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Adult Diabetes and Endocrinology Care
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About the Service
The Team
Outpatient Clinics
Inpatient Diabetes Care
Metabolic and Endocrine Tests
Podiatry
Diet and Exercise
Education
Patient Leaflets
Our Philosopy
Our philosophy is to support people to manage their diabetes care safely and effectively, to optimise long term health outcomes and improve quality of life.

About the Service
The diabetes service provides highly specialist care for patients with Type 1 and Type 2 diabetes, on both an in-patient and an out-patient basis.

Patients benefit from a comprehensive service that includes general and specialist diabetes and endocrinology clinics, nurse specialists, specialist dietitians, insulin pump, podiatry, diabetic foot team, joint clinics with vascular, bariatric and thyroid/parathyroid surgeons.

The team works closely with the paediatric service to deliver transition care.

The Team
The team is made up of a variety of people who will work to help you learn all about coping with diabetes as part of your daily lives. Each team member has a specialist role, but many of the things we do overlap. We aim to provide you with the best possible care based on the latest research and evidence.

The following members of the hospital based health care team will work together with you for the best possible care.

Dr Thang Han Consultant in Diabetes and Endocrinology
  • Insulin treatment in diabetes
  • General endocrinology obesity, thyroid disorders
  • Teaching and research
Dr Jacqueline Ince Consultant in Diabetes and Endocrinology / Acute Physician
  • Diabetes and endocrinology
  • Clinical Lead for Acute Medicine (AMU)
  • Emergency medical conditions
Dr Esther Nemati Consultant Endocrinologist
  • Diabetes
  • Acute medicine (AMU)
  • General endocrinology
Dr Nazia Rashid Consultant Endocrinologist
  • Rapid Access Diabetes and Endocrinology Clinic
  • Thyroid and Parathyroid Disorders and Reproductive Endocrinology
  • General Diabetes and Endocrinology
Dr Helen Ward Consultant in Diabetes and Endocrinology
  • Diabetes and Endocrine disorders during pregnancy
Dr Ahmed Yousseiff Consultant in Diabetes and Endocrinology / Acute Physician
  • Diabetes and general endocrinology
  • Acute medicine (AMU)
  • Acromegaly
Lisbeth Billings Diabetes Specialist Nurse
Jasmine Gentleman Diabetes Specialist Nurse
Jo McBride Diabetes Specialist Nurse (Insulin Pump Therapy)
Rosie Marks Community Diabetes Specialist Nurse
Susan Cable Community Diabetes Specialist Nurse
Penny Rogers Community Diabetes Specialist Nurse
Julie Fleming Specialist Diabetes Dietitian
Emma Sweeney Specialist Diabetes Dietitian

Outpatient Clinics
Diabetes and endocrine clinics are held at Stephanie Marks Diabetes Centre at St Peter's Hospital and on the Ist Floor in the Outpatient Department at Ashford Hospital.


Diabetes clinics:
  • General diabetes clinics supported by Diabetic Specialist Nurse and Dietitian (both sites)
     
  • Young adult diabetes clinic and dedicated transitional clinic
     
  • Diabetes foot clinic
     
  • Joint renal diabetes clinic (with Dr James Marsh, Consultant Nephrologist)
     
  • Insulin pump clinic
     
  • Diabetic antenatal clinic covering diabetes mellitus and endocrine problems (held in Abbey Wing) - this is a joint clinic with Obstetric Consultants
     
  • Community diabetes clinic at Woking Community Hospital

Endocrine clinics:
  • General endocrine clinics (both sites)
     
  • Specialist thyroid / parathyroid clinic (both sites)
     
  • Specialist obesity clinic for medical and surgical treatment of morbid obesity
     
  • One stop thyroid clinic jointly with surgeon (Mr Thomas)

Inpatient Diabetes Care
Patients with diabetes who are admitted to hospital with diabetes related reasons are usually looked after on Maple Ward at St Peter's Hospital.

We have three Diabetes Specialist Nurses (DSNs) providing support and care for all people with diabetes who are admitted to our hospitals. The DSNs cover both St Peter's Hospital and Ashford Hospital (Mon - Fri). Our DSNs support other healthcare professionals and patients to ensure safe discharge planning.

Metabolic and Endocrine Tests
We conduct metabolic and endocrine dynamic tests at the Infusion Suite at Ashford Hospital and sometimes on Maple Ward at St Peter's Hospital.
Infusion Suite Ashford Hospital Tel: 01932-724781
Maple Ward St Peter's Hospital Tel: 01932-723137

Podiatry
The Diabetes Foot Team is a team of multi-disciplinary healthcare professionals who are dedicated to help manage diabetes foot problems. They consists of:

Diabetes Consultant Dr Thang Han
Vascular Surgeon Mr Magdy Moawad
Diabetes Podiatrist Colin Bargery, Lyndsey Ritchie, Katrina Carter
Diabetes Specialist Nurse Jasmine Gentleman
Tissue Viability Nurse Sue Harris


The Diabetes Foot Team has a multi-disciplinary round every Wednesday morning for in-patients at St Peter's Hospital.


Diabetes Foot Clinic

Specialist clinics for Diabetic foot problems are held at the following sites:
  • Ashford Hospital
  • St. Peter's Hospital (Stephanie Marks Diabetes Centre)
  • Woking Community Hospital

Accessing podiatry services in the community

Appointments for routine podiatry clinic can be made via The Podiatry Central Booking Office, situated at Chertsey Health Centre, Chertsey, Surrey, KT16 8HZ.
All appointments are made and sent out from this office for the local community clinics.

For routine, non-urgent Podiatry, please contact the Podiatry Central Booking Office on: 01932-570607. Telephones are manned from 9.30 - 12.30am and 2.00 - 4.30pm Monday-Friday, excluding Bank Holidays.

Diet and Exercise
We offer advice on the benefits of physical activity, different types of exercise, how these might affect blood glucose levels and ways of managing glucose control.

Education
The education programmes aim to develop the knowledge, skills and confidence of participants enabling them to make informed decisions about their lifestyle and management of their condition.


Structured education for people with Type 1 diabetes: STEPH

The programme consists of weekly two and a half hour sessions for three weeks OR a one day session. The course is held at The Stephanie Marks Diabetes Centre. Access to this course is via Consultant referral.


Structured education for people with Type 2 diabetes: X-PERT

The programme consists of weekly two and a half hour sessions for six weeks. The course is held at various locations in the local area. Access to this course is via GP or self referral on 01372 201526.

Patient Leaflets
Read the leaflet
Read the leaflet
Read the leaflet

Alcohol and Diabetes


Many alcoholic drinks contain some carbohydrate, usually in the form of sugar.

Alcohol will initially raise blood glucose levels but then they will drop. This can lead to hypoglycaemia. You may not recognise and respond to early signs of hypoglycaemia as it can be mistaken for drunkenness ... read more

Diabetes in Pregnancy


What is Gestational Diabetes or Glucose Intolerance?

This is the name given to a type of diabetes that can occur in pregnancy. During pregnancy there is an increase in the amount of certain hormones, which can increase your blood glucose levels. Most women will produce extra insulin to prevent the blood glucose levels rising but sometimes there is not enough extra insulin produced and the blood glucose levels rise ... read more

Exercise and Insulin


Different types of exercise may affect your blood glucose levels in different ways. Testing blood glucose levels before, during and after exercise will help you identify how your body responds and how best to manage the effects ... read more
 
Read the leaflet
Read the leaflet
Read the leaflet

Transition Service


The Diabetes Transition Service supports children, young people and their families prepare for transfer from children’s diabetes care to adult diabetes services ... read more

Carbohydrate Counting


Carbohydrates play an important part in healthy eating. They are found in sugars and starchy foods. These foods are broken down to glucose during digestion and are then absorbed into the blood stream ... read more

Sick Day Rules


During an illness or infection, the body will release extra glucose into your bloodstream in a bid to help combat the illness. When you are ill your body may need more insulin. Your blood glucose levels can rise in response to illness even if you are not eating ... read more


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