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Diabetes care at The London Clinic

Around five in every 100 men and four in every 100 women in the UK develop some form of diabetes at some point in their life.  

Our expert diabetic consultants and specialist nurses provide support, advice and intensive management of diabetes, to help patients to lead a full life and reduce the risk of diabetes-related complications.

The consultants and nurses work together as a team to support each of their diabetes patients with up-to-date clinical care, emotional support, ongoing education and supportive contact.

Managing diabetes requires a multi-faceted approach. We work as a team to help the patient understand diabetes, empowering and encouraging them to make their own choices.

We treat the whole person and offer advice on how treatment can be tailored to each individual patient’s lifestyle.

We believe that people with diabetes should be as free and able as everyone else to do what they enjoy, whether that is mountaineering or maintaining good health for a long and successful life.

People find our diabetes service particularly helpful if they:

  • Want to understand their food choices better
  • Are keen to take part in sport or adventure trips
  • Have been recently diagnosed
  • Know they have long-term diabetes but feel they do not understand their condition or feel it is having a negative impact on their quality of life
  • Need advice if they are planning a baby or require intensive monitoring during pregnancy
  • Are interested in getting information on new treatments
  • Need extra support and advice before, during or after surgery
  • Experience regular hypoglycaemia or have hypoglycaemic unawareness
  • Find it difficult to lose weight successfully
  • Want to investigate a gastric bandgastric bypass  or gastric sleeve to bring about significant weight loss

Type 1 Diabetes Treatment

A woman doing a finger prick blood glucose test

Type 1 diabetes is a lifelong condition that can significantly affect your health and well-being. The London Clinic provides bespoke treatment plans for the effective control of type 1 diabetes.

The unit will work with you to optimise your treatment regime, with access to innovative blood glucose monitors, cutting-edge insulin pumps, and state-of-the-art screening facilities to protect the health of your eyes, kidneys, and heart. 

Type 1 diabetes treatment

Type 2 Diabetes Treatment

Type 2 diabetes is a common condition in which the body is resistant to the effects of the hormone insulin, making the levels of sugar in the blood too high. Diabetes can significantly affect your health, well-being, and life expectancy.

 A multidisciplinary team, including diabetologists, dieticians, podiatrists, and clinical nurse specialists, provide expert care, health screening, and support to help you stay healthy and live a full and active life.

Type 2 diabetes treatment

Graphic showing glucose level as high

Our approach to diabetes care

We integrate specialist diabetes care with other specialist services within The London Clinic from initial diagnosis onwards, providing:

  • Full diabetes assessment and screening for both Type 1 diabetes and Type 2 diabetes
  • Diagnosis, monitoring and supportive cares for women who develop diabetes when they are pregnant (gestational diabetes)
  • Accurate estimates of cardiovascular risk so that we can take prompt action to deal with any increased risk as quickly as possible
  • Information, education and support to enable you to understand diabetes and its impact on your body so that you can play a full role in its management
  • A comprehensive range of diabetes treatment options, including recommendations for diet and lifestyle changes, tablets and insulin therapy
  • Specialist advice on diet and the importance of eating regularly
  • Help with taking blood glucose measurements
  • Advice on how to both treat and avoid low blood sugar (hypoglycaemia – ‘hypos’)
  • All the latest information on Type 2 diabetes, metabolic syndrome and insulin resistance
  • Support and help for when you want to take part in sport, travel abroad with work, have a baby, or just go on holiday, confident that you can still manage your diabetes

Managing diabetes with other illnesses

Anyone with diabetes can face problems if they develop other illnesses such as cancer, heart problems, worsening eyesight or kidney disease. The treatments for these conditions can affect your diabetes and it is important that you receive coordinated care.

We work with consultants from other departments to make sure that factors such as drug interactions, dosage adjustments, diet and mobility or memory problems do not cause unnecessary difficulties.

 The team in the diabetes centre has a close working relationship with a network of other specialists including cardiologists, ophthalmologists, neurologists, gastroenterologists, general surgeons, dermatologists and cosmetic consultants.

Diabetes and sports

Many young people diagnosed with Type 1 diabetes can despair of reaching their sporting goals, but it is still possible to compete at a high level, or to take part in endurance sports if you are diabetic.

At The London Clinic we have a team of experts in helping diabetic sportsmen and women to achieve their potential.

Our services include more stringent monitoring of your treatment and making sure that your diabetes is as tightly controlled as possible.

We work closely with you so that you understand the need to match your energy input (what you eat) with your energy output (how hard you train, what matches/races you are involved in).

It is particularly important to keep an eye on your cardiovascular system, and to monitor you for signs of any of the diabetes complications. A good preventive measure is always to invest in the best and the most appropriate foot gear, particularly if your sport involves running.

Blood glucose control in sports

Different types of sports and exercise can pose different challenges when it comes to controlling blood glucose levels:

  • A marathon runner’s biggest problem is hypoglycaemia. This can develop within half an hour of embarking on a long run. It is important to match up insulin doses or oral diabetes medication with food intake so that this can be avoided. One strategy is to do timed insulin injections, so that your levels do not get too high during exercise. It is also important to avoid delayed hypoglycaemia, which can develop several hours after exercise if you do not stock up on enough carbohydrates once training or competing has finished.
  • A sprinter is more likely to have problems with hyperglycaemia. Short, high intensity sporting activity is usually associated with higher levels of competitiveness, which leads to adrenalin release into the blood. This releases large amounts of glucose from the liver, and if your insulin doses are not well-timed, blood glucose spikes can occur.

Each case is different, as each sport is different and your responses to exercise are unique. Getting your treatment regimen, your treatment timings and your nutritional intake right can help you avoid both hypo- and hyperglycaemia.