Orchard 2000 Medical Centre 

 DIABETES CLINIC

Diabetes

Patients on our diabetes register are part of a call and recall system with oversight by the doctor and trained nurses. Our aim is to help patients control their diabetes.  Access to chiropody can be organised and we are part of a retinal screening programme .

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.

Type 1 Diabetes

Online, there are  many sources on information to support and empower patients in managing their diabetes. The  video above is provided by Diabetes UK

Type 2 Diabetes

Video on Type 2 diabetes by Diabetes UK. We support patients with all types of diabetes through advice, treatment & monitoring in conjunction with other NHS colleagues - including hospitals and as required.

Diabetes

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. Eyes are checked by digital retinal photography.  A special unit visits the practice so patients can be seen  at their own surgery where that is where they are being monitored. Patients are asked to look at a reading chart and drops are inserted into the eye to enlarge pupils. The effect of the drops can last up to two hours so it is unsafe to drive until the effect of the drops has worn off. Where a patient is on insulin, the site of the injections is checked.

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.

On-line Support

There is a great deal of information on diabetes on-line. Support can be obtained through websites, helplines and support groups.

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Diabetes UK

Diabetes UK  03451232399

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LOGO. NHS

Always available

 Diabetes patient support NHS

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NHS Apps Diabetes

NHS recommended apps

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LOGO Diabetes.co.uk

Diabetes Community

NHS recommended apps

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Type 1 Diabetes

Type 1 diabetes support

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Research/Support 

Information & support 

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