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Main Programme
Friday 10th June 2011
Main Programme
Dr Rick Cutfield
Controversies in Diagnosis of Diabetes
Friday, 10 June 2011 Start 9:00am Duration: 25mins Baytrust Forum
The diagnosis of diabetes mellitus has important implications for patients and their doctors. For decades
the diagnosis of diabetes has largely been based on either the fasting plasma glucose or the results
of the oral glucose tolerance test. In 1997, criteria were revised and based largely on the correlation
between fasting plasma glucose and the earliest signs of retinopathy, a fasting glucose of 7mmol/l was
used as a new threshold for diabetes. Various categories of “pre-diabetes” including impaired glucose
tolerance and impaired fasting glucose were introduced. The HbA1C blood test, which reflects average
blood glucose levels over a 2 -3 month period, was largely used to monitor glucose control. However,
it has now been proposed as a diagnostic test. HbA1c has the advantages of not requiring fasting and
correlating well with the risk of macrovascular disease and is reasonably standardised in most western
countries. However, there are potential issues with AIC as well. While the various international diabetes
groups debate the criteria, I will present a practical proposal for us to use in the meantime using the
new international numbers. The new criteria may define a slightly different but perhaps more relevant
population with diabetes than before.
Notes
Dr Michelle May
Writing an Effective Exercise Prescription
Friday, 10 June 2011 Start 9:25am Duration: 25mins Baytrust Forum
If you could bottle exercise, you’d have the closest thing there is to a wonder drug, yet many patients
continue to lead sedentary lifestyles. This presentation will provide practical recommendations for
counselling and motivating patients to exercise regularly for the prevention and management of chronic
disease.
Learning Objectives:
1. Participants will describe the benefits of regular exercise on the prevention and management of
chronic disease.
2. Participants will counsel patients about overcoming obstacles to physical activity and initiating a
sustainable exercise program.
3. Participants will use the acronym FITT to write an effective exercise prescription.
Notes
09-12 June 2011 | Energy Events Centre | Rotorua