Diabetes Program

ProActive Rehabilitation and Health (Exercise Physiologists) have designed a group Exercise Based Conditioning Program to address the management of Type II Diabetes for clients in the Newcastle area. These services are now offered in the one location at our Studio in Adamstown.

This means clients have the benefits of a purpose built studio to assist in the management of their Diabetes. This is achieved through a combination of strength and cardiovascular endurance training.

To attend the class you will require an Initial Assessment with our experienced Exercise Physiologists. In this session we will assess your physical capabilities to enable us to determine the most appropriate program for you. The assessment will establish your base lines and allow us to monitor your improvements as the program develops.

Benefits of the Program

The benefits of  an Exercise Physiologist involvement in the management of Type II Diabetes

  • Lowered HbA1c
  • Lowered fasting blood glucose levels
  • Lowered systolic blood pressure
  • Reduced need for diabetic medication
  • Improving blood lipid profile
  • Reduced body weight
  • Improved quality of life


  • Lower blood pressure
  • Better control of weight
  • Increased level of good cholesterol (HDL)
  • Leaner, stronger muscles
  • Stronger bones
  • More energy
  • Improved mood
  • Better sleep
  • Stress management

Refer to Deakin, T, McShane, CE, Cade, JE et al. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Sys Rev. 2005: CD003417.

The group sessions help the client to develop skills and improve their knowledge to manage their diabetes. The group is suitable for newly diagnosed clients or clients just needing to get back on track with their diabetic control. Group-based, patient-centred training results in effective clinical, lifestyle and psychosocial outcomes for people with Type II Diabetes. The aim of the sessions is to improve their health and clinical outcomes including HbA1c, lipids, blood pressure and body weight. The group sessions will have a strong emphasis on educating clients to promote the long-term self-management of Type II Diabetes.


The benefit of training with an Exercise Physiologist is that the majority of clients with Type II Diabetes can have the following conditions that can limit their ability to complete the standard aerobic conditioning for the management of their Diabetes:

  • Musculoskeletal injuries
  • Obesity
  • Cardiopulmonary conditions
  • Hip and knee conditions that limit their ability to walk
  • Lumbar spine injuries

ProActive Rehabilitation and Health will design the clients program to address any physical conditions limiting their exercise capacity and introduce training methodologies that will allow them to train without heightened pain and assist in the reduction of their HbA1c levels and ongoing management of their Type II Diabetes.

ProActive Rehabilitation and Health will be conducting group exercise programs for up to 10 clients using the equipment available at our Studio. The program will replicate exercises that clients can complete at home using cost effective equipment.

The group sessions will involve information from the Exercise Physiologist and the initial assessment will determine the direction the client will follow for the groups sessions. Clients may benefit from more involvement with the Exercise Physiologist and private sessions can be organised.

The exercise sessions will cover:  Referral to a dietician can be arranged and the sessions would include:
  • A 60 minutes workout at the studio
  • Training principles and techniques
  • Home based exercise prescription
  • Rehabilitation exercises for musculoskeletal injuries
  • Training intensity guidelines
  • Training frequency guidelines
  • Strength conditioning in the home
  • Healthy eating and diabetes
  • Carbohydrate Serves
  • Glycemic Index
  • Fats in Your Diet
  • Label Reading
  • Eating Out
  • Diet Myths
  • Non Hungry Eating


The costs of the program are as follows:

  • Initial assessment: $75 for 45 minutes with a $67.95 rebate (out of pocket expense $7.05)
  • Group Program: $20 for a 60 minutes with a $16.95 rebate (out of pocket expense $3.05)
  • Private Paying patients: $10 per session and they can claim through most major Health Funds

The client is entitled to 8 group sessions per calendar through the Diabetes Management Plan year and they are also entitles to further sessions, if required, under the Enhanced Primary Care (EPC) Plan.

The EPC sessions are one on one with an Exercise Physiologist and costs vary between $70 to $100 based on the length of the appointment with a $52.95 rebate.


To make a booking clients need a referral under the Group Diabetes Management Plan and should contact:

  • Mark Goswell (Exercise Physiologist) – (02) 4957 2757 or 0411 447 674
  • Tracy Thirkell (Exercise Physiologist) – 0408 421 343