Endocrine Abstracts

Community specialist diabetes teams were established to provide timely access to clinical care for people with type 2 diabetes. Our team established an MDT clinic run by a Consultant Endocrinologist, Diabetes Nurse Specialist and Senior Diabetes Dietitian. Patients attending see all three team members who discuss each individual case. A treatment plan is agreed with the patient and appropriate follow up is arranged. We evaluated clinical outcomes from this service through review of discharged patients from July 2024 to June 2025. 111 patients were discharged from the service over the one year period. Average age was 60 years and 59% were male. 93% were referred by their GP. 44 patients were discharged after one clinic, with 67 requiring multiple attendances. For those requiring repeat visits the average HbA1c at first clinic was 71 mmol/l/mol and at discharge was 53.8 mmol/l/mol, an average reduction of 17.2 mmol/l/mol. Average weight was 97.6 kg at first visit and 95.2kg on discharge. An average of 3 visits over 6.4 months was required to achieve these outcomes. 91% of patients were discharged to GP care. 10 patients (9%) were discharged to the Hospital OPD. Five were commenced on Insulin, one of whom was diagnosed with Type 1 diabetes. The remaining five had complications of diabetes requiring long term follow up. The MDT clinic is achieving the goal of providing effective, episodic care for people with type 2 diabetes. A significant reduction in HbA1c is seen at time of discharge and over 90% are discharged back to GP care.