Within the department of diabetes and endocrinology a team of specialist doctors, nurses and dieticians provide expert care in both these sub-specialties.
Diabetes Mellitus is a common condition where the level of glucose in the body is higher than it should be because of insufficient insulin.
There are two main type of diabetes, Type 1 and Type 2.
- Type 1 diabetes usually affects younger patients and occurs when beta cells in the pancreas are destroyed, so the pancreas produces little or no insulin. Treatment for this type of diabetes is with a healthy diet, regular exercise and insulin
- Type 2 diabetes usually affects older patients and develops when the pancreas is unable to produce sufficient insulin to overcome the body’s resistance to its affects. This type of diabetes may be controlled with a healthy diet, regular exercise and oral medication. In some cases insulin treatment may also be required.
Gestational diabetes is another type of diabetes that may develop during pregnancy. These patients frequently revert to normal after delivery.
Endocrinology is the medical speciality dealing with the diagnosis and treatment of diseases of endocrine glands.
Common endocrine disorders include:
- Polycystic ovary syndrome.
Investigations used in endocrinology include blood tests, ultrasound, MRI scans and more. Treatment of endocrine disorders may include medication or surgery.
Central Middlesex Hospital
The Diabetes and Endocrinology department is compiled of a multi-disciplinary team who provide a fantastic, award winning service. The department provides an inpatient and outpatient service of diabetic and endocrine tests and treatment. The team consists of consultants, associate specialists, specialist nurses, podiatrist, and dieticians. The team work closely with Endocrine Surgeons, Radiologists, Nutrition Physicians and Bariatric Surgeons.
The Trust has an obesity service with excellent links to Whittington Hospital where the patients requiring bariatric surgery are referred. At Central Middlesex hospital there is a service for adolescent and antenatal patients.
The department provides a highly specialised service covering the following:
- Diabetic foot conditions
- Diabetic nephropathy
- DAFNE (Dose adjustment for normal eating) for Type 1 Diabetes
- Diabetic retinopathy
- Young persons diabetes
- Daily nurse led clinics for diabetes control
- Thyroid MDT service
- Radioiodine and thyroid clinics
- Metabolic bone disease
- Bariatric patients
- Lipid disorders.
- Monday mornings: Endocrinology clinic, lipid clinic, dietician clinic
- Monday afternoons: New diabetic clinic, new diabetic nurse led clinic.
- Tuesday mornings: Diabetic nephropathy clinic
- Tuesday afternoons: Thyroid nodule clinic
- Wednesday mornings: Endocrinology clinic, young person’s clinic, osteomyelitis clinic, dietician clinic
- Wednesday afternoons: Transitional clinic, DAFNE clinic, diabetic retinopathy clinic, diabetes clinic, diabetes nurse clinic, osteomyelitis clinic.
- Thursday Mornings: Antenatal clinic, dietician clinic
- Friday mornings: Metabolic clinic, bariatric clinic.
- Daily walk in service.
The department works closely with local GPs and the services provided involve joint working with podiatrists, dieticians and ophthalmologists.
- Adult outpatient clinics
- Young adult diabetes services
- Paediatric diabetes services
- Maternity diabetes services
- Support for diabetes inpatients
- Structured education for patients with type 1 diabetes
- Foot clinic for complex patients.
Northwick Park and St Mark's Hospitals
The diabetes and endocrinology department is a dedicated multi-disciplinary team that aims to provide an effective, efficient, patient focused service. The department provides a full range of diabetic and endocrine tests as part of both an inpatient and outpatient service. The department has its own specialist nurses, dieticians and podiatrists.
The Trust has an obesity service with excellent links to Chelsea and Westminster in which the patients requiring bariatric surgery are referred. Northwick Park hospital provides a service for adolescent and antenatal patients.
The common areas which we cover in diabetes:
- Type 1 diabetes
- Type 2 diabetes
- Antenatal diabetes
- Complex diabetes
- Insulin pumps
- Diabetic foot.
The common areas covered in endocrinology are as follows:
- General endocrinology, neuroendocrinology
- Thyroid disease
- Lipid disorders
- Parathyroid and metabolic bone disease
- Pituitary conditions
- Adrenal disorders
- Reproductive endocrinology
- Endocrine disorders in pregnancy
- Dynamic endocrine testing.
- Dr Keith Steer
- Tuesdays pm: Endocrine clinic
- Wednesday am: Type 1 Diabetes clinic
- Wednesday pm: Type 2 Diabetes Clinic
- Alternating Thursday pm: Lipid clinic.
- Dr Asjid Qureshi
- Tuesday pm Endocrine clinic
- Wednesday am Type 2 Diabetes clinic
- Alternating Thursday pm: General medicine clinic
- Insulin Pump clinic: fourth Friday of every month,
- Young Adults Diabetes Clinic: 2nd Friday of each month
- Monthly Thyroid Radioiodine clinic
- Dr Mushtaqur Rahman
- Monday am: Antenatal clinic
- Tuesday pm: Endocrine clinic
- Wednesday am: Diabetes clinic
- Thursday am: Diabetic foot clinic