Service overview - Diabetes

Our diabetes teams treat and care for both adult and younger patients. Diabetes is a lifelong condition that causes a person's blood sugar level to become too high.

The two main types of diabetes are:

Type 1 diabetes – where the body's immune system attacks and destroys the cells that produce insulin
Type 2 diabetes – where the body does not produce enough insulin, or the body's cells do not react to insulin

Type 2 diabetes is far more common than type 1, with around 90% of all adults with diabetes having type 2.

During pregnancy, some women have such high levels of blood glucose that their body is unable to produce enough insulin to absorb it all. This is known as gestational diabetes.

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Basildon Hospital - Diabetes services (adult and children)

Who the service is for

Patients with metabolic and endocrine diseases.


Outpatient services

We run the following outpatient clinics:

Dedicated diabetes and endocrine clinics
Foot clinics for patients with complications of diabetes
Adolescent clinics for transition of paediatric to adult services
Gonadal clinics
Testosterone implant clinic
Joint Antenatal/gestational clinics
Hirsuitism Polycystic Ovarian Syndrome
Inpatient services

Our team of diabetes specialist nurses provide inpatient support to all patients with diabetes in Basildon University Hospital and The Essex Cardiothoracic Centre (CTC).

The services include:

Diabetes foot disease
Retinal screening
Calcium disorders
Lipid disorders
Antenatal
Adolescent services
Thyroid/pituitary/adrenal disorders
Gonadal/erectile dysfunction clinics
Nurse led renal/diabetes services


Contact

Diabetes specialist nurses: 01268 524900 ext 4817
Endocrine department: 01268 524900 ext 8717 or ext 3502

Broomfield Hospital - Diabetes services (adult and children)

Mid Essex integrated diabetes service works in partnership with PROVIDE (formerly known as  Central Essex Community Services) to deliver an integrated care pathway.

The hospital based component of the diabetes service provides highly specialist care for patients with Type I and Type II Diabetes Mellitus, on both an in- patient and an out -patient basis.

Patients benefit from a comprehensive service that includes Diabetologists, Nurse specialists, specialist Dieticians, podiatry and  specialist  foot wear

The joint diabetes / obstetric ante-natal clinic is held on level 4 of the PFI wing at Broomfield Hospital.
 
The team works closely with the paediatric service to deliver transition care.  

Contact Details
Tel 01245  516371 

Fax 01245 516380

Mid Essex Diabetes Centre, West Wing 2, Broomfield Hospital, Court Road, Chelmsford CM1 7ET


Referrals 

Referrals to the diabetes clinics should be made via the GP to the department for:

Type 1 patients
Any Patients with diabetes related complications including diabetic nephropathy
Insulin pumps
In-patients 
Foot care
Ante-natal clinic
In-patients

Consultant Diabetologist
Endocrine and in-patient diabetes

Diabetes Specialist Nurses (DSN)
For assessment and education 
For out-patients via letter or fax from GP or Practice nurse)
For in-patient care ( via Ordercomms)

The DSN team have special interest areas as follows:

Lead Nurse - interest in  renal diabetes (Haemodialysis, PD) ante-natal care,  CGMS and insulin pumps
Pre-conceptual and ante-natal care, CGMS and insulin pumps
In-patient care with an interest in Erectile dysfunction, insulin pumps
Adolescents and young people with Type 1 diabetes
In patient care and Education
In-patient care 


Nutrition and Dietetics

For assessment and education 
For out-patients via letter or fax from GP or Practice nurse

The Nutrition and Dietetic Team and special interest areas are as follows:

Clinical Manager for dietetics - special interests in ante- natal care and BERTIE education
Special  interest in Type 1 education (BERTIE) and weight management 
Special  interest in ante natal care
Adult and children’s diets


Podiatry 

Lead and Senior Podiatrist
Referral for in-patient diabetes related foot-care is via the ordercomms system or for toe nail service (for patient who have extended admissions only) by fax to diabetes centre
Out-patient referral via the community podiatry clinics depending on locality


Diabetes Specialist Midwife

Bleep #6555 1490
Referrals taken via fax 01245 516380 or telephone 01245 516371 
All women with newly diagnosed gestational diabetes 
Newly pregnant women with existing Type 1 and Type 2 diabetes


Other services include: 

New patient diabetic assessment, Consultant and/or senior DSNs
Telephone advice for admission avoidance and treatment titration
Telephone advisory service for patients and Primary care health care professionals.
In-patient care  
Email to diabetes nurses (DSNs) for current patients
Education programme for Type II patients, including insulin conversion
Education programme for Type I patients with diabetes (BERTIE)
Continuous Blood Glucose monitoring
Education for both primary and secondary staff
Insulin pump service
Pre-conceptual care clinic


Children’s Diabetes Service

The team is a specialist diabetes service provided jointly by the acute hospital (MEHT) and community services (Provide), for children and young people 0-18 years age range within the local catchment areas.

This is an integrated service based in the acute hospital setting with on-going support and management conducted in the community. The specialist diabetes team provides a service for children with Type I and Type II Diabetes Mellitus, in both an inpatient and community setting. 

Diabetic children benefit from a comprehensive service that includes Paediatric Consultants, Children's Diabetes Nurse specialists, Specialist Dietician, Podiatry, and access to the Psychotherapy and Counselling Service. We acknowledge that children and young people with the help of their parents require a holistic (seamless/whole) approach to their care and education.

The team provides flexible age-related support to ensure the wellbeing of the child and to encourage the young person to participate in all normal activities at home, school and through their personal life to maintain a healthy life-style.

We maintain close links with the adult diabetes service and we support our young adults in the transitioning of their care.


Diabetes Team

The Children’s Diabetes Specialist Nurses are based at:

Wren House, Hedgerows Business Park, Colchester Road, Chelmsford, CM2 5PF 

The consultant paediatricians and dietitians are based in Broomfield Hospital NHS Trust, Court Road, Chelmsford Essex CM1 7ET

Provide Team Secretary
01245 513198

MEHT Diabetes team secretary
01245 513010 (Monday - Friday) 

Children’s Diabetes team email:
mse.broomfieldcdt@nhs.net 

Paediatric secretaries email:
MEHTPaediatricsSecretaries@meht.nhs.uk 

Children’s Diabetes Dietitians

Lead Children’s Diabetes Specialist Dietitian
07776170217 ( Monday - Friday)  

Adult and Childrens Diabetes Dietitian
07887636477 (2 days a week)

Children’s Diabetes Specialist Nurses
 
Team Lead
07580 912610 (Monday - Friday) 

Children’s Diabetes Specialist Nurse
0758 091 2269 (Monday - Friday)

Children’s Diabetes Specialist Nurse
07976 246208 (Monday - Friday)

Children’s Diabetes Specialist Nurse
07580913127 (4 days a week)

Out of Hours on call number (5pm - 9am week days, weekends and bank holidays)
07880 500802

The Children's Diabetes Consultants are based in Phoenix Ward (E122) 

The Consultants can be contacted via the Paediatric Diabetes Secretary on extension 3010 or 01245 513010


What do we provide?

Multidisciplinary Consultant led clinics are held twice monthly on Wednesdays and Fridays in the Children's Outpatients 101 Level 1 at Broomfield Hospital

Home visits
Diabetes Workshops
Pump therapy service
Education and support for families/children/young people Updates on diabetes for community health professionals We work in partnership with other agencies e.g. social and educational services
School staff training
School / Nurseries Visits 


How do we help you?

By guiding, advising  and supporting parents to manage their child’s diabetes.  To encourage young people to develop independent management of their diabetes.  Our education and support is ongoing throughout our involvement with you.


Referrals

All children (0-18yrs) suspected of having diabetes mellitus should be referred by their family doctor on the same day to the Paediatric registrar to be seen on the  Phoenix assessment Unit at Broomfield Hospital. The Children's Diabetes team will be contacted straight away with every new admission. All children (0-16yrs) presenting in DKA(Diabetic ketoacidosis) to the Emergency department should be referred to the Paediatric registrar and treatment initiated by following the DKA integrated care pathway(DKAICP). All clinical guidelines relating to Diabetic children are available to download from the top right hand corner of this web page. 


Policies and Guidelines:

These guidelines have been registered with the trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt contact a senior colleague or expert. Caution is advised when using guidelines after the review date.


Children's Diabetes Policies and Guidelines:

ICP for the management of children and young people with DKA [pdf] 7MB

EOE DKA guideline-Additional appendices to the DKA ICP [pdf] 671KB

Sick Day Rules [pdf] 1MB

13020 adoption of EoE Child Diabetes Guidelines 1.0 (2016) [pdf] 188KB

EoE Management of CYP with Diabetes Requiring Surgery (2017) [pdf] 491KB

EoE Hypoglycaemia in CYP with Diabetes (2020) [pdf] 195KB

EoE Optimising Glycaemic Control for CYP with Diabetes (2017) [pdf] 247KB

EoE Newly diagnosed type 1 diabetes care pathway for CYP up to 18 Birthday (2019) [pdf] 264KB

Sick Day Rules Table [pdf] 273KB

Top Ten Tips Pump Patients [docx] 701KB

Top Ten Tips Non Pump Patients [docx] 701KB

Diabetes and Exercise [pdf] 272KB

Glycaemic Index Handout [pdf] 320KB

High HbA1c - EECYPDN Guidelines - July 2017 [pdf] 198KB

Hypoleaflet 2017 [pdf] 68KB

EoE Transition Care for Young People with Diabetes (2018) [docx] 241KB

EoE Out of Hours Telephone Advice Guidelines for Children & Young People with Type 1 Diabetes [pdf] 369KB

Schools e-learning web link

Southend Hospital - Diabetes services (adult and children)

Diabetes and endocrine

Diabetes, endocrinology and metabolism are based in the diabetes centre. Clinical services are provided by a team of consultants. Diabetes services are supported by our diabetes specialist nurses.


Diabetes

Our diabetes team includes two hospital-based diabetes specialist nurses who support those with pre-existing or newly diagnosed diabetes.

The department provides specialist inpatient care for new presentations of type 1, type 2 or secondary diabetes, hyperglycaemic and hypoglycaemic emergencies and comprehensive care for the complications of diabetes alongside other specialist teams.

Outpatient clinics provide routine care for patients with type 1, type 2 and secondary diabetes, a diagnostic assessment for possible familial diabetes mellitus (MODY or mitochondrial diabetes), managment of obesity and diabetes, and specific review of the control of macrovascular and microvascular risk factors. 

We work closely with the department of dietetics, running a weekly clinic together to consider overall metabolic control in diabetes, dyslipidaemia, hypertension and renal disease.  Our specialist nurses and dieticians run carbohydrate counting courses and supervise a local DAFNE programme for patients on intensive insulin regimes. Care of the diabetic foot is provided alongside our vascular surgeons and the wound care team.

We run specialist clinics to manage diabetes mellitus in pregnancy, transitional care of the adolescent and diabetic nephropathy. Pre-pregnancy counselling for diabetic patients is provided alongside our specialist diabetes midwife.

Contact - Diabetes centre: 01702 385350


Endocrine

Endocrinology is a specialist medicine which involves the study of glands that secrete hormones and the effect they have on the body. Sub-specialties include thyroid; thyroid oncology; lipid disorder and metabolic medicine.

Endocrinology reception: 01702 385350