Diabetes Clinic


Monitoring your diabetes is crucial to prevent some of the possible complications associated with diabetes. If untreated, it can cause very serious health problems. Specialist expertise is available for "advanced diabetes" problems. They provide support, advice and intensive management of diabetes, to help patients to lead a full life and reduce the risk of diabetes-related complications.

Our Core Expertise

  • Genetic screening for MODY
  • Preventative management – for pre-diabetes including weight management and exercise counselling
  • Advice on blood glucose meters and use of downloading analysis
  • Education on carbohydrate counting and management of diabetes
  • Specialist Dietitian
  • Clinical Psychologist
  • Podiatrist and access to orthotics, foot ulcer management
  • Emergency diabetes – immediate Consultant care for acute decompensated diabetes
  • Fundus retinal photography with Ophthalmologist report

Diabetes and Related Conditions We Treat

The Diabetic Clinic provides expertise in the diagnosis and treatment of: Diabetes (Type 1 and Type 2 Diabetes Mellitus)
There are two main types of diabetes:

  • In Type 1 Diabetes, the body's immune system attacks the cells that make insulin and so very little or no insulin is produced. This form of diabetes is most commonly seen in children and younger people.
  • In Type 2 Diabetes, the body either does not produce enough insulin, or is unable to use insulin normally. It usually occurs in adults older than 40 years but is becoming more common in younger adults.

Gestational Diabetes (Occur in Pregnancy)

Over time, diabetes can result in a number of complications which occur because of the effects of raised glucose levels on blood vessels. These include long-term complications of diabetes develop gradually. The longer you have diabetes — and the less controlled your blood sugar — the higher the risk of complications.

Complications of Diabetes

Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

Cardiovascular Disease
  • Coronary artery disease with chest pain (angina)
  • Heart attack
  • Stroke
  • Narrowing of arteries (atherosclerosis).

Nerve Damage (Neuropathy)
  • Legs: tingling, numbness, burning or pain that usually begins at the tips of the toes or fingers and gradually spreads upward.
  • Damage to the nerves related to digestion can cause problems with nausea, vomiting, diarrhea or constipation. For men, it may lead to erectile dysfunction.

Kidney Damage (Nephropathy)
  • Diabetes can damage the delicate filtering system.
  • Kidney failure or irreversible end-stage kidney disease.

Eye Damage (Retinopathy)
  • Diabetic retinopathy potentially leading to blindness.
  • Increase risk of Cataracts and Glaucoma.

Foot Damage
  • Untreated, cuts and blisters can develop serious infections, which often heal poorly.
  • Toe, foot or leg amputation.

Skin Conditions
  • Bacterial and fungal infections.

Hearing Impairment
  • Hearing problems are more common in people with diabetes.

Alzheimer's Disease
  • Type 2 diabetes may increase the risk of Alzheimer's disease.

Doctor Team

Dr. Anand Misra

M.B.B.S. , DNB (Medicine)
Consultant Physician
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