Diabetes screening clinic improves community health
The research led to improved quality of life and reduced morbidity and mortality for program participants.
The global incidence of diabetes and associated complications are increasing. This requires better methods for diagnosis and treatment, particularly in rural areas where access to specialist equipment is limited and there are fewer health professionals and medical practitioners.
To combat this problem, CSU researchers, led by Associate Professor Herbert Jelinek, developed an all-in-one program that provided annual comprehensive health checks. These health checks included: blood sugar level, cholesterol levels, blood pressure, body mass index (BMI), cardiovascular assessment, eye examination, and a foot assessment.
The program found previously undiagnosed diabetes-associated disease, including life-threatening cardiac complications. The research led to improved quality of life and reduced morbidity and mortality for program participants.
The recent diabetes screening program undertaken by CSU probably saved my life
– M.R. (name withheld) Program participant.
The research developed new and novel health screening tools that were used to assess patient health. These included:
- an automated program to identify diabetic retinopathy using colour images in non-dilated pupils that were not injected with colour contrast (CSU were the first to develop this technology)
- an analysis tool for identification of retinal vessel proliferation
- an automated tool for identification of cardiac autonomic neuropathy based on heart rate recordings
- identification of eight novel blood-borne biomarkers associated with preclinical diabetes
- investigating the initial allied health impact of the automated wound analysis tool (W.H.A.T.)
- Research developed an all-in-one diabetes screening program
- Patients assessed in one visit
- Multiple health conditions are investigated
- Found numerous instances of diabetes-related illness
- Identified patients in need of urgent medical assistance to treat life-threatening vascular conditions
Patients participating in the screening program obtained improved health outcomes, particularly for those that needed immediate acute treatment for life-threatening complications. Participating general practitioners were also positive and provided feedback on the clinic and project, noting “the support it provides to the medical community”.
A form of CSU’s all-in-one health screening is now being incorporated into health service provisions by the Medical School of Western Sydney University. Additionally, a similar program to the CSU-developed eye screening tool is used by the National Health Services in Scotland.
Charles Sturt University
Herbert Jelinek's research is in diabetes and diabetic complications focusing on strategies for automated identification of cognitive, cardiac, peripheral vascular and retinal complications using biosignal and image processing. He has established a one stop screening unit for diabetes and cardiovascular disease at Charles Sturt University, Albury.
Funding and collaborators
Funding for the research was provided from a series of internal CSU grants and research fellowships, plus support from the Australian Diabetes Society.
The research was conducted in collaboration with several national and international universities including the Universities of Sydney, Newcastle, La Trobe, Sao Paulo, Waikato, Campinas, Khalifa and Vienna.