Hunter New England Local Health District
The HNE region has the highest prevalence of Type 1 diabetes in childhood in Australia. Prior to 2005 the majority (>80%) of children attending the John Hunter Children’s Hospital Diabetes service failed to meet international targets for glycaemia, dramatically increasing the risk of early diabetic complications. This was consistent with outcomes reported for paediatric diabetes centres nationally and internationally. Our team sought to achieve target HbA1c for all paediatric patients.
We developed a ground-breaking diabetes management program (SWiiM). Data was prospectively collected from 2004 to measure the effectiveness of SWiiM.
Outcomes were published (1-3), with a key finding that 83% of young children achieved target glycaemia compared to 30% previously (4). Novel interventions have been incorporated into International diabetes guidelines (5-7) and adopted throughout NSW, nationally and internationally. We continually achieve the best glycaemic outcomes in Australasia with a mean HbA1c of 7.3% versus a national average of 8.3% (2018).