Diabetes

We help young adults, aged between 16 and 20 to manage their type 1 diabetes. We discuss topics such as dieting and alcohol in a friendly, confidential environment.

Our adolescent diabetes clinics take place at Wycombe Hospital and at Stoke Mandeville Hospital. These clinics run in conjunction with our colleagues in paediatrics.

Clinic dates 

• Wycombe Hospital – every 3rd and 4th Wednesday afternoon of the month.
• Stoke Mandeville Hospital – alternate Thursday afternoons.

We offer gestational diabetes screening to women at higher risk of developing this type of diabetes during pregnancy.

We offer women with diabetes who are considering having a child pre-pregnancy counselling and, following pregnancy, joint antenatal clinics with an obstetrician.

Clinic dates 

• Wycombe Hospital – every Wednesday morning.
• Stoke Mandeville Hospital – alternate Monday and Thursday afternoons.

If you have problems with your glycaemic control, we offer this to you as part of your outpatient care.

Kidney damage (diabetic nephropathy) can arise from diabetes and it’s associated with increased cardiovascular risk. We manage patients from an early stage to minimise risk, delay the onset of renal failure and liaise as needed with our nephrologists.  

Our diabetes renal clinics take place at Amersham and Stoke Mandeville hospitals. 

People with diabetes can develop problems with their eyes. Diabetic retinopathy is caused by high blood sugar levels damaging your retina (the back of your eye). It’s more likely if you have had diabetes for a long time or if you don’t control your diabetes.

Although blindness from diabetic retinopathy is quite rare, it’s still important to treat diabetic eye issues before they cause serious problems.

We run diabetic retinopathy clinics with staff in our ophthalmology (eye) department. They may assess you or you an optician who specialises in diabetic retinopathy may also refer you.

Our clinics run 3 times per week at Stoke Mandeville and Wycombe hospitals. 

Type 2 diabetes is a progressive condition and most patients will need to transfer onto insulin at some stage. Our diabetes specialist nurses provide individual and group education sessions to teach patients the skills to use insulin therapy successfully.

Your GP will then care for you with continued diabetes management.

You can get a free insulin pump on the NHS if you have type 1 diabetes and meet certain criteria. We assess patients who have completed our InSight course and provide full support and ongoing help including how to use and manage your pump.

Diabetes can reduce the blood supply to your feet and cause a loss of feeling. It means foot injuries don’t heal well and you may not notice if your foot is sore.

We treat and manage diabetic foot ulcers and charcot arthropathy at weekly clinics, run by our specialist diabetes foot team at our 3 main hospitals.

Our multidisciplinary clinics run monthly at Stoke Mandeville Hospital. They’re for patients with complex foot ulcers or charcot arthropathy. You’ll see a diabetologist, vascular surgeon and podiatrist. We aim to treat this condition as conservatively as possible without surgery or invasive procedures.

• Complications of diabetes explained
• Diabetes and surgery patient passport
• Starting Sodium-Glucose Co-transporter 2 (SGLT2) Inhibitors – for patients with Type 2 Diabetes