The results of the HbA1c screening within hospitals validates its adoption as ongoing practice and plans exist to continue screening within the hospital setting for opportunistic identification of high-risk patients.
Within the community, ongoing support for the identification of individuals at high risk of developing diabetes is provided by training courses for practice nurses, collaboration with Diabetes NSW and through the Healthy Workers Initiative.
This work builds on the experience gained through the completion of a screening program conducted from an ANPHA grant where 4000 residents were screened for their risk of developing diabetes in over 70 local venues. Knowledge gained regarding results from specific venues, individual CALD populations, engagement in LMP programs and retention within the programs is providing direction for subsequent screening efforts.
Those found at high risk are encouraged to follow up with their GP and to participate in the Get Healthy telephone coaching. GP training will be ongoing to support the testing of individuals and the provision of a series of options for a variety of local, online and telephone lifestyle modification programs.
Particular emphasis will be placed on high-risk populations through basic risk screening and increasing referrals to the Get Healthy Service, and increasing Bilingual Educator Diabetes Prevention Programs.