Diabetes Service

What is Diabetes?

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
  • type 2 diabetes

Type 1 diabetes can develop quickly, over weeks or even days.

Many people have type 2 diabetes for years without realising because early symptoms tend to be general.

Type 1 diabetes is often referred to as insulin-dependent diabetes. It is also sometimes known as juvenile diabetes or early-onset diabetes because it often develops before the age of 40, usually during the teenage years.

In type 1 diabetes, the pancreas (a small gland behind the stomach) does not produce any insulin. Insulin is a hormone that regulates blood glucose levels. If the amount of glucose in the blood is too high, it can seriously damage the body's organs.

If you have type 1 diabetes, you will need to take insulin injections for life. You must also make sure that your blood glucose levels stay balanced by eating a healthy diet, taking regular exercise and having regular blood tests.

Type 2 diabetes occurs when the body doesn't produce enough insulin to function properly, or the body’s cells don't react to insulin. This is known as insulin resistance.

Type 2 diabetes is far more common than type 1 diabetes, which occurs when the body doesn't produce any insulin at all. In the UK, about 90% of all adults with diabetes have type 2 diabetes.

Type 2 diabetes usually affects people over the age of 40, although increasingly younger people are also being affected. It is more common in people of South Asian, African-Caribbean or Middle Eastern descent.

Symptoms of diabetes

The main symptoms of diabetes are:

  • feeling very thirsty
  • urinating frequently, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk

Diabetes Service

We provide specialist diabetes care to patients with complex, intermediate diabetic problems.

We offer health promotion, education and support to patients and their carers within a variety of community settings to promote self-management and reduce disease complications.

Elements of the Service

  • The promotion of healthy lifestyles through the referral to:
  • Treatment and care plans for individuals who have poorly controlled type 2 diabetes and in some cases type 1 diabetes
  • Education courses for individuals who are diagnosed with type 2 diabetes
  • Insulin, exenatide, liraglutide, bydureon and lixisenatide initiation with structured education programmes as appropriate
  • Access to specialist Dietitians (experts in food and nutrition)
  • Access to Podiatry Services
  • The provision of clinics by a community based GP with special interest in diabetes
  • The service is also able to access support from other specialist services such as palliative care, wound care, respiratory and heart failure services
  • Teaching and support of healthcare professionals

Service Operating Times

 The service is provided from 9am to 5pm, Monday to Friday.

Waiting Times

Urgent referrals will be contacted within two working days and routine referrals will be seen within four weeks of the referral being received.

Referral Details

Referrals are accepted from GP practices, community nursing and allied healthcare professionals and hospital staff. Referral forms can be obtained from the appropriate office in your area and should be faxed back. Urgent referrals should be faxed, followed by a telephone call. Referral criteria applies.

lhnt.lchsreferrals@nhs.net
01522 309033
Lincolnshire Community Health Services NHS Trust
Beech House
Witham Park
Waterside South
Lincoln
LN5 7JH

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