We're located at
7-9 Gibbons Street Redfern
Opposite redfern train station
Diabetic Clinics
Diabetes Mellitus is a very common chronic disorder. Its prevalence increases with age and current day lifestyles are only adding to the rise in incidence of this disease. Take a look at how it impacts people:
- In this population, 70% of deaths are caused by stroke & coronary artery disease
- 25% of patients that have end-stage renal failure are diabetics
- It is the most common cause of blindness
- A large percentage of diabetics get admitted to the hospital with foot-related problems; these people also have a 15-20% higher risk of amputation
- The life expectancy is also reduced by 8-10 years
At the Citydoc Diabetic Clinic, it is our aim to provide patients that have diabetes, the quality of life that is on par with that which the general population has. We do this by reducing both the macro & micro vascular, long-term complications.
Key priorities include
We provide structured education at the time of diagnosis for the patient as well as the carer. Our expert service is focused in Adult Care and we also provide very effective education in diabetes as well as how patients can manage it in the best possible way. These sessions may be conducted in groups or on a one-to-one basis. Within an Education Program, there will be a large number of topics that get covered, such as:
- Overview of diabetes type 1 and type 2/gestational
- Activity and exercise
- Nutrition, food & eating with diabetes
- NSW Health Department Standards of Care
- Oral hypoglycaemic medications
- Blood glucose monitoring
- RTA notification
- National Diabetes Services Scheme
- Hypoglycaemia management
- Insulin injections
- Travel
- Sick day management
- Coping strategies, stress management & other psychosocial issues
- Liaising with other Allied Health Professionals
There are different staff members involved in the patient’s education including the Doctor, the Dietician as well as the Diabetes Nurse Educator. For individuals that satisfy the Services criteria, we can arrange:
- The High Risk Foot Service and Diabetes Health Assessment Unit
- Goal setting with the patient for target HbA1c
- Individualised nutritional advice
- Encourage to target unless the meds not tolerated/ the quality of life affected - eg hypos
- Avoid pursuing levels below 48 mmol/mol
- Offer advice on lifestyle & medication
- Continue reinforcing the target HbA1c by advising how it is advantageous to future health
The annual evaluation is made up of:
- Identifying the presence of sensory neuropathy (the loss of ability to feel sharp touch /monofilament vibration/) and/or the abnormal build-up of callous
- Identifying arterial compromise (signs of tissue ischaemia present/absent pulses, or the symptoms of claudication)
- Identify any deformities in feet (, bony deformities, fungal infections)
- Identify any other foot-risk factors (CKD, poor self care CVD/previous amputation)
We are very meticulous in our approach to providing diabetic patients with the highest levels of care and medical advice. This goes a long way in improving health outcomes and helps them bring about a sea change in their quality of life.
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