Townsville General Practice Network

Diabetes and Chronic Disease

Enhanced Diabetes Management Program

Prevention is better than cure – try a little TLC. (Townsville Local Collaboratives)

The Townsville Local Collaborative (TLC) has been designed to help practices get their prevention programs working more efficiently. Using the tried and tested “collaboratives” method, practices review their own patient data from a number of clinical areas- cervical and breast cancer screening rates, smoking rates in COPD, and prescribing for coronary heart disease.

Practices set themselves achievable tasks to improve their performance in selected areas, and prepare Plan, Do, Study, Act, cycles (PDSAs) to document the process. Regular workshops provide clinical updates, opportunities for reflection, and the sharing of ideas between practices.  

See more Townsville Local Collaboratives information (Click here to TLC part of TGPN website)

Australian Primary Care Collaboratives

TGPN is now (June 2008) a participant in this national program which targets diabetes, coronary heart disease and better access to General Practice. Practice staff participate in learning workshops and quality improvement cycles with support from a TGPN Program Officer. Further information about the program is available from the APCC website. Contact our Quality Improvement Program officer for more details.

Diabetes Type 1

The following information on Type 1 diabetes management for children and adolescents is available:

(Please note that some files are quite large)

Diabetes Type 2

Referring to Allied Health Service Providers

• Getting Started - Taking Control
• The AGPN have a useful presentation on how to refer a Type 2 diabetic.
• Diabetes Australia Information Sheets
  • Education
  • Nutrition

Useful Diabetes links

• Diabetes Management in General Practice. The most recent version is available from the RACGP web site
• Diabetes Australia Queensland website www.diabetesqld.org.au has information for patients and health professionals.
This site was launched in January 2008.

• The National Centre for Chronic Disease Prevention and Health Promotion www.cdc.gov/diabetes This site can be contacted with questions. There is a list of frequently asked questions, news, information, publications and links to other agencies.


• The International Diabetes Institute www.diabetes.com.au Is helpful with medical issues and includes the capacity for individuals to record and track blood glucose levels, blood pressure, pulse, cholesterol and weight online.


• www.mydiabetes.com is a user friendly site that offers self care and tracking tools to help individuals take control of their disease management.


• childrenwithdiabetes.com is an online community for kids, families and adults.


• www.apma.org is a specialised site that concentrates on foot care for diabetics.


• Type 2 Diabetes: Standard Care Pathway, a resource from General Practice Queensland supported by Queensland Health

Diabetes Patient Held Record

As part of the Diabetes GP Integration project in 2003 a template was developed to be filled in at the time of completion of the "Annual Cycle of Care". This template has an updated list of medications, room for Allied Health and GP comments as well as room for identification of all health care providers involved with the patient’s care. This update is easily available and can be done as often as necessary. The template can be used by itself or in conjunction with the Patient Hand Held Records which are available from TGPN. The template can be downloaded for MD or MSS.

• MSS Form
• MD Form

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