Diabetes

diabetes

Diabetic Clinics in Practice

We help patients with the diabetes to control and minimise their symptoms. Patients on our diabetes register are part of a recall system with oversight by the GPs and trained nurses. 

Patients who are diagnosed with  type 1 diabetes attend a clinic at the hospital, whilst patients with type 2 diabetes may attend either the practice clinic or the hospital clinic - or both. Regardless, both hospital and practice clinics provide all reviews and routine care.

feet

About our diabetic clinics

In our diabetes clinics, we conduct physical examinations, including height & weight checks. We can then calculate your body mass index (BMI). This should be between 20 and 25.  We also check blood pressure. Whilst a normal BP would be considered 120/80 mmHg, patients are advised of a target for their individual situation. A foot examination is conducted to check skin and sensation. 

Periodically, laboratory tests are undertaken - including haemaglobin HbA1c monitioring. This allows diabetes control to be monitored. Creatinine and eGFR are also checked to see how well kidneys are performing. A lipid profile is also obtained.  Liver function tests are also undertaken  to monitor fat deposition and ensure that this is not upsetting the liver. Urine samples allow microalbumin to be monitored so that complications of diabetes can be avoided. Where possible, tests are undetaken before appointments so that the results are available at the review where general well-being, current treatment, diabetes control and any problems arising are dicsussed. Referrals to podiatrist or dietitian are also considered, where required. Details of diabetes clinics can be obtained from our reception.