Diabetes Service

The Diabetes Team offers specialist advice, support, education and self-management strategies to people with diabetes, who often have very complex needs. We strive to provide appropriate education and support to help people become experts on managing their condition.

Diabetes is a lifelong condition characterised by high blood glucose levels. These levels are caused by defects in the body’s ability to produce and/or utilise a hormone called insulin. There are two main types of diabetes:

Type 1 develops when the body’s immune system attacks the cells that produce insulin, leaving the body unable to generate more. Type 1 diabetes is more common in children but can also develop in later life, and is treated with insulin and by monitoring certain aspects of your lifestyle and health.

Type 2 is more common than type 1. Around 90 per cent of adults in the UK who have type 2 diabetes are obese. With this type, the body either doesn’t produce enough insulin, or the body’s cells are resistant to insulin and don’t react to it. You may be able to control your symptoms by eating healthily and exercising regularly. However, type 2 is a progressive condition, and you may eventually need medication.

The Diabetes Resource Centre

The Centre is located at Harrogate District Hospital and provides a base for a dedicated and enthusiastic team of specialist nurses, consultants and administrative staff. We also work closely with paediatric diabetes dietitians and paediatric clinical psychologists.

Whilst our specialist services mainly support Harrogate District Hospital, we liaise closely with community colleagues, including GPs, district nurses and community case managers.

We offer specialist input to several departments and units, including:

We are not an emergency service. If you require emergency attention, call 999 or visit our Emergency Department.

If you require urgent GP care, you can use our Out of Hours GP Service. Find out more information on our treatment options.

Outpatient clinics and education sessions

We run several clinics and education sessions at Harrogate District Hospital, Ripon Community Hospital and various GP practices. These clinics are accessed via a referral from your GP.

Clinics

Clinic name Time and date
Paediatric clinical psychology Mondays
Nurse-led clinic Monday mornings
Joint diabetes/vascular foot clinic Monday afternoons
Renal clinic Monday afternoons – fornightly
Paediatric clinic Tuesday mornings – monthly
Joint obstetric/diabetes clinic Tuesday mornings
Diabetes clinic Tuesday or Friday afternoons
Pharmacist-led cardiovascular risk clinic Tuesday afternoons
Hospital discharge clinic Wednesday afternoons – monthly
Ripon clinic Wednesday afternoons – monthly
Thursday afternoons – monthly
Young adult transition clinic Wednesday afternoons – fortnightly

Multi-Disciplinary Pump Clinic – to include Consultant,

Specialist Nurse and Specialist Dietitian.

Thursday mornings
Complex pump clinicMon Monthly

We also run intermediate clinics at GP surgeries. The times and days for these clinics vary, so please contact us for more information.

Outpatient appointment enquiries for all the above clinics should be made via the appointment centre on 01423 553373.

 

Group education sessions

Type 2 group education (HARRIET): this session is for people recently diagnosed with type 2 diabetes and is run by specialist nurses, dietitians, and podiatrists. Sessions are held at GP practices in Harrogate and Ripon. These session take place in:

  • Harrogate – Sessions are run monthly on the second and third Monday afternoons of the month at Mowbray Square Medical Centre, Harrogate.
  • Ripon – Sessions are run 3 times a year on the second and third Thursday mornings of the month at North House Surgery, Ripon.

To be eligible for the HARRIET course you must have been newly diagnosed with Type 2 diabetes, within the last 6 months. If you meet this criteria and believe you would benefit from completing the Type 2 education programme, please contact your GP or Practice Nurse who will make a referral on your behalf.

  • Dose adjustment for normalised eating (DAFNE): this is a comprehensive course for people with type 1 diabetes. Run by specialist nurses and dietitians, you will learn carbohydrate counting skills and how to manage illness and exercise. The DAFNE course runs over a five day period, either all in one week or spread over five weeks.
  • Carbohydrate counting groups: these groups cover the basics of carbohydrate counting and are run by specialist nurses and dietitians. The course consists of two half-day sessions in the Diabetes Resource Centre.

Inpatient Services

If you have diabetes and are admitted to a ward at Harrogate District Hospital or Ripon Community Hospital, the Diabetes Inpatient Specialist Nurse and/or Diabetes Team may be involved in your care.

You can ask to be referred to us for advice on managing your condition while in our hospitals. Alternatively, hospital staff may refer you to our service. Some departments will assess your diabetes before you are admitted and may refer you to the Team if a need for specialist advice is identified.

Insulin Pump Service

Harrogate is a nationally recognised insulin pump centre, with more than 200 people on insulin pump therapy. Pump therapy is offered to all women with type 1 diabetes as part of their pre-conception care.

Specialist Diagnostic Service

Our specialist nurses are also able to provide a continuous glucose monitoring system (CGMS) diagnostic assessment. Patients are referred by the consultants for this investigation.

Opening hours

The Diabetes Resource Centre is open Monday to Friday, 9am – 5pm.

Location

The Centre is located on the ground floor of Harrogate District Hospital, on the main corridor.

Equipment supplies/faults

If you have a fault with your insulin pump, please contact the manufacturer’s technical helpline directly for advice.

Supplies for blood glucose meters can be obtained from your GP (if a prescription item) or the meter company (if a non-prescription item). These supplies are not routinely available from the Diabetes Resource Centre.

Monitoring diaries can be obtained from your GP practice, meter company or when you attend a diabetes clinic appointment.

Replacement insulin pens are available on prescription from your GP. We advise you to have a spare in case of emergencies.

Research and development

We give patients the chance to participate in national and international research trials. The aim of these trials is to improve knowledge and treatment of diabetes. Some studies such as prevention trials even provide an opportunity for relatives of patients to get involved with research.

You may be approached by the Team and asked if you’d like to participate in a trial. Participation is completely voluntary and is never undertaken without formal consent. Declining to take part in research studies will not affect your care.

Please feel free to ask if you are eligible to take part in any trials.

Our trials include:

  • New technology (such as glucose meters, insulin pumps and glucose sensors trials;
  • New and developing medications;
  • Cross over studies with other specialist areas such as cardiology;
  • Providing structured patient education.

Useful links

Diabetes UK is an excellent resource for information, catering for healthcare professionals, people with diabetes and their carers. They provide care events for children, adults and families, and often need volunteers to help staff these events.

The Juvenile Diabetes Research Foundation is a type 1 diabetes charity which offers support and information.

World Diabetes Day was introduced in 1991 to increase awareness about the condition.

The local support group, Harrogate and District Diabetes UK, runs regular events throughout the year. You can contact them on  07969 823753 or hadduk@outlook.com.

Fit 4 Life is a 12 week lifestyle programme that offers advice and support on nutrition and physical activity to people with a BMI equal to or greater than 25. Contact Fit 4 Life on 01423 500600 (ext 58382), 07525 988160 or Natalie.smith@harrogate.gov.uk.