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Diabetes and Endocrinology

Diabetes service

At the L&D the Multi-Disciplinary Diabetes Specialist Team offers a comprehensive range of diabetes services for in-patients and out-patients of all age groups, including Children and Young Persons (CYP). There are dedicated Diabetes Specialist Nurses (for adults and CYP), Specialist Dieticians, Specialist Podiatrists, and Consultant led consultations. For out-patients, most of the multi-disciplinary team specialist clinics are held in the dedicated Diabetes Centre or in the paediatric out-patient department.

CYPs with suspected diabetes are seen on the day of referral in the Paediatric Assessment Unit (PAU) and have open access to the unit with 24 hour expert advice for diabetes related issues. The Paediatric Diabetes Nurse Specialist, following diagnosis and when needed, support the family/child in the community setting and at their school. The team provide support and education for the staff at school to support the diabetes.

There is a close working link with both the Luton and Bedfordshire Integrated Community Diabetes Services.

A free diabetes information and advice website has been developed in conjunction with Bedford Hospital Diabetes Specialist Team, for health care professionals in primary care.

In addition to general diabetes clinics, the team can offer a wide range of specialist clinics and services:

Clinics

  • Diabetes in the Elderly (over 65s)
  • Paediatric (Children)
  • Young Adult / Adolescent
  • Insulin Pump Clinic
  • Adult General Diabetes Clinic (new and follow up)
  • High HbA1c Clinic (Paediatric Diabetes Nurse led)
  • Joint Diabetes Antenatal Clinic
  • Joint Gestational Diabetes Clinic
  • Pre-Conception Counselling Clinic
  • Diabetic Foot Clinic
  • Procedures and services

Procedures and services

  • Assessment and management of complex diabetes
  • Assessment and management of acute and chronic diabetes complications
  • Insulin and injectable therapies initiation
  • Continuous home blood glucose monitoring
  • Structured education programs for patients
  • Assessment and initiation of subcutaneous insulin infusion pump therapy
  • Group educational services
  • Rapid assessment and management of acute diabetic foot ulcers
  • Support from Clinical Psychologist
  • 1:1 Teaching on carbohydrate counting

The Diabetes Centre is located in Zone E of the hospital.

Endocrinology Service

The L&D is one of the few hospitals providing a comprehensive endocrine service, encompassing common and uncommon endocrine disorders. We work in close collaboration with endocrine surgery, paediatric endocrinology and clinical biochemistry and the endocrine team in Cambridge, Oxford and Great Ormond Street Hospital.

The endocrine team runs out-patient clinics at the L&D to see new referrals and for follow-up of patients with complicated disorders. A high percentage of patients are discharged from their clinic follow-up after their acute problems have settled, but some of the complicated problems receive life long follow-up. The team also runs a consultation service for in-patients with endocrine disorders and endocrine emergencies. There is an Adult and Paediatric Endocrine Nurse Specialist, who runs nurse led follow up clinics, provides endocrine counselling to patients, pastoral care, and facilities endocrine function tests. There is also a joint endocrine adolescent clinic and outreach clinic from Great Ormond Street Hospital.

Any condition which indicates a hormonal dysfunction (thyroid, pituitary, adrenal, ovaries/testes) are seen in clinic. Other conditions seen are:

  • Electrolyte and metabolic disorders
  • Secondary hypertension
  • Other rare disorders with a strong suspicion of endocrine cause
  • Pregnant patients with endocrine problems can be seen at the request of a GP or obstetrics team

A good system of tests (requiring day admission) has reduced the need for patients travelling to Cambridge, Oxford, or Great Ormond Street Hospital for investigations or after their surgery in those centres.

Staff

Consultant Physician & Clinical Director, Diabetes & Endocrinology
Consultant Paediatrician, Diabetes & Endocrinology.
Consultant Paediatrician, Diabetes & Endocrinology
Consultant Physician, Diabetes & Endocrinology.
Consultant Physician, Diabetes & Obesity
Consultant Physician & Clinical Director, Diabetes and Endocrinology
Consultant Physician, Diabetes and Endocrinology