Which population to focus on children/youth
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Which population to focus on children/youth
Bridgewater/gagebrooke lower socio economic no healthy food options only takeaway fast food no decent play equipment
https://www.health.tas.gov.au/sites/default/files/2022-03/The_State_of_Public_Health_Tasmania_2018_DoHTasmania2018.pdf
Catchy intro slogan help me, help you manage life without type 2Project summary
slogan is a program designed for the children/youth of Glenorchy, Tasmania Australia that are newly diagnosed with Type 2; Pre-Diabetic or already Type 2 Diabetic .What is it about? Creating healthy habits with an emphasis on educating families and individuals on health literacy healthy food choices etc increase physical activity.
Creating and maintaining a balanced lifestyle will go a long way to stop or delay the progression of Type 2; Pre-Diabetes / Diabetes and in some cases assist in achieving remission.
Background of Type 2 diabetes add statistics of diabetes and youth
Number of children and young people with type 2 diabetes As of June 2012, there were around 31,000 people aged 1039 diagnosed with type 2 diabetes; this was 0.3% of the population in this age group. Of these approximately 2,200 were aged 1024 years. https://www.aihw.gov.au/getmedia/bc5d50e5-8ca0-474d-be77-f96234d9a532/15203.pdf.aspx?inline=true
Between 2007-8 and 2011-12, the combined prevalence of Tasmanian children aged five to 17 years who were obese and overweight increased significantly, from 18.6 per cent to 28.8 per cent.8 This was the largest increase of all jurisdictions over the three-year period, with the combined Tasmanian proportion of overweight and obese children in 2011-12 exceeded only by the Northern Territory.
More than 200,000 Australian children between the ages of two and 15 are obese; more than 20,000 of them are between two and four. https://www.themercury.com.au/lifestyle/rocherlea-tops-findings-as-tasmanias-worst-suburb-for-childhood-obesity/news-story/81973fcb1d11980472d514c630f8b2a0
Determinant analysis impacted by multiple determinants.
The youth/children Australians health disparities in the Glenorchy Northern community that slogan is targeting are significantly impacted by multiple determinants:
Find statistics determinants within Glenorchy that impact obesity/ type 2
slogan aims to align with and incorporate all the key priority action areas from the Ottawa Charter (1986) when developing achievable strategies and targets.
Glenorchys demographics have multiple high-risk indicators that have a direct association with Type 2 Diabetes. The benefits of expanding community literacy will help create capacity building skills can positively impact how we approach the cause of Type 2 Diabetes and the lifestyle adjustments that could significantly delay or halt the onset of Type 2 Diabetes cannot be overstated.
Related guidelines - paste links that refer to type 2 diabetes
HYPERLINK "https://www.diabetesaustralia.com.au/prevention-programs/" t "_blank"https://www.diabetesaustralia.com.au/prevention-programs/
Eat For Health Guidelines 2024
https://www.eatforhealth.gov.au/guidelines/guidelines
Diabetes Australia Guidelines
https://www.diabetesaustralia.com.au/health-professional-guidelines/
Diabetes Australia Managing Type 2 Diabetes with Therapeutic Carbohydrate Reduction (TCR)
https://www.diabetessociety.com.au/wp-content/uploads/2023/11/Managing-Type-2-Diabetes-with-Therapeutic-Carbohydrate-reduction-TCR-November-2023_Final.pdf
National Physical guidelines 2024
https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians
Vision, goal, objectives, strategies
Vision: To delay, halt or achieve remission in the progression of Type 2; Pre-Diabetes / Diabetes in older Australians.
Objective 1:
Education, understanding and positive reinforcement on the cause of T2D and the related risks, current management & policies
Objective 2:
Understanding what healthy dietary, mental health, and active physical choices look like and the significant impact they have on T2D Objective 3
Getting started on establishing healthier social norms at home, socially and work
Strategy 1.1 Strategy 1.2 Strategy 2.1 Strategy 2.2 Strategy 3.1 Strategy 3.2
Look at changing policies to include an information kit at diagnosis of Pre-T2D to open positive early communication. That might include links or pamphlets to current
recommendations and relevant guidelines, link to a podcast with interactive comments and ideas.
At Pre-T2D diagnosis a diabetes educator in collaboration with other healthcare professionals introduce a series of locally run weekly workshops aligned with Dr Peter Brukners book The Diabetes Plan 6x 2hr followed by 6x 1hr workshops, educating empowering and motivating individuals targeting Pre-T2D.
Each healthcare professional to run their own workshop (e.g. a nutritionist, a physiotherapist and a mental health professional) to help achieve an understanding and identify the benefits of healthy choices & developing small achievable goals targeting T2D.
Identifying and assess the barriers from strategy 2.1 workshops and those that might benefit from extra assistance in the form vouchers / referrals e.g. 6 x physio visits for an injury that limiting mobility or 6 x cooking lessons for culinary challenged.
Identify problem areas and develop alternative strategies.
Those strategies should include activities / choices that already appeal on some level to achieve long term success. Join a club or group that you already have interest in e.g. walking, gardening.
Regular reviews: build on what youre getting right and adjust or substitute what isnt working. Small achievable goals,
keeping in mind recommendations and guidelines.
Find your happy place and be kind to yourself.
Benefits (of achieving objectives), Risks and Risk Management
7.0 Benefits (of achieving objectives), Risks and Risk Management
Benefits
Risks
Risk Management
Objective 1:
An information kit at diagnosis will introduce the cause of T2D, outline the risks if left untreated and share the hope and possibilities of what informed choices can achieve.
Workshops help create broader awareness in a supportive environment.
Workshops will help cut the wait list times.
Workshop attendance challenges:
Health challenges
Transport
Workshop attendance challenges:
Catch the missed workshop podcast
A sponsored courtesy bus
Objective 2:
Integrating healthcare professionals to share their expertise, understanding, encouragement in achieving healthy results when targeting the progression of Pre-T2D.
Creating professional and community partnerships targeting T2D
Processed food is cheaper
Limited experience with food prep
Unable to meet physical activity because of mobility issues
The benefits of whole foods, shopping with a budget in mind (seasonal options)
Cooking class vouchers
Physio referral vouchers
Objective 3:
Identifying barriers, setting and achieving goals is empowering, it supports self-efficacy and has a ripple effect in meeting and managing challenges as they arise while trying to make positive behavioral changes
Not achieving goals
Back to less-than-ideal habits
Smaller achievable goals and build on them
Identify triggers and look at alternative behaviors. Its ok to get it wrong, just give it another shot.
Summary -
OVERALL DISADVANTAGE IS HIGHER IN TASMANIA THAN THE REST OF AUSTRALIA.
https://www.childcomm.tas.gov.au/wp-content/uploads/2016/07/CCYP-Health-and-Wellbeing-Report-Part12.pdf
More than 200,000 Australian children between the ages of two and 15 are obese; more than 20,000 of them are between two and four.
Nutrition Australia spokeswoman Aloysa Hourigan said parental influences, public parks and sporting facilities and access to healthy food were critical in determining if your child was at risk of becoming obese.
"All of these things can lead to obesity problems in children," she said.
The demographics of areas such as Rocherlea, with high unemployment and a large proportion of single parents, reduces the likelihood of children participating in sport and increases the likelihood of them being less active.
A lower income also means less likelihood of eating healthily.
Diet and exercise, access and encouragement are the key in fighting childhood obesityhttps://www.themercury.com.au/lifestyle/rocherlea-tops-findings-as-tasmanias-worst-suburb-for-childhood-obesity/news-story/81973fcb1d11980472d514c630f8b2a0
The highest prevalence of obesity in 201718 was in Tasmania (11.4%), and the lowest was in Western Australia (7.2%).4https://www.obesityevidencehub.org.au/collections/trends/australian-children
All available evidence suggests simple, isolated, one-off, short-term interventions for obesity prevention have limited success. Effective prevention requires multi-strategic approaches that support people to make better health decisions and avoid chronic disease by changing the environment in which people live, work, play and learn.
Interventions, programs and policies to address overweight and obesity include: Being Active Matters resource: a booklet and poster to help parents and carers provide more opportunities for active play and develop important fundamental motor skills in their children. Start Them Right resource: booklet for parents and carers of young children with practical ideas about food and eating. Child Health and Parenting Service (CHaPS) training and support: nutrition training and support for CHaPS staff. Tuckertalk resources for parents to encourage healthy eating in young children. Move Well Eat Well: an initiative delivered in collaboration with the Department of Education (DoE) that supports the healthy development of children and young people in primary schools by promoting physical activity and healthy eating as a normal positive part of every day. Part Way is OK: an initiative that allows Move Well Eat Well Member schools to work with local government to establish safe drop off points and walking routes to school. Active Classrooms: a program that provides a professional learning opportunity to classroom teachers from Move Well Eat Well Member schools annually. Tasmanian Government submission to the Senate Select Committee into the Obesity Epidemic in Australia 7 Obesity Epidemic in Australia Submission 144 Family Food Patch: trains and supports parents of young children as peer educators in healthy eating and physical activity with a focus on disadvantaged communities (funding agreement with Child Health Association). Get Active Program: a statewide program that promotes involvement in physical activity and encourages its participants to consider important issues that directly relate to their health and wellbeing. GAP has a particular focus on low income communities. Food Security Programs: training, resources, advice and support to community food security programs. Eat Well Tasmania Veg it Up: a pilot vegetable promotion campaign to test effectiveness of social media and to engage food growers and retailers involvement in promoting healthy eating (funding agreement with Eat Well Tasmania Inc.). Healthy Kids Coalition: a network of people working in child nutrition to promote collaboration, maximise investment and minimise duplication (lead by NGOs funded by DoH). Health Star Rating: a front-of-pack labelling system to assist consumers making healthier packaged food choices lead by the Australian Government with investment from states and territories (including Tasmania) and in partnership with food industry, public health and consumer groups. Breastfeeding coalition Tasmania: brings together groups interested in more supportive environment for breastfeeding and advocating for better facilities, support and protection for breastfeeding
References:
Brukner, Dr. (2023). The Diabetes Plan. Pan Macmillan Australia.
Australian Institute of Health and Welfare. (2024, june 17). Diabetes: Australian Facts.
https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-common-is-diabetes/type-2-diabetes
Diabetes Australia. (n.d.). 2023 Snapshot: Diabetes In Australia.
https://www.diabetesaustralia.com.au/
Fraser Coast Regional Council. (2017, May 12). Inclusive communities.
Fraser Coast Regional Council (n.d.). Our Sustainable Fraser Coast Charter
Fraser Coast Regional Council. (2018, May 22). Sun smart policies.
https://www.frasercoast.qld.gov.au/policies-and-publications
Local area needs report (LANA). (2022). Wide Bay Hospital & Health Service / Priorities Summary Report.
https://www.widebay.health.qld.gov.au/about-us/publications-and-reports/local-area-needs-assessment-report
World Health Organization (WHO). (1986). Ottawa Charter For Health Promotion.
https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference
https://www.health.tas.gov.au/sites/default/files/2022-03/The_State_of_Public_Health_Tasmania_2018_DoHTasmania2018.pdf
https://www.mdpi.com/1660-4601/19/10/6238
Help me, help you manage life without type 2.
Project summary
Help me, help you manage life without type 2 is a program designed for the children/youth of Glenorchy, Tasmania Australia that are either newly diagnosed with Type 2; Pre-Diabetic or already Type 2 Diabetic.
What is it about? Creating healthy habits with an emphasis on health literacy and educating families and individuals on healthy food choices, increasing physical activity.
Creating and maintaining a balanced lifestyle will go a long way to stop or delay the progression of Type 2; Pre-Diabetes / Diabetes and in some cases assist in achieving remission.
Background of Type 2 diabetes add statistics of diabetes and youth
Specific to tas - The National Health Survey 2014-15 found 61 per cent of Tasmanian adults were overweight or obese, as were 28 per cent of children aged five to 17 years.66 The age-standardised prevalence of overweight or obesity among Tasmania adults (66 per cent) was the highest of any Australian state or territory.67
Type 2 diabetes is a significant health issue in Australia due to its high prevalence, associated health complications, and economic burden. Here are key points highlighting its importance:
Prevalence:
According to the Australian Institute of Health and Welfare (AIHW), approximately 1.2 million Australians were living with diabetes in 2017-18, with type 2 diabetes accounting for 85-90% of all diabetes cases.
Health Complications:
Type 2 diabetes can lead to serious health complications, including cardiovascular disease, kidney disease, nerve damage, and vision problems. These complications can significantly impact the quality of life and increase mortality rates.
Economic Burden:
The direct healthcare costs associated with diabetes in Australia are substantial. The AIHW estimates that diabetes costs the Australian healthcare system around $1.7 billion annually. This includes hospital admissions, medications, and management of complications.
Risk Factors:
The rise in type 2 diabetes is closely linked to lifestyle factors such as poor diet, physical inactivity, and obesity. According to the Australian Bureau of Statistics (ABS), 67% of Australian adults were overweight or obese in 2017-18, which is a major risk factor for developing type 2 diabetes.
Public Health Impact:
The increasing prevalence of type 2 diabetes poses a significant challenge for public health systems. It necessitates ongoing public health campaigns, preventive measures, and effective management strategies to reduce the incidence and mitigate the impact of the disease.
The main forms of diabetes are type 1, type 2 and gestational diabetes (diabetes in pregnancy). Type 2 diabetes is by far the most common and is strongly linked to overweight and obesity. https://www.health.tas.gov.au/sites/default/files/2022-03/The_State_of_Public_Health_Tasmania_2018_DoHTasmania2018.pdf
Number of children and young people with type 2 diabetes As of June 2012, there were around 31,000 people aged 1039 diagnosed with type 2 diabetes; this was 0.3% of the population in this age group. Of these approximately 2,200 were aged 1024 years. https://www.aihw.gov.au/getmedia/bc5d50e5-8ca0-474d-be77-f96234d9a532/15203.pdf.aspx?inline=true
Between 2007-8 and 2011-12, the combined prevalence of Tasmanian children aged five to 17 years who were obese and overweight increased significantly, from 18.6 per cent to 28.8 per cent.8 This was the largest increase of all jurisdictions over the three-year period, with the combined Tasmanian proportion of overweight and obese children in 2011-12 exceeded only by the Northern Territory.
More than 200,000 Australian children between the ages of two and 15 are obese; more than 20,000 of them are between two and four. https://www.themercury.com.au/lifestyle/rocherlea-tops-findings-as-tasmanias-worst-suburb-for-childhood-obesity/news-story/81973fcb1d11980472d514c630f8b2a0
lower socio economic no healthy food options only takeaway fast food no decent play equipment
Determinant analysis impacted by multiple determinants.
The youth/children Australians health disparities in the Glenorchy Northern community that slogan is targeting are significantly impacted by multiple determinants:
Find statistics determinants within Glenorchy that impact obesity/ type 2
slogan aims to align with and incorporate all the key priority action areas from the Ottawa Charter (1986) when developing achievable strategies and targets.
Glenorchys demographics have multiple high-risk indicators that have a direct association with Type 2 Diabetes. The benefits of expanding community literacy will help create capacity building skills can positively impact how we approach the cause of Type 2 Diabetes and the lifestyle adjustments that could significantly delay or halt the onset of Type 2 Diabetes cannot be overstated.
Related guidelines - paste links that refer to type 2 diabetes
HYPERLINK "https://www.diabetesaustralia.com.au/prevention-programs/" t "_blank"https://www.diabetesaustralia.com.au/prevention-programs/
Eat For Health Guidelines 2024
https://www.eatforhealth.gov.au/guidelines/guidelines
Diabetes Australia Guidelines
https://www.diabetesaustralia.com.au/health-professional-guidelines/
Diabetes Australia Managing Type 2 Diabetes with Therapeutic Carbohydrate Reduction (TCR)
https://www.diabetessociety.com.au/wp-content/uploads/2023/11/Managing-Type-2-Diabetes-with-Therapeutic-Carbohydrate-reduction-TCR-November-2023_Final.pdf
National Physical guidelines 2024
https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians
Vision, goal, objectives, strategies
Vision: To delay, halt or achieve remission in the progression of Type 2; Pre-Diabetes / Diabetes in older Australians.
Objective 1:
Education, understanding and positive reinforcement on the cause of T2D and the related risks, current management & policies
Objective 2:
Understanding what healthy dietary, mental health, and active physical choices look like and the significant impact they have on T2D Objective 3
Getting started on establishing healthier social norms at home, socially and work
Strategy 1.1 Strategy 1.2 Strategy 2.1 Strategy 2.2 Strategy 3.1 Strategy 3.2
Look at changing policies to include an information kit at diagnosis of Pre-T2D to open positive early communication. That might include links or pamphlets to current
recommendations and relevant guidelines, link to a podcast with interactive comments and ideas.
At Pre-T2D diagnosis a diabetes educator in collaboration with other healthcare professionals introduce a series of locally run weekly workshops aligned with Dr Peter Brukners book The Diabetes Plan 6x 2hr followed by 6x 1hr workshops, educating empowering and motivating individuals targeting Pre-T2D.
Each healthcare professional to run their own workshop (e.g. a nutritionist, a physiotherapist and a mental health professional) to help achieve an understanding and identify the benefits of healthy choices & developing small achievable goals targeting T2D.
Identifying and assess the barriers from strategy 2.1 workshops and those that might benefit from extra assistance in the form vouchers / referrals e.g. 6 x physio visits for an injury that limiting mobility or 6 x cooking lessons for culinary challenged.
Identify problem areas and develop alternative strategies.
Those strategies should include activities / choices that already appeal on some level to achieve long term success. Join a club or group that you already have interest in e.g. walking, gardening.
Regular reviews: build on what youre getting right and adjust or substitute what isnt working. Small achievable goals,
keeping in mind recommendations and guidelines.
Find your happy place and be kind to yourself.
Benefits (of achieving objectives), Risks and Risk Management
7.0 Benefits (of achieving objectives), Risks and Risk Management
Benefits
Risks
Risk Management
Objective 1:
An information kit at diagnosis will introduce the cause of T2D, outline the risks if left untreated and share the hope and possibilities of what informed choices can achieve.
Workshops help create broader awareness in a supportive environment.
Workshops will help cut the wait list times.
Workshop attendance challenges:
Health challenges
Transport
Workshop attendance challenges:
Catch the missed workshop podcast
A sponsored courtesy bus
Objective 2:
Integrating healthcare professionals to share their expertise, understanding, encouragement in achieving healthy results when targeting the progression of Pre-T2D.
Creating professional and community partnerships targeting T2D
Processed food is cheaper
Limited experience with food prep
Unable to meet physical activity because of mobility issues
The benefits of whole foods, shopping with a budget in mind (seasonal options)
Cooking class vouchers
Physio referral vouchers
Objective 3:
Identifying barriers, setting and achieving goals is empowering, it supports self-efficacy and has a ripple effect in meeting and managing challenges as they arise while trying to make positive behavioral changes
Not achieving goals
Back to less-than-ideal habits
Smaller achievable goals and build on them
Identify triggers and look at alternative behaviors. Its ok to get it wrong, just give it another shot.
Summary -
OVERALL DISADVANTAGE IS HIGHER IN TASMANIA THAN THE REST OF AUSTRALIA.
https://www.childcomm.tas.gov.au/wp-content/uploads/2016/07/CCYP-Health-and-Wellbeing-Report-Part12.pdf
More than 200,000 Australian children between the ages of two and 15 are obese; more than 20,000 of them are between two and four.
Nutrition Australia spokeswoman Aloysa Hourigan said parental influences, public parks and sporting facilities and access to healthy food were critical in determining if your child was at risk of becoming obese.
"All of these things can lead to obesity problems in children," she said.
The demographics of areas such as Rocherlea, with high unemployment and a large proportion of single parents, reduces the likelihood of children participating in sport and increases the likelihood of them being less active.
A lower income also means less likelihood of eating healthily.
Diet and exercise, access and encouragement are the key in fighting childhood obesityhttps://www.themercury.com.au/lifestyle/rocherlea-tops-findings-as-tasmanias-worst-suburb-for-childhood-obesity/news-story/81973fcb1d11980472d514c630f8b2a0
The highest prevalence of obesity in 201718 was in Tasmania (11.4%), and the lowest was in Western Australia (7.2%).4https://www.obesityevidencehub.org.au/collections/trends/australian-children
All available evidence suggests simple, isolated, one-off, short-term interventions for obesity prevention have limited success. Effective prevention requires multi-strategic approaches that support people to make better health decisions and avoid chronic disease by changing the environment in which people live, work, play and learn.
Interventions, programs and policies to address overweight and obesity include: Being Active Matters resource: a booklet and poster to help parents and carers provide more opportunities for active play and develop important fundamental motor skills in their children. Start Them Right resource: booklet for parents and carers of young children with practical ideas about food and eating. Child Health and Parenting Service (CHaPS) training and support: nutrition training and support for CHaPS staff. Tuckertalk resources for parents to encourage healthy eating in young children. Move Well Eat Well: an initiative delivered in collaboration with the Department of Education (DoE) that supports the healthy development of children and young people in primary schools by promoting physical activity and healthy eating as a normal positive part of every day. Part Way is OK: an initiative that allows Move Well Eat Well Member schools to work with local government to establish safe drop off points and walking routes to school. Active Classrooms: a program that provides a professional learning opportunity to classroom teachers from Move Well Eat Well Member schools annually. Tasmanian Government submission to the Senate Select Committee into the Obesity Epidemic in Australia 7 Obesity Epidemic in Australia Submission 144 Family Food Patch: trains and supports parents of young children as peer educators in healthy eating and physical activity with a focus on disadvantaged communities (funding agreement with Child Health Association). Get Active Program: a statewide program that promotes involvement in physical activity and encourages its participants to consider important issues that directly relate to their health and wellbeing. GAP has a particular focus on low income communities. Food Security Programs: training, resources, advice and support to community food security programs. Eat Well Tasmania Veg it Up: a pilot vegetable promotion campaign to test effectiveness of social media and to engage food growers and retailers involvement in promoting healthy eating (funding agreement with Eat Well Tasmania Inc.). Healthy Kids Coalition: a network of people working in child nutrition to promote collaboration, maximise investment and minimise duplication (lead by NGOs funded by DoH). Health Star Rating: a front-of-pack labelling system to assist consumers making healthier packaged food choices lead by the Australian Government with investment from states and territories (including Tasmania) and in partnership with food industry, public health and consumer groups. Breastfeeding coalition Tasmania: brings together groups interested in more supportive environment for breastfeeding and advocating for better facilities, support and protection for breastfeeding
References:
Brukner, Dr. (2023). The Diabetes Plan. Pan Macmillan Australia.
Australian Institute of Health and Welfare. (2024, june 17). Diabetes: Australian Facts.
https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-common-is-diabetes/type-2-diabetes
Diabetes Australia. (n.d.). 2023 Snapshot: Diabetes In Australia.
https://www.diabetesaustralia.com.au/
Fraser Coast Regional Council. (2017, May 12). Inclusive communities.
Fraser Coast Regional Council (n.d.). Our Sustainable Fraser Coast Charter
Fraser Coast Regional Council. (2018, May 22). Sun smart policies.
https://www.frasercoast.qld.gov.au/policies-and-publications
Local area needs report (LANA). (2022). Wide Bay Hospital & Health Service / Priorities Summary Report.
https://www.widebay.health.qld.gov.au/about-us/publications-and-reports/local-area-needs-assessment-report
World Health Organization (WHO). (1986). Ottawa Charter For Health Promotion.
https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference
https://www.health.tas.gov.au/sites/default/files/2022-03/The_State_of_Public_Health_Tasmania_2018_DoHTasmania2018.pdf
https://www.mdpi.com/1660-4601/19/10/6238
https://www.health.tas.gov.au/sites/default/files/2022-03/The_State_of_Public_Health_Tasmania_2018_DoHTasmania2018.pdf
https://www.abs.gov.au/ausstats/abs@.nsf/7d12b0f6763c78caca257061001cc588/8bdfac0aea89ef5bca256c3200241838!OpenDocument
LETS FIGURE IT OUT
Type 2; Pre-Diabetes,
Diabetes
Student: Simone Jenkins
Lecturer: Rebecca Arbon
Word count: 1946
1.0 Intervention
Lets
2.0 Project Summary
Lets Figure It Out is a program designed to target older Australians newly diagnosed with Type 2; Pre-Diabetes or Diabetes currently living in Wide Bay, Queensland.
Its about empowering individuals with understanding, education, support and the tools to make informed choices when it comes to developing healthy habits.
Creating and maintaining a balanced lifestyle will go a long way to stop or delay the progression of Type 2; Pre-Diabetes / Diabetes and in some cases assist in achieving remission.
3.0 Background
Type 2 Diabetes is a disease of carbohydrate intolerance; in other words, the body does not metabolise the sugar and starches we eat, leading to a rise in blood sugar levels. (Bruckner, 2023, p. 1-2).
Type 2 Diabetes (T2D) is categorised as chronic disease that is a significant contributor to lower limb amputation, heart attacks, kidney disease, blindness, obesity, stroke and mental health challenges if left to progress.
3.1 According to Diabetes Australia (2023 Snapshot) The Diabetes epidemic is one of the largest and most complex health challenges Australia has ever faced.
Australias population diagnosed and registered with Diabetes is 1.5 million.
1.256,493 million (86%) of the diagnosed 1.5 million have Type 2 Diabetes.
960,383 of the 1.5 million Diabetes population are aged 60+.
Undiagnosed Type 2 Diabetes is estimated at a further 500,000 people.
Its estimated a further 2 million Australians are living with Pre-diabetes or are at significant risk of developing diabetes.
3.2 In 2022 the Local area needs assessment (LANA) Wide Bay Hospital and Health Services Priorities Summary Report included:
Aging Population is 12% greater than Queensland in the over 65s at 25.9%
Socio-economic Disadvantage more than 50% of residents fall within the most disadvantage quintile.
3.3 Getting the community involved in developing a healthier lifestyle to help sustain happier, independent, active future that stops or delays the progression of Type 2 Diabetes and in some cases achieves remission is a win for everyone, so Lets Figure It Out
4.0 Determinant Analysis
The Australian Institute of Health & Welfare (2024) found:
10.7 % of Aboriginal and Torres Strait Islander In 2018 / 2019 were living with Type 2 Diabetes.
Aboriginal and Torres Strait Islander Adults were 2.9% more likely to be living with Type 2 Diabetes than non-Indigenous adults.
Type 2 Diabetes prevalence increased with both the level of remoteness and socioeconomic disadvantage.
In 2021 approximately 45,700 (125 people a day) were diagnosed with Type 2 Diabetes
Older Australians health disparities in the Wide Bay community that Lets Figure It Out is targeting are significantly impacted by multiple determinants:
4.1 According to LANA (2022):
Only 34% of the population finished year 12 (QLD 52.2%).
Over 26% of households earn less than 33,800 per year (QLD 17.5%).
Rental stress is over 38% among low-income households (QLD 28%).
More than 6000 people face barriers to accessing healthcare.
46% of adults are engaged in insufficient physical activity (QLD 41%).
4.2 On top of the financial strain a lot of households are facing, some days just keeping up with the commitments that come with family, work, life and play, running here, there and everywhere are a challenge for those of us already struggling to achieve healthy habits. It often leads to making less than ideal choices in our everyday environment and generally the company we keep in that environment are like-minded and those less than healthy choices that were convenient at the time build and compound already less than ideal social norms / habits.
4.3 On the positive side -
Hervey Bay is a great place to develop and enjoy a healthy lifestyle that includes year-round options for outdoor activities with its sub-tropical climate, sandy swimmable beaches and mostly flat or gentle slopes.
The outdoor infrastructure has and is being developed with an active inclusive population in mind: the foreshore / esplanade (over 10kms), parks, gardens, sports grounds, water park, green spaces, bike / foot paths, inclusive access: toilets, showers, ramps and car parks, water fountains / taps, dog parks, pet bags, bins, lights, BBQs, bench seats, stairs, shade, exercise equipment, playground equipment, stage areas and picnic shelters are open to everybody and help to create a supportive environment to get active.
The ideal environment to re-evaluate social norms, adjust, develop and build a healthier physical and dietary balance to help maintain a happy independent lifestyle.
4.4 Fraser Coast Regional Council policies are aware and deliberate in their aims at supporting current and future growth populations in enjoying, active, inclusive, equitable, culturally respectful opportunities for everyone, to name a few:
Sun smart Policy Providing the community with public places, facilities, open spaces and services that provide protection from sun exposure
Inclusive Communities Policy Community Engagement (building inclusive communities is about opening up opportunities and removing barriers)
Our Sustainable Fraser Coast Charter Supporting our future with a sustainable lifestyle
4.5 Lets Figure It Out aims to align with and incorporate all the key priority action areas from the Ottawa Charter (1986) when developing achievable strategies and targets.
Wide Bays demographics have multiple high-risk indicators that have a direct association with Type 2 Diabetes. The benefits of expanding community literacy will help create capacity building skills can positively impact how we approach the cause of Type 2 Diabetes and the lifestyle adjustments that could significantly delay or halt the onset of Type 2 Diabetes cannot be overstated.
5.0 Related Guidelines
Eat For Health Guidelines 2024
https://www.eatforhealth.gov.au/guidelines/guidelinesDiabetes Australia Guidelines
https://www.diabetesaustralia.com.au/health-professional-guidelines/Diabetes Australia Managing Type 2 Diabetes with Therapeutic Carbohydrate Reduction (TCR)
https://www.diabetessociety.com.au/wp-content/uploads/2023/11/Managing-Type-2-Diabetes-with-Therapeutic-Carbohydrate-reduction-TCR-November-2023_Final.pdfNational Physical guidelines 2024
https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians6.0 Vision, Goal, Objectives & Strategies
Vision: To delay, halt or achieve remission in the progression of Type 2; Pre-Diabetes / Diabetes in older Australians.
Objective 1:
Education, understanding and positive reinforcement on the cause of T2D and the related risks, current management & policies
Objective 2:
Understanding what healthy dietary, mental health, and active physical choices look like and the significant impact they have on T2D Objective 3
Getting started on establishing healthier social norms at home, socially and work
Strategy 1.1 Strategy 1.2 Strategy 2.1 Strategy 2.2 Strategy 3.1 Strategy 3.2
Look at changing policies to include an information kit at diagnosis of Pre-T2D to open positive early communication. That might include links or pamphlets to current
recommendations and relevant guidelines, link to a podcast with interactive comments and ideas. At Pre-T2D diagnosis a diabetes educator in collaboration with other healthcare professionals introduce a series of locally run weekly workshops aligned with Dr Peter Brukners book The Diabetes Plan 6x 2hr followed by 6x 1hr workshops, educating empowering and motivating individuals targeting Pre-T2D.
Each healthcare professional to run their own workshop (e.g. a nutritionist, a physiotherapist and a mental health professional) to help achieve an understanding and identify the benefits of healthy choices & developing small achievable goals targeting T2D. Identifying and assess the barriers from strategy 2.1 workshops and those that might benefit from extra assistance in the form vouchers / referrals e.g. 6 x physio visits for an injury that limiting mobility or 6 x cooking lessons for culinary challenged. Identify problem areas and develop alternative strategies.
Those strategies should include activities / choices that already appeal on some level to achieve long term success. Join a club or group that you already have interest in e.g. walking, gardening.
Regular reviews: build on what youre getting right and adjust or substitute what isnt working. Small achievable goals,
keeping in mind recommendations and guidelines.
Find your happy place and be kind to yourself.
7.0 Benefits (of achieving objectives), Risks and Risk Management
Benefits
Risks
Risk Management
Objective 1:
An information kit at diagnosis will introduce the cause of T2D, outline the risks if left untreated and share the hope and possibilities of what informed choices can achieve.
Workshops help create broader awareness in a supportive environment.
Workshops will help cut the wait list times. Workshop attendance challenges:
Health challenges
Transport
Workshop attendance challenges:
Catch the missed workshop podcast
A sponsored courtesy bus
Objective 2:
Integrating healthcare professionals to share their expertise, understanding, encouragement in achieving healthy results when targeting the progression of Pre-T2D.
Creating professional and community partnerships targeting T2D
Processed food is cheaper
Limited experience with food prep
Unable to meet physical activity because of mobility issues The benefits of whole foods, shopping with a budget in mind (seasonal options)
Cooking class vouchers
Physio referral vouchers
Objective 3:
Identifying barriers, setting and achieving goals is empowering, it supports self-efficacy and has a ripple effect in meeting and managing challenges as they arise while trying to make positive behavioral changes Not achieving goals
Back to less-than-ideal habits Smaller achievable goals and build on them
Identify triggers and look at alternative behaviors. Its ok to get it wrong, just give it another shot.
Summary
Lets Figure It out is a combination of interventions although predominately midstream / psychosocial aimed at older Australians after a recent Type 2: pre-diabetes / diabetes diagnosis. The determinant analysis includes a combination of all the paradigms.
An information kit at diagnosis, a series of face-to-face interactive workshops that run over 12 weeks (recorded for a podcast) run at a local neighbourhood house. Its creating access to integrated healthcare professionals and life skills professionals targeting Type 2 Diabetes without the long wait lists. 6 x 2-hour weekly workshops directly followed by a further 6 x 1-hour weekly workshops. Included, relevant workshop notes, pamphlets / links and vouchers designed to expand health literacy, empower and support individuals, communities to achieve a healthy lifestyle.
6 x 2-hour workshops:
Week 1 Diabetes Educator - Understanding T2D, the cause, the how did we get here, the future possibilities.
Week 2 Nutritionist - The importance of a balanced diet and what that might look like for T2D.
Week 3 Physiotherapist - Understanding, building on age-appropriate daily physical activity, strategies for mobility issues.
Week 4 Mental Health Prof.- Promoting healthy attitudes, identify and help develop strategies to overcome barriers.
Week 5 Diabetes Educator - Review: identify whats working, barriers, alternatives, developing achievable goals
Week 6 Chef / Health coach- Cooking basics, whole food recipes, ideas, developing and building on healthy habits.
A further 6 x 1-hour workshops: encourage engagement and participation in: consolidating strategies, reviewing barriers, developing alternatives, extra support targeting those with additional challenges e.g. 6 x mental health visits / 6 x cooking classes / 6 x heated pool visits.
The podcast recordings will be available as the workshops progress for review, interactive comments and ideas that help create a T2D online support community.
Lets Figure It Out workshops re-orient how access to integrated health care professionals is available and developing partnerships targeting T2D. It will also impact scheduling efficiency and cut wait list times. Lets Figure It Out is linked to stage of change Transtheoretical model.
Funding: a workshop with approx. 10 or 12 attendees could help offset the costs compared to a 1 on 1 appointment. The podcast could be developed to be self-supporting. Additional funding might include start up grants, sponsorships, volunteers and community - healthcare partnerships.
References:
BIBLIOGRAPHY l 3081 BIBLIOGRAPHY l 3081 Brukner, Dr. (2023). The Diabetes Plan. Pan Macmillan Australia.
Australian Institute of Health and Welfare. (2024, june 17). Diabetes: Australian Facts.
https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-common-is-diabetes/type-2-diabetes
BIBLIOGRAPHY l 3081 Diabetes Australia. (n.d.). 2023 Snapshot: Diabetes In Australia.
https://www.diabetesaustralia.com.au/
Fraser Coast Regional Council. (2017, May 12). Inclusive communities.
Fraser Coast Regional Council (n.d.). Our Sustainable Fraser Coast Charter
Fraser Coast Regional Council. (2018, May 22). Sun smart policies.
https://www.frasercoast.qld.gov.au/policies-and-publications
Local area needs report (LANA). (2022). Wide Bay Hospital & Health Service / Priorities Summary Report.
https://www.widebay.health.qld.gov.au/about-us/publications-and-reports/local-area-needs-assessment-report
World Health Organization (WHO). (1986). Ottawa Charter For Health Promotion.
https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference
