time and resources productively, and increase your chances of achieving what you want in life. 

The letters S-M-A-R-T stand for: Specific, Measurable, Achievable, Realistic, and Timely. There are a few variations on this theme, depending on what the goal-setting is used for.  

Sometimes it is referred to as SMARTER goal-setting, particularly in reference to self-management. The additional letters E and R stand for Evaluate and Review.  

To set a SMART(ER) goal, ask yourself these questions: 

• Specific: What exactly do I want to do? Why is this goal important? Which limits or resources are involved? 

• Measurable: How will I know that I have done it and it is working for me? How will I know when I have reached it?  

• Achievable: Is it in my power to accomplish it? How realistic is the goal, based on other constraints, such as financial factors or your general health? How confident do I feel? Would I allow a friend to pursue this goal? If not, alter it to be more attainable. 

• Realistic: Can I realistically achieve it? Does this seem worthwhile? 

• Timely: When exactly do I want to accomplish it? What can I do six months from now? What can I do six weeks from now? What can I do today? 

• Evaluate: Expecting problems allows you to plan for them, so ask yourself questions such as what may get in the way? How will I overcome this? How have I overcome something like this in the past?  Practice makes perfect (or at least progress) and self-management tasks are a continual learning process. The more you try a task, the more you learn from it and the better you get at it. Revise the plan along the way until it fits your current situation. 
•   
• Review: Recognise that life changes. What works at a certain time in your life may not work if your circumstances change. Setting a review date is an important part of a plan, consider when you want to review it and explore what you learned from trying out the plan. Ask yourself questions such as what worked well? What could I do differently in future plans? Reflection is not only a tool for learning, it can also help increase self-awareness and empathy for others. 

Bite-sized pieces 

Some of the goals you may want to set for yourself are large goals that will take months or even years to achieve. To stay on track, it is important to break these goals down into smaller goals and timeframes.  

For example, a goal such as wanting to lose 30kgs by 2028 may be Specific, Achievable, Measurable, Realistic and Timely, but there are a lot of factors that can get in the way in the next three years. What is realistic and achievable now may not be so in three months’ time.  

Setting a goal of “losing 3kgs in the next six weeks, by [insert date here]” may be a SMARTER goal as it can be reviewed and updated. 

Support: Health coaching 

Health coaches can play a key role in helping you to self-manage your condition or prevent chronic complications by making behavioural changes and adopting healthier lifestyles. 

Health coaches help you to reflect on your priorities, define desired outcomes, and identify potential obstacles. By participating in health coaching programs, you will receive the necessary education and support from qualified healthcare professionals to achieve your goals. 

Health coaching encourages you to set SMART goals, actively obtain knowledge, and take charge of any chronic conditions you may have. Health coaches can help you find motivation for change, articulate health goals, improve self-efficacy and knowledge, create action plans, and maintain motivation. 

Health coaching is now delivered through various channels, making it more accessible. Many of the health coaching services are available at no cost to you. Phone, email, SMS, online platforms, and mobile apps provide options for people with limited time and access. In particular, these channels have improved access for rural and remote clients. However, face-to-face coaching, whether one-on-one or in a group setting, still plays a vital role, particularly for clients with unique needs such as learning difficulties, cultural and linguistic diversity, or disabilities.  

The Get Healthy Service 

The Get Healthy Service is a free telephone and online coaching program delivered by Diabetes Australia on behalf of NSW Health. The program helps people reach their health goals, at a time and place that suits them. It uses evidence-based behaviour change and goal-setting techniques to support participants to achieve health outcomes. 

The program includes 6-10 confidential coaching calls on a range of health topics including eating healthy, getting active, reducing alcohol intake, reaching and staying at a healthy weight and managing health whilst living with type 2 diabetes, during pregnancy or cancer. Get Healthy is available in languages other than English – free interpreter services are available. If you identify as Aboriginal and/or Torres Strait Islander, you can yarn with an Aboriginal Health Coach and receive information specific to Aboriginal communities. 

The time it takes you to complete the program can vary. However, after completion you can re-enrol to continue working on other areas that you identify as being important. 

You can register for the Get Healthy Service, by calling 1300 806 258, Monday to Friday between 8am and 8pm, or you can register online. 

My health for life 

My health for life is funded by the Queensland Government and delivered by an alliance of health organisations whose shared goal is to help Queenslanders achieve and enjoy the benefits of a healthy lifestyle. The Health Alliance is made up of Diabetes Australia, the Heart Foundation, the Stroke Foundation, the Ethnic Communities Council of Queensland, the Queensland Aboriginal and Islander Health Council, and the seven Queensland Primary Health Networks. 

It is a free, six-month program designed to help Queenslanders stay well and lessen the risk of developing conditions such as type 2 diabetes, stroke, heart disease, high blood pressure and high cholesterol. 

Choosing either one-on-one telephone coaching or small group sessions, you will work with a health coach to achieve your health goal, by developing an action plan and by exploring topics such as nutrition, physical activity, understanding your personal risk of developing health conditions, and how to make healthier choices a part of everyday life. 

My health for life also offers culturally tailored group programs for Aboriginal and Torres Strait Islander peoples, Pacific Islanders, Arabic, Cantonese, Mandarin and Vietnamese speaking communities. All My health for life Culturally and Linguistically Diverse (CALD) programs are delivered by qualified bilingual, multicultural health workers and are tailored to meet the needs of the participants. 

The Coach Program^® 

The COACH Program^® is a standardised, structured coaching program delivered by highly trained, Tasmanian health professionals to people already diagnosed with a chronic condition or who are at considerable risk of developing chronic condition. 

Developed in Australia in 1995, The COACH Program^® has been rated the most evidence-based cardiovascular disease prevention program in the world on based on clinical outcomes and cost-effectiveness, by the British Heart Foundation and Public Health England’s “International Cardiovascular Disease Prevention case studies report – October 2018”. 

The COACH Program^® is a free telephone coaching service, provided by Diabetes Australia, for people at risk of or diagnosed with type 2 diabetes. It is delivered by telephone and mail-outs over a period of six months. It provides you the opportunity to work with a health professional coach to understand, manage, and improve your health around the risk factors associated with diabetes and its complications. Anyone in Tasmania over the age of 18 who has type 2 diabetes, pre-diabetes or is at risk of developing diabetes can sign up to the program. 

For more information about The COACH Program^® phone: 1300 136 588. 

Other programs

The above are just a few examples of the types of health coaching programs available in Australia. Other health coaching programs include the Better Health Coaching Service in South Australia and the Life! program in Victoria. Beyond Blue also offer a mental health coaching program which is available in some areas for people experiencing stress at work or study, with your health or in your relationships. It also addresses loneliness.  It is a free program and you can enrol online or call Beyond Blue on 1300 22 4636 

Motivational Interviewing 

Motivational Interviewing (MI) is an evidence-based approach to behavioural change. A healthcare professional who uses Motivational Interviewing will focus on your meaning, importance and capacity for change. It is a tool in many Health Coaches’ toolbox. 

The core skills used in MI are referred to as the OARS, which is an acronym for Open-ended questions, Affirmation, Reflections and Summarising. 

Open-ended questions draw out and explore your experiences, perspectives and ideas, to help you reflect on how change can be meaningful and possible. Information is often offered within a structure of open-ended questions. The exchange of information respects that both you and the clinician have expertise. The clinician will explore what you already know, they may offer some additional information relating to what you are saying, and then they will explore your response.  

Affirmation of efforts, strengths and past successes help build hope and confidence in your ability to change. In other words, you will review what worked in the past and build on that, rather than dwelling on what did not work. 

Reflections are founded on careful listening (by the clinician) and them trying to understand what you are really saying. They do this by repeating, rephrasing or offering a deeper guess about what you are trying to communicate. 

Summarising reinforces key points made and ensures shared understanding.  

When using MI, goals will be less about the actual goal itself, and more about the person and how they will get there. 

To summarise 

Self-management is all about choice. There is no ‘right way’, or only one way to self-manage diabetes. People experience diabetes differently depending on their situation. Most of us will do better in achieving our goals if we: 

1. Set SMART(ER) goals 

2. Get support from others 

3. Value our resolutions greatly 

4. Be prepared for obstacles in our way 

5. Don’t forget to take your own advice. 

By Credentialled Diabetes Educator, Carolien Koreneff

References 

1. Norcross, J.C., Mrykalo, M.S. and Blagys, M.D. (2002), Auld lang Syne: Success predictors, change processes, and self-reported outcomes of New Year’s resolvers and nonresolvers. J. Clin. Psychol., 58: 397-405. https://doi.org/10.1002/jclp.1151 

2. Understanding Motivational Interviewing https://motivationalinterviewing.org/understanding-motivational-interviewing 

With Cyclone Alfred approaching landfall, people living with diabetes can take steps to avoid some of the challenges involved with natural disasters.

Cyclones, storms, floods and bushfires can create serious health risks, making preparation essential for those who rely on insulin, medication, or medical devices to maintain stable blood glucose levels.

Preparing a well-thought-out plan and being ready for natural disasters can reduce the likelihood of diabetes-related emergencies and life-threatening situations.

The National Diabetes Services Scheme (NDSS) provides valuable resources to help people living with diabetes to be prepared. It’s a dedicated natural disaster information page offering guidance on planning and managing diabetes during an emergency (NDSS Natural Disasters).

Creating a Diabetes Emergency Plan

The ‘My Diabetes Plan for Natural Disasters’ is a comprehensive guide designed to help individuals with diabetes prepare for emergencies. It includes a checklist of essential items for a diabetes emergency kit, a space to record personal details, important contact information, and a list of current medications. Keeping this plan alongside an up-to-date emergency kit in a secure location is crucial. Download the plan here: My Diabetes Plan for Natural Disasters.

What to include in a Diabetes Emergency Kit

A well-prepared diabetes emergency kit should contain essential supplies, including:

• Blood glucose monitoring equipment and extra batteries
• Insulin, oral medications, and necessary prescriptions
• Non-perishable food and water supplies
• Glucose tablets or other quick-acting hypoglycaemia treatments such as jellybeans or cans of soft drink
• A list of emergency contacts, including healthcare providers
• Medical identification and important documents

Also ensuring cold storage is available if required (e.g. an eski, cool wallet, or generator) is important for any medications that need to be kept cold.

The ‘My Diabetes Plan’ is also available in many languages, including Arabic, Chinese (simplified and traditional), Greek, Hindi, Italian, Turkish, and Vietnamese.

Supporting health professionals and emergency services

Healthcare providers and emergency services play a crucial role in helping people with diabetes during disasters. The NDSS website offers tailored resources for these professionals, including four educational videos on how to support individuals with diabetes before, during, and after an emergency.

These videos cover:

• The impact of natural disasters on diabetes management
• How to help people prepare for a disaster
• How to use the ‘My Diabetes Plan’ effectively
• Essential resources for diabetes management in emergencies

For more information, visit the NDSS website and access resources for individuals, healthcare professionals, emergency services, and local councils.

Being prepared can make a significant difference in safeguarding health and well-being during a crisis.

Take action now and ensure that you, or your loved ones living with diabetes, are ready for any emergency.