There is enough knowledge available nowadays to initiate a prevention strategy and set out to avoid all diabetic related complications right from the outset. There is a very close relationship between the level of long-term blood glucose control (HbA1c) and the development of all the complications. This is true whether we consider diabetic eye disease, kidney disease, heart disease or foot problems. Similarly there is a close relationship between the level of blood pressure and blood cholesterol profile and all these vascular complications. The initial focus is therefore to obtain values within a specified target range for all three parameters. This may mean taking combination therapy for diabetes, BP and cholesterol.

Monitoring and early treatment is key to avoiding long-term diabetes complications.

Retinal examinations will become part of your annual timetable.
Kidney function tests will be performed at regular intervals.
Podiatry sessions are mandatory in certain situations, they make a significant difference in the avoidance of diabetic foot ulcers and risk of amputation.
Cardiovascular testing has advanced to the degree where scans are now able to predict future trouble at a very stage.
Cardiovascular risk prevention strategies will be at the top the list in most diabetes follow up sessions.

If diabetes complications have presented, the next step is to assess and treat them speedily and efficiently. A referral service and clinical network will be accessed in this eventuality. In particular, close ties are available in order to investigate patients with the fields of

Cardiology
Ophthalmology
Nephrology
Gastroenterology
Neurology
Oncology
Dermatology
Rheumatology
Vascular Surgery
Orthopaedic Surgery

As diabetes can present with problems associated in any part of the body your Diabetes Team will be integral to the network operations in General Internal Medicine within the Clinic.

Fizzy Drinks and Fruit juice ‘The News story’
The News Story: Fizzy drinks and fruit juice cause Type 2 diabetes, opting for plain water might pre... more
Laser treatment for retinopathy
It always important when you are a diabetic to maintain good blood glucose and blood pressure contro... more
Diabetes and Cardiovascular Disease
Heart attacks and stroke are by far the most frequent cause of premature death with patients in diab... more
Nutrition and diabetes
In the past patients have been given a prescription called a diabetic diet with many foods banned. ... more
Kidneys and diabetes Kidney Disease (nephropathy)
Diabetes represents the commonest cause of kidney failure in the Western World, Normal functioning ... more
Feet and Diabetic Peripheral Neuropathy
We often forget about the importance of foot care. But simply having diabetes greatly increases the ... more