Diabetes and endocrinology
Diabetes is a lifelong condition which requires input from a number of health professionals including doctors, nurses, podiatrists and dieticians. Our dedicated team all aspire to help patients with diabetes to help themselves. Guidance on self-management is provided through education at every contact with patients in a friendly environment.
Diabetes is a group of conditions characterised by high blood glucose levels that result from defects in the body’s ability to produce and/or use the hormone insulin. When you eat food the body breaks down all the starches and sugars into glucose, which is the basic fuel for the cells in the body. Insulin prevents blood glucose levels from getting too high and controls the amount of energy the body can use from the food and from energy stores in the liver and muscle. There are two main types of diabetes:
Type 1 diabetes develops when the insulin producing cells in the body have been destroyed and the body is unable to produce any insulin. Although Type 1 diabetes can develop at any age it usually occurs in childhood or before the age of forty. Treatment is with insulin, a healthy diet and regular physical activity.
Type 2 diabetes is the most prevalent form of diabetes accounting for 85-95% of all diabetes. In Type 2 diabetes, either there is not enough insulin produced by the body to regulate the blood glucose levels, or the body is unable to use insulin properly (this is called ‘insulin resistance’). Risk factors for developing Type 2 diabetes include having a close family member with Type 2 diabetes, being overweight, central obesity, Gestational Diabetes (GDM), being of South Asian or Afro-Caribbean descent. The treatment for Type 2 diabetes focuses on diet and increased physical activity, with medication both to make the body produce more insulin and to be more sensitive to insulin. At least half of the people with Type 2 diabetes eventually need insulin to help control their diabetes.
A useful resource with information about managing and monitoring your diabetes.
Talking Hypos video
A wide range of services are offered, with clinics held at the diabetes centre’s at Scunthorpe and Grimsby hospitals and at the outpatient departments at Grimsby, Scunthorpe and Goole hospitals.
Consultants along with two specialist diabetes nurses, three specialist podiatrists and a dietician provide the diabetes service for outpatient clinics.
Clinics deal with all aspects of diabetes management including glucose control, hypertension control, cholesterol control and obesity management. Renal complications of diabetes including proteinuria and diabetic chronic kidney disease are also managed as part of these clinics.
Conditions treated at diabetic clinics include:
- Foot complications including ulcers, perhiperal neuropathy and charcot foot
- Insulin pump treatment
- Diabetes in pregnancy including endocrine and pre-conception clinics.
We also offer an educational course for patients with type 1 diabetes.
Endocrine clinics are offered covering all aspects of endocrinology, including:
- Thyroid disease (eg thyroid nodular disease, grave’s disease, hypothyroidism),
- Pituitary problems (eg acromegaly, cushing’s disease, prolactinomas and other pituitary tumours, short stature)
- Adrenal gland problems (eg adrenal nodules including incidentalomas, phaeochromocytoma, conn’s syndrome)
- Sexual problems (eg hypogonadism including erectile dysfunction, delayed puberty, polycystic ovarian syndrome, hirsutism)
- Metabolic problems (calcium related problems including primary hyperparathyroidism, osteoporosis, vitamin D deficiency) and multiple endocrine neoplasias)
- Radioiodine treatment is offered to suitable patients with benign thyroid disease including thyrotoxicosis and subclinical thyrotoxicosis.
At Grimsby’s Diana, Princess of Wales Hospital the diabetes centre is located to the side of the outpatient department with access through the clinic area and an external entrance. At Scunthorpe General Hospital there is a separate building next to the car park at the main entrance on Church Lane. the centre is also linked to the main Hospital by a covered out door walkway.
Patient information leaflets
- Diabetes Charcots Foot
- Diabetes – Keeping Your Feet Healthy
- Diabetes High Risk Foot
- Diabetes Increased Risk Foot
- Eye Conditions Related to Diabetes
- Botulinum Toxin (Botox) Treatment for Excessive Sweating (Scunthorpe)
- Looking After Your Feet
- Dietary information for people newly diagnosed with diabetes
- Diabetes – High Risk Foot Preventing Further Ulcerations
- Diabetes – Increased Risk Foot Preventing Problems
- Diabetes – Low Risk Foot Keeping Your Feet Healthy