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Comprehensive Diabetes Care

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What is Diabetes?

Diabetes, known by the scientific name diabetes mellitus, is a complicated lifelong condition, that causes a person’s blood glucose (sugar) levels to become too high. The amount of glucose in the blood is controlled by the hormone insulin that is produced by the pancreas. Insulin moves glucose out of the blood and into cells where it is broken down to produce and essential source of energy that fuels our body.

If you have diabetes the body is unable to move glucose into your cells.

 

What causes Diabetes?

There are 2 main types of diabetes. The most common cause by far is type 2 diabetes which accounts for approximately 90% of cases here in the UK.

  • Type 1 Diabetes: This is caused when your immune system destroys the cells in your pancreas which make insulin.  The reasons why this happens are unclear but it is thought to be triggered by infections in certain people. 
  • Type 2 Diabetes: In this type your body is still making insulin but there is either not enough of it or the cells in the body become more resistant it.  Some people are born with a predisposition to diabetes as it is more common in families.  There is a very strong association with being overweight and having a sedentary lifestyle.
  • Gestational Diabetes: You may hear this term which refers to a temporary type of diabetes that can affect pregnant women.  They can make very high levels of glucose & do not have enough insulin to help it absorb into the cells.  This needs to be carefully managed by a specialist team during the pregnancy & usually resolves after delivery.  It is important to remember that women who develop this do have a higher risk of developing diabetes in later life and should have yearly blood tests to screen for diabetes. 

 

What is Pre-Diabetes?

Some people may have a blood sugar level that is higher than usual, but not high enough to be diagnosed with type 2 diabetes.

Prediabetes is reversible with diet & lifestyle changes. This can avoid it developing into a lifelong condition.

What are the symptoms of Diabetes?

The symptoms for type one diabetes can develop very quickly, even over days.  Type 2 diabetes develops over a slower time & can take many years to develop.  Because it is of a gradual onset many people do not notice any symptoms at all or very vague generalised symptoms.

You should have a diabetes test if you have any of the following: 

  • Thirsty
  • Tired
  • Weight loss
  • Needing to pass urine frequently
  • Recurrent thrush infections – in women this can present with changes to your discharge or itching around the vulva. In men this can cause balanitis – an itch or redness around the tip of the penis or a stinging when you are passing urine
  • Slow healing of wounds
  • Recurrent infections
  • Blurry vision

Who may Benefit from an Appointment?

  • Patients who are concerned that that they have diabetes
  • Patients who would like to know their risk of developing Type 2 diabetes
  • Patients who wish to have a personalised medication plan for management of their diabetes

The following are higher risk groups for developing Type 2 diabetes:

  • Overweight or obese
  • Have a first degree relative with diabetes (parents, sibling or child)
  • Are over 40 years of age
  • Have ever been diagnosed with diabetes in a pregnancy (gestational diabetes)
  • Are of South Asian, Chinese, Black African or Black Carribean ethnicity (even if you are raised in the UK)

What to Expect During an Appointment?

Diabetes & Cardiovascular Risk Assessment

This clinic is led by our Diabetes nurse, we will use a number of measures to help you to work out your risk of Type 2 diabetes. 

In order for us to be able to give you this information we will need:

  • A blood test taken, at least a week before your appointment so that we have the results when we see you.  This will be by a finger-prick kit and we will tell you how to do this.
  • If you are unable to obtain a blood sample via finger prick, we will arrange for you to see our diabetes nurse to have a blood test before your appointment.
  • A list of your medications - please bring one with you to the visit

During the appointment we will:

  • Ask you to complete some questionnaires
  • Take some measurements (e.g height, weight, Blood pressure).
  • Take a medical history and family history from you

At the end of the appointment, once we have the blood test results back and all the information, we will give you information about your risk of Type 2 diabetes and advice about how to manage and monitor this.

We will also offer to write to your GP with this information if you wish us to.

Comprehensive Diabetes Care Package

This Package comprises of three appointments and is for patients with a diagnosis of Type 1 or Type 2 Diabetes. Our Comprehensive Diabetes Care Package offers the following:

  • Diabetes Nurse appointment to obtain blood and urine samples plus medical history, activity and dietary questionnaires, height, weight, Body Mass Index and Blood Pressure checked. Please note our diabetes nurse will advise you on the blood ands urine tests you may require.
  • Diabetes Consultant appointment to discuss results, diabetes type and provide you with a personalised diabetes plan. A letter will be sent to your GP regarding this.
  • Diabetes Foot Check appointment with our Podiatrist to check blood supply and feeling in your feet as well as provide diabetic foot education.                              

Appointment Prices:

Diabetes & Cardiovascular Risk Assessment (Blood Tests Not Included) - £99

Finger Prick Home Test Kit – £35

Phlebotomy Blood Test - £50

 

Comprehensive Diabetes Care Package (Blood Tests Not Included) - £600

Phlebotomy Blood Test - £50

Phlebotomy Blood Test Plus Antibodies - £60

Home Urine Test Kit - £20 

Urine Test Kit - £20

 

For further information please Contact Us or visit Medineeds Health & Wellness clinic where our reception team will be happy to help you.

 

 

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