Cardiovascular & metabolic rehabilitation in Canberra, diabetes, heart disease & more.
Accredited exercise physiology for cardiovascular disease, type 2 diabetes, hypertension, obesity, and metabolic conditions. Evidence-based exercise prescription with objective monitoring of clinical markers. I also work with people after stroke, after heart attack, and with any heart condition that needs a structured, monitored exercise intervention.
- Type 2 diabetes & pre-diabetes
- Heart disease & post-cardiac events
- Hypertension & metabolic syndrome
- Medicare CDM rebates with GP referral
Cardiovascular & metabolic conditions we treat.
Type 2 Diabetes
Exercise prescription to improve blood glucose regulation, insulin sensitivity, HbA1c, and cardiovascular risk. Structured programs aligned with Australian Diabetes guidelines.
T2DM exerciseHeart Disease & Cardiac Rehab
Post-MI, post-stent, and general cardiovascular disease exercise rehabilitation. Graded programs with careful monitoring of cardiac response. Coordination with cardiologist.
Cardiac rehabHypertension
Structured exercise for blood pressure management. Both aerobic and resistance training show clinically significant reductions in systolic and diastolic BP across guidelines.
Hypertension exerciseObesity & Weight Management
Evidence-based exercise programs for sustainable weight management and body composition change. Combined with dietary referral pathways for comprehensive metabolic support.
Weight managementPre-diabetes & Metabolic Syndrome
Early intervention exercise programs to prevent progression to T2DM and reduce metabolic risk. Medicare CDM eligible with GP referral.
Metabolic syndromeAlready on medication?
Exercise works alongside medication, it doesn't replace it. James coordinates with your GP and cardiologist to ensure exercise parameters are safe and complement your current treatment plan.
For GPs →What a cardiovascular & metabolic initial assessment looks like.
Cardiovascular and metabolic conditions require a thorough baseline before exercise can be safely and effectively prescribed. Your first session is clinical, not a workout.
James reviews objective clinical markers including BMI, blood glucose levels, blood pressure, and lipid profiles where available, your cardiac event history (including MI, stent placement, bypass), your current medications and any exercise contraindications, what you're currently struggling with day-to-day, and the current evidence for exercise intervention in your specific condition, then builds a structured short and long-term treatment plan around your goals.
Clinical markers reviewed
BMI · blood glucose · HbA1c · blood pressure · resting HR · lipid profile · event history
Evidence-based prescription
Exercise type, intensity, frequency, and duration are matched to your condition and current evidence, not a generic 'get moving' recommendation.
GP coordination
Progress letters back to your GP within 2 weeks. Medication adjustments (by your GP) in response to improved markers are common, we keep them informed.
Most metabolic conditions qualify for Medicare-rebated sessions.
Type 2 diabetes, cardiovascular disease, hypertension, obesity, and pre-diabetes all commonly qualify for a Medicare Chronic Disease Management (CDM) plan, which entitles you to up to 5 Medicare-rebated exercise physiology sessions per calendar year.
Ask your GP about a Team Care Arrangement (TCA) if you haven't already. It's a straightforward referral that costs you nothing and covers a significant portion of your sessions with us.
Post-cardiac event clients: James treats post-MI and post-stent patients and coordinates closely with your cardiologist to ensure exercise parameters are safe. A letter from your cardiologist clearing you for supervised exercise is helpful but not always required, call to discuss your specific situation first.
Exercise as frontline metabolic medicine.
For type 2 diabetes, heart disease, hypertension and metabolic syndrome, exercise isn't a lifestyle nicety, it's frontline treatment with effect sizes that rival medication for some outcomes. Structured exercise meaningfully lowers HbA1c in type 2 diabetes, reduces resting blood pressure, and cuts cardiovascular mortality after cardiac events. The catch is dose and safety: getting those outcomes requires properly prescribed intensity, progression and monitoring, which is precisely the difference between an accredited exercise physiologist and a gym program.
Programs are coordinated with your GP or specialist, delivered 1:1 with appropriate screening and monitoring, and commonly funded through Medicare CDM given these are exactly the chronic conditions the scheme exists for.
Frequently asked
Related pages
Book your appointment.
Same-week availability for NDIS, DVA, CDM, CTP and private clients.
Prefer to call? 0418 153 608 · or email admin@fwphysiology.com