Type 2 Diabetes Management

In this episode, Dr Helen Snell, a leading figure in diabetes care in New Zealand, discusses recent updates in type 2 diabetes management, diagnostic criteria changes, new medications, and practical tips for primary care providers.

Topics

Intro.
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Changes in Diagnostic Criteria.
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Multidisciplinary Teams in Diabetes Care.
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Glycaemic Targets and Treatment Approaches.
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Shifts in Diabetes Care Paradigms.
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Mental Health and Lifestyle Factors.
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Addressing Diabetes Inertia in Treatment.
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Initiating Insulin Therapy.
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Game-Changing Medications for Type 2 Diabetes.
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Continuous Glucose Monitoring.
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Analysing the data.
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Future Funding of CGMs.
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Diabetes in youth.
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Take-home messages.
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Take home messages

Tackle clinical inertia - optimise diabetes therapies early.
Talk to patients about what their goals are.
If in doubt pick up the phone to your colleagues in secondary care.

Resources

Notice of Updated HbA1c Diagnostic Thresholds from 1 July 2026 Health NZ

Presenter

Helen Snell

Nurse Practitioner

Helen Snell is a nurse practitioner specialising in diabetes, and is nurse lead of the diabetes and endocrinology service based at Palmerston North Hospital. In the New Year’s honours list, she was made a member of the New Zealand Order of Merit for services to nursing and diabetes care. Helen has been a trailblazer in improving standards of diabetes care, as well as a driving force for registered nurses (RNs) working in advanced practice roles.