Editors Column

Kate Marsh

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

Advanced Accredited Practising Dietitian & Credentialled Diabetes Educator

Northside Nutrition & Dietetics (NSW)


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 another very difficult year.  I hope everyone is staying safe and well and that the lifting of restrictions around Australia will enable you to relax and enjoy time with family and friends over the Christmas and New Year period.

In this issue of the ADE we have articles covering a variety of topics relevant to our work as diabetes educators.

Associate Professor Emma Hamilton-Williams, Principal Research Fellow, at the University of Queensland Diamantina Institute, discusses fascinating research on the role of the gut microbiota in type 1 diabetes and how this may pave the way for new treatments for related prevention and management.

I am sure all diabetes educators recognise the importance of good communication when working with people with diabetes.  To help us with this, clinical psychologist, Sarah Lam, discusses why communication is important, along with plenty of practical tips for building relationships, collaborative decision making and facilitating good information exchange.

Simone Patterson, RN CDE and Manager of the Diabetes Education Service at Austin Health, provides a detailed review  of hypoglycaemia and why it matters, covering the pathophysiology, short-term and long-term impacts, impaired awareness, treatment and prevention.  A must-read for all CDEs.

If you have been asked questions about bariatric surgery by your clients, the article by Dr Rachel Hovelroud  and A/Professor Vasant Shenoy from Townsville University Hospital will be helpful.  They provide an overview of bariatric surgery for the management of type 2 diabetes, discussing the benefits of surgery, different types of surgery available, post-operative complications and considerations, and research on short-term and long-term outcomes.

Margaret Whillier and colleagues, recipient of the Roche best oral presentation award at this year’s Australasian Diabetes Congress, discuss the outcomes of the Royal Brisbane and Women’s Hospital evaluation of the ozDAFNE course.  Their findings will be helpful for anyone who is currently or considering offering structured group education for people with type 1 diabetes.

Finally, Dr Jason Yates, Paediatric Endocrinologist and Project Lead for the ‘Diabetes, Know the signs, Ask’ campaign, discusses a recent project funded by Clinical Excellence Queensland which involved development of an intervention strategy aimed at reducing the rate of DKA at first presentation of T1D in children.  While evaluation of the program outcomes is still underway, Dr Yates explains the reasoning behind the project and how they went about increasing awareness of the symptoms of T1D in children in order to facilitate earlier diagnosis and reduce the risk of DKA at diagnosis.

As we plan future editions of the ADE, 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 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 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 and 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. We hope you enjoy reading it and welcome your feedback.  Have a wonderful Christmas and hopefully a happy, healthy and lockdown-free new year! 


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