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| Trigger points for a GP referral to an exercise physiologist- Initial diagnosis of impaired fasting glucose, impaired glucose tolerance, prevention of 'at risk' groups
- Poor self-management of diabetes
Trigger points for an exercise physiologist referral to a GP- Poor control of glucose levels, lipids or blood pressure
- Poor maintenance of physical activity
- Comorbidity (e.g. uncontrolled ischaemia, persistent joint pain, poor wound healing)
Potential treatment by an exercise physiologist- Exercise prescription: individualised exercise prescription with an optimal dose for diabetes and cardiovascular benefit. Exercise prescription would be balanced with the patient's goals, readiness to change, knowledge, skills and access to resources and may be conducted in the home, gym or EP clinic
- Education about diabetes management, cardiovascular risk factors, weight control
- Assessment: may include goals, exercise history, anthropemetry, blood pressure, blood profiles, fitness, strength, power, balance, mobility and may include specific assessments for work or activities of daily living
- Physical activity advice: encouraging incidental and leisure time activity, active transport and reducing sedentary behaviours
- Self-management support, health education, planning, monitoring, follow up, behavioural counselling and relapse prevention
- Referral: matching patients to appropriate community based physical activity options with consideration of their age, interests, transport, functional capacity and cultural orientation
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