Release of Revised National Diabetes Nursing Knowledge and Skills Framework 2018

Please click here to download the Memo to all ACDN members regarding the revised framework.

Click here to download the Revised National Diabetes Nursing Knowledge and Skills Framework 2018 (PDF, 1.8MB)

New CareSens meters available from 1 February 2018

PHARMAC would like to remind Diabetes Nurses that from 1 February 2018 there will be four funded CareSens meters and their test strips, including the CareSens Dual testing for both blood glucose and ketones.

From 1 August 2018, the CareSens II, Freestyle Optium/Neo and Accu-Chek Performa meters and their test strips will no longer be funded.

People living with diabetes and using these meters will have six months from 1 February until 1 August 2018 to change their meters.  Most people will not have to change their meters.

Most people needing to change their meters should be able to swap their meters over at their community pharmacy.

There is more information about this change on the PHARMAC website.

The attached chart, “Will my meter change” (also found on the PHARMAC website) should help consumers and health professionals work out if people need to change their meters.

If you have any further questions about this change, you can contact PHARMAC on or 0800 66 00 50.

More Heart and Diabetes Check Evaluation

Health targets are a set of national measures designed to improve the performance of health services. They focus on population health objectives and on reducing inequities.

The More heart and diabetes checks health target began in 2012 and includes a cardiovascular risk assessment (CVDRA) and a blood test for diabetes (HbA1c) delivered in primary care settings.

The goal was for 90 percent of people in specified age and ethnicity cohorts to have had their risk assessed in the past five years. A budget included national funding, and incentives and sanctions for district health boards (DHBs) and primary health organisations (PHOs) to achieve the target.

The evaluation used mixed methods for data collection and was framed around five evaluation questions.

  • How well was the health target implemented?
  • What difference did the health target make for health practices/service providers and for those whose risk was assessed?
  • What have been the economic implications of the health target and is it likely that the programme provides good value for money?
  • To what extent are any gains made through the health target likely to continue?
  • What should the Ministry of Health do to support CVD and diabetes risk assessment?

The evaluation findings for each of the questions is presented in this summary at

Improving Glycaemic control in people with type 2 diabetes

Expanding the primary care toolbox -

Workforce Development Reports

2016 Workforce Development Report for Aotearoa College of Diabetes Nurses (PDF, 299KB)

2015 Workforce Development Report for Aotearoa College of Diabetes Nurses (PDF, 1MB)

Living Well With Diabetes - a plan for people at high risk of or living with diabetes

This National Strategy was launched at Counties on Friday 16 October 2015 by the Minister of Health.

Download the Living Well With Diabetes plan (PDF, 317KB)

Diabetes Resource Manual

  • A valuable 'Go-To Reference' for nurses working with people with diabetes
  • Covers - what is diabetes across the lifespan, lifestyle recommendations, nutrition, monitoring, complications, footcare, wound healing, and travel
  • Well referenced and includes links to useful websites for more information
  • Download the order form or contact Gill Aspin at for more information and payment options
  • Bargain price $50 + $6.50 postage in NZ.

Standing Order Guidelines

The Standing Order Guidelines have been updated to reflect the 2016 amendment to the Medicines (Standing Order) Regulations 2002. Nurse practitioners are added as issuers of standing orders and the requirements which govern access to standing orders in regulation 8(a)(v) are streamlined.

This document outlines the roles and responsibilities of health professionals issuing standing orders and those working under standing orders. It also includes a Standing Order Template Guide.

Read or download:

Living Well With Diabetes - a plan for people at high risk of or living with diabetes

This dedicated national diabetes plan was developed to address one of New Zealand’s most serious health issues. The plan was designed with considerable input from people who have diabetes and from the health workforce who care for them.

This National Strategy was launched at Counties on Friday 16 October 2015 by the Minister of Health.

Download the Living Well With Diabetes plan (PDF, 317KB)

Diabetes and obesity

Diabetes & Obesity Research Review

The New Zealand Diabetes Research Reviews by Associate Professor Jeremy Krebs each feature 10 key medical articles, with opinions by local NZ experts,  from global diabetes and obesity journals. The Reviews covers topics such as insulin & metformin use, type 2 diabetes, gestational diabetes, type 1 diabetes, bariatric surgery, diabetic retinopathy, thiazolidinediones and sulphonylureas.

Associate Professor Krebs is an Endocrinologist with a particular interest in obesity and diabetes. He trained in Endocrinology at Wellington Hospital in New Zealand and then did his doctorate with the Medical Research Council - Human Nutrition Research unit in Cambridge England. His thesis was on the impact of dietary factors on obesity and insulin resistance. Associate Prof Krebs returned to New Zealand in 2002 to take up a consultant Endocrinology post at Wellington Hospital, where he is Clinical Leader of Endocrinology and Diabetes. He is an Associate Professor with the University of Otago, and Director of the Clinical Research Diploma at Victoria University.

Research Review publications are free to receive for all NZ health professionals. Sign Up Here to receive the publications on a regular basis, or view back issues of the Diabetes & Obesity Research Review (external link).

CVD Risk Factor Resources

The Heart Foundation have recently added diabetes and smoking resources to their risk factor series. These shared decision-making tools are designed to facilitate conversation between two experts in the room: the health professional with medical expertise and experience, and the person who’s an expert in their own life and experience.

The two new resources use images and ‘plain language’, where possible, to aid with health literacy and shift the focus from one risk factor in isolation to explaining a risk factor in the context of combined risk. Order the resources online for free (postage not included)

Diabetes at work

Under the 1993 Human Rights Act it is illegal to discriminate against anyone with any form of disability. Some persons with diabetes do not consider diabetes to be a disability, but under the Act it is defined as such.

Most employers are sympathetic to the needs of those living with type 2 and type 1 diabetes and most employees know their responsibilities to keep safe at work. This leaflet produced by Diabetes Manawatu Inc., Unions Manawatu and the Palmerston North City Council, clearly outlines how this relationship should work and is a handy resource for both parties in the workplace.
Thanks to those involved in the publication of this document for allowing us to use it

Read or download: Diabetes at work (PDF 275KB)

Hearthelp website

Check out the Heart Foundations new Hearthelp Heart Attack Website for those recovering from a heart attack looking for answers to their questions. The site will also better showcase inspirational real stories -​

Health Stars

The Health Stars, a new Government-led front-of-pack labelling system, is appearing on more and more food packages.

Health Stars help compare similar products within defined processed food categories.
Labelling systems like Health Stars should be seen as one tool in the food and nutrition toolbox. They need to be used in the context of an overall heart-healthy dietary pattern.

A heart-healthy dietary pattern is based largely ‘whole’ and less processed foods (many of these don’t come in packages) and includes plenty of vegetables and fruit; some whole grains in place of refined grains, legumes, nuts, seeds and other sources of healthy fats such as oily fish, and may contain non-processed lean meats or poultry and/or dairy. These are the foods that should make up the bulk of our shopping trolley.

For more information on what various forms of food labelling mean and how to use them see


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New Zealand Ministry of Health - The Diabetes  Update

This newsletter published several times each year includes diabetes-related updates from the Ministry, information on progress in implementing the Diabetes Plan Living Well with Diabetes and shares innovative stories from around New Zealand.

Visit or email putting ‘subscribe me’ in the subject line.

Office of the Chief Nursing Sector Updates

Get yours direct to your phone or PC

The Office of the Chief Nursing Officer (OCNO) is a business unit in the Ministry of Health (MOH). Many MOH activities impact on our work as nurses caring for persons with diabetes and we encourage you to sign up to receive your very own OCNO Newsletters and keep up to date with news from the Ministry. Visit

ACDN Executive Committee Minutes

Click to view/download:


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