“Data indicates that young people with diabetes in cities are far better off than their rural counterparts for access, service and health outcomes; those outside Sydney or Newcastle can expect to have significantly greater reduced life expectancy,” University of Newcastle Conjoint Professor of Nursing, Lin Perry* said.
Professor Perry is leading the Youth Outreach for Diabetes (YOuR) project, which aims to evaluate and develop a new model of care for non-metropolitan young people.
“Young people with diabetes in rural areas have less than half the routine contact with preventative care services than their Sydney and, to a lesser extent, Newcastle counterparts,” she said.
“Rural patients with diabetes are hospitalised more than twice as often and up to 40 per cent of young people with type 1 diabetes transitioning from paediatric to adult care outside a capital city are ‘lost’ from specialist care.”
Researchers have completed a survey of essential services and are consulting with stakeholders to develop a new model of care that will be implemented in the Hunter New England Local Health District over the next three years.
The new model will help transition young people with diabetes in regional and rural Hunter New England to a point where they can confidently self-manage their illness.
Strategies include using social media and peer support, creating a single point of contact and help line, plus establishing adult care networks to encourage young people to routinely monitor their condition.
“It is important that all young patients have access and make use of preventative services to ensure they develop and maintain good diabetic management skills, particularly at the critical time when they become adults and have to manage more of their own care,” she said.
“Research shows prevention and good management is the best way to avoid hospital admissions and the development of secondary health problems that are linked to diabetes including heart attacks, stroke, blindness, amputations, kidney failure and premature death.”
Good control of diabetes in young adulthood greatly reduces the risk of later developing diabetes-related eye disease by 76 per cent, kidney disease by 50 per cent, nerve damage by 60 per cent and any heart disease by 42 per cent.
The project is a collaboration between the University, Hunter New England Local Health District and the Australian Diabetes Council.
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