Editors Column

By
Kate Marsh

BSc, MNutrDiet, PhD, Grad Cert Diab Edn & Mgt

Advanced Accredited Practising Dietitian & Credentialled Diabetes Educator

Northside Nutrition & Dietetics (NSW)

editor@adea.com.au

Kate is a CDE and Advanced APD and is the current editor of the Australian Diabetes Educator (ADE) and Chair of the Editorial Advisory Group (EAG). She is a Fellow of the ADEA and the Australasian Society of Lifestyle Medicine (ASLM).

Kate currently divides her time between clinical practice and health and medical writing, and has a private practice in Sydney where she works mostly with individuals with diabetes and women with PCOS (who are at high risk of developing GDM and T2 diabetes).

Kate has been a member of the EAG since 2005 and chair since 2015. She is also a long-time editorial board member for Diabetes Management Journal (DMJ) and a board member of ASLM. Kate writes regularly for Diabetic Living magazine and the limbic Diabetes Educator/Endocrinology. She also works as a freelance writer for Diabetes Australia.

Kate has published articles in a number of other consumer publications and medical journals, written four consumer books and has contributed the dietary chapters to several textbooks on the topics of diabetes, vegetarian and plant-based diets, PCOS, insulin resistance, glycemic index and pregnancy.  She also speaks regularly on these topics to both health professionals and consumers and is a guest lecturer on PCOS at The University of Sydney.

Kate is a member of the Guideline Development Group for the PCOS International Evidence-Based Guidelines and the PCOS Centre for Research Excellence (CRE) Translation Committee.  She was also a member of the working parties developing the current evidence-based guidelines for the diagnosis and management of PCOS and type 1 diabetes in Australia

Kate is a recipient of the DAA Young Achievers Award, was a NSW finalist in the 2006 Telstra Business Women’s Awards, and was awarded the DAA Joan Woodhill Prize for Excellent in Research – Doctorate Award for her PhD study on low GI diets for women with PCOS. In 2015 she was awarded the inaugural ADEA Jan Baldwin National CDE of the Year.

It is hard to believe we are almost at the end of what has been a very difficult year.  I hope everyone is staying safe and well and that the improved situation with COVID-19 in Australia will enable you to relax and enjoy time with family and friends over the Christmas and New Year period.

In this edition of the ADE, we have articles on a range of topics relevant to our work as diabetes educators.

Particularly relevant to the current times, Sarah Lam, clinical psychologist, discusses the psychological impact of COVID-19 on people with diabetes, with observations from a variety of health care professionals including their views of the changing needs of people with diabetes and the modifications that have needed to be made in the workplace.  Essential reading for all CDEs.

Also relevant to the way our work has changed, Elise Edwards, CDE and Accredited Exercise Physiologist from BallyCara, explains how their organisation were able to adapt their services to support people with diabetes in maintaining their physical activity levels during the pandemic and lockdowns.  She also discusses the benefits of exercise during this time and tips for CDEs to encourage physical activity among people with diabetes. 

In a third timely article, Gael Holters, Diabetes Service Nurse Manager at St Vincent’s Hospital, Sydney, presents an evaluation of a virtual training platform used to conduct a network-wide education program to introduce a new point-of-care blood glucose meter into the hospital at the height of the COVID-19 pandemic. The findings may help other health services looking at alternatives to face-to-face staff training.

Research supporting the need to provided education around insulin dosing for fat and protein for people with type 1 diabetes has been increasing, and is a topic we have published articles on in the past [link to Carmel’s article from Sept 2019. In this issue of the ADE, Diane Harvey, OzDAFNE clinical lead dietitian at Diabetes Victoria and colleagues discuss how they have incorporated education on fat and protein counting into OzDAFNE program. 

Anna Pham-Short, Senior Diabetes Dietitian at The Children’s Hospital at Westmead, has provided a helpful overview of coeliac disease in people with type 1 diabetes, including the presentation, screening practices, impact on glycaemic variability, quality of life, complications risk and bone health as well as the challenges and benefits of maintaining a strict gluten free diet. 

Want to understand more about End-Stage Kidney Disease (ESKD) and diabetes?   Dr Jack Rycen and Dr Vasant Shenoy from Townsville University Hospital in Queensland have written a comprehensive review, discussing insights and challenges of ESKD in people with diabetes.

The use of mobile phone apps to support people with their diabetes management is increasing and in this issue of the ADE, Harry Wiffen and colleagues present their findings of a review of studies investigating the perception of women with GDM and health professionals of mobile apps available for managing GDM

Monica Bednarek and Georgia Carr from the University of Sydney Department of Linguistics present the findings of their research on Australian diabetes news media coverage, highlighting the need for continued education about the complex etiology of diabetes.

Finally, JDRF discusses the steps in the research pathway, from idea through to breakthrough, explaining why it can often take 12-15 years for a new device or treatment to get to market. 

As we finalise this edition of the ADE, our advisory group is busy planning content for next year and we would like to encourage more of our members to consider submitting an article for publication. Remember, it doesn’t need to be original research.  Do you have an interesting case study?  A quality improvement project you’ve conducted in your workplace?  Have you conducted a literature review on a particular clinical area for your own continuing professional development that you would be willing to share with others?  Do you have a practice tool you’ve developed or used that others could use?   All of these may be suitable for publication. If you have an idea you would like to discuss further, please feel free to get in touch – you can email me at editor@adea.com.au   

A reminder that you can read the ADE via https://ade.adea.com.au on any digital device and can also print, share and comment on articles as well as being able to browse or search for past articles. If you prefer to read offline, you can print any articles, either in hard copy or as a PDF which you can save and read later. You can find instructions on how to do this here https://www.youtube.com/watch?v=Df9-L_7QvqE   

Once again I’d like to thank our hard-working EAG, and our authors, for helping to bring this edition together, particularly during this difficult time. We hope you enjoy reading it and welcome your feedback.  Have a wonderful Christmas and hopefully a happy, healthy and virus-free new year!

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