About the NDSS
The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government that commenced in 1987 and is administered by Diabetes Australia. The NDSS aims to enhance the capacity of people with diabetes to:
- understand and self-manage their life with diabetes
- access services, support and subsidised diabetes products
- from March 1, 2019 eligibility for fully subsidised continuous glucose monitoring device was expanded under the National Diabetes Services Scheme to include:
- women with type 1 diabetes who are pregnant, breastfeeding or actively planning pregnancy
- people with type 1 diabetes aged 21 years or older who have concessional status, and who have a high clinical need such as experiencing recurrent severe hypoglycaemic events
- children and young people with conditions like type 1 diabetes who require insulin. This includes a range of conditions such as cystic fibrosis related diabetes or neonatal diabetes (often referred to as other diabetes).
What is ‘other’ diabetes?
‘Other’ diabetes is a name for diabetes resulting from a range of different health conditions or circumstances. Diabetes resulting from specific health conditions and diseases, such as cystic fibrosis, fall into the category of other.
‘Other’ diabetes can also be triggered from medications that people may need to manage or treat certain health conditions. This type of ‘other’ diabetes may be a temporary condition, but it can also be permanent.
‘Other’ diabetes and the NDSS
If you have been diagnosed with ‘other’ diabetes, you may be eligible to register with the NDSS.
If the NDSS Registration Form indicates a diagnosis of ‘other’ diabetes, the health professional signing the form must provide specific details. This is necessary to determine whether the criteria of ‘other’ diabetes has been met. If you have any of these conditions, the authorising health professional must provide and certify documentation that includes:
- your diagnosis and any other health problems, conditions, or comorbidities, that you may have
- a history of your conditions and other health problems and related issues
- how your condition and related health problems are currently being managed
- treatment—previous, current, and proposed, and
- benefit of registration and/or accessing products and why special access is being requested.
Consideration may be given on a case-by-case basis by an appropriately constituted expert panel established by Diabetes Australia that will provide a recommendation to the Department of Health. The Department of Health will be the deciding body for all these cases.
‘Managing ‘other’ diabetes
There is no ‘one size fits all’ approach to managing diabetes. The management of diabetes will be determined by your type of ‘other’ diabetes. You can live well with ‘other’ diabetes under the guidance of your doctor and diabetes educator, with the help of a healthy eating plan and regular physical activity, and by following the treatment plan developed by your doctor.
When you are diagnosed, your doctor will provide you with information and ask you questions about your diet, as well as your medical and health history. They will also ask about your family. If you are a parent, you may also be asked about the health of your children.
Your doctor might do a physical examination of your mouth, feet, eyes, abdomen, skin, and thyroid gland, and possibly a cardiac (heart) work-up. You may also have blood tests, including a blood-lipid test for cholesterol. All of this is important for your overall care.
To help you manage your glucose and therefore your overall sense of wellbeing, from 1 March 2020, FreeStyle Libre will be listed on the National Diabetes Services Scheme (NDSS),
Diabetes Australia is managing the NDSS on behalf of the Federal Government and they are your first point of contact.