From the Editor

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.

The theme for this edition of the ADE is ‘practice essentials’ and we have tried to cover many of the key areas of practice that you told us you wanted more of, in the last readership survey.

With an increasing number of medications now available for managing type 2 diabetes, many of you requested an update on this topic, so we asked Jane Ludington, Senior Pharmacist and CDE from St Vincent’s Hospital Diabetes Service, to provide an overview of the currently available medications, when they might be used and key safety considerations.

Confused about carbs? With all the current focus on low carb high fat and ketogenic diets, it’s a topic most of us are likely to be getting questions about. Accredited Practising Dietitian, Dr Alan Barclay explains where carbohydrates fit in the diet of someone with diabetes, the evidence for and against low carb diets and the role of carbohydrate counting.

Most CDE’s would be aware of the research showing a high prevalence of diabetes distress in those we work with, which can be a barrier to self-care and can lead to burnout.  But how do we assess this and what do we do about it in practice? The 2016 Jan Baldwin National CDE of the Year, Ann Morris, is passionate about this area and explains how to measure diabetes distress in practice and how to support those in whom we identify diabetes distress.

Many of said you wanted to learn more about research so we asked Professor Trisha Dunning, one of the key presenters in the recent ADEA Research 101 Webinar Series and the Chair of the ADEA Diabetes Research Foundation Council, to provide some tips for diabetes educators to get started in research. This is a must read if learning more about research is one of your continuing professional development goals.

We explored the issue of diabetes educator burnout in a previous edition of the ADE and in this edition, Kim Poyner, RN and certified Wellcoach, explains one way of reducing practitioner burnout, through the use of person-centred care.

You also wanted to know more about helping clients with behaviour change and the use of motivational interviewing (MI). Tara McGregor is an APD, counsellor and psychotherapist who runs training for health professionals wanting to develop competent counselling skills for facilitating behaviour change. We asked Tara for advices around using MI in practice to help our clients who are ambivalent to making behavioural changes.

We also have two original research articles to share with you in this edition. Kara Minkler, RN CDE from the Sydney Children’s Hospital Network discusses their research showing positive outcomes from group education for children, young people and their families in a tertiary centre. Pollyema Antees, APD from Northwest Nutrition, and colleagues, highlight the issue of food insecurity and the importance of considering access to and affordability of healthy foods for our clients.

Finally, Rachel Freeman from ADEA discusses managing ethical and professional boundaries as a CDE, with some examples of ethical dilemmas we might face in practice and how they could be managed.

Also in this issue, we have articles on getting the most from your ADEA membership and accessing clinical guidelines for use in your practice, as well as our usual NDSS update and board profiles.

Finally, a reminder that you can read the ADE via 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 read offline, you can print any articles you would like to read, either in hard copy or as a PDF which you can then save and read later. You can find instructions and some key features on the tutorials below.

I once again would 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.


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