Diabetes - A Multidisciplinary approach
A Multidisciplinary diabetes medical care is a team approach to providing diabetes support, education and care. Multidisciplinary diabetes care:
- Demonstrates shared leadership, accountability and responsibility for individualised planning of services and support to improve the quality of life for a person living with Diabetes
- Is comprehensive, holistic and integrated across the lifespan needs of a person living with Diabetes
- Is a collaborative team effort of health care professionals who are respectful and accepting of each other’s discipline specific skills, training, attributes and contribution to diabetes care
- Supports shared decision-making by valuing and respecting the contributions of each member of the diabetes team; the person with diabetes, their family or carer and other healthcare professionals
Who are the members of a Multidisciplinary Team for a Diabetic patient?
Healthcare professionals: Bariatric Surgeon, Vascular Surgeon, Dentist, Optometrist, Nephrologist, Gynaecologist.
What can a Multidisciplinary team approach achieve?
- Improved coordination of services
- Improved treatment planning and thus improved outcomes for Diabetic person and their families and carers
- Better detection and management of the psychosocial and emotional needs of Diabetic person and their family or carers
- Improved information sharing between the diabetes team member
Examples of who would require Multidisciplinary approach:
- People newly diagnosed with Type 1 diabetes.
- People with Type 1 diabetes (for carbohydrate counting and/or the use of insulin pumps/or continuous blood glucose monitoring).
- Children with diabetes.
- Pregnant women and those planning a pregnancy.
- Patients with significant and ongoing cardiovascular or peripheral vascular disease.
- Young patients with diabetes of an undefined nature.
- Patients with active foot ulcers or uncontrolled neuropathic pain.
- Patients with diabetes and renal disease or retinopathy requiring active management or complex monitoring.
- People whose risk factors for complications have been unsuccessfully controlled in primary care.
- Patients with recurrent hypoglycemia.
- Patients with neuropathy, especially autonomic neuropathy.
- Inpatient care.