Diabetes, Endocrinology & Metabolic Diseases Unit
- Published on 15 July 2014
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The services of Diabetes, Endocrinology and Metabolic diseases Unit have been initiated in PGMI, Lady Reading Hospital in February ’2013. The first Endocrinology Unit was originally based at LRH since 1984; however it got shifted to Hayatabad Medical Complex in 1996, which was the new affiliate hospital of PGMI at that time. Since then there was a great paucity of endocrine specialty, to tend to the tremendous turnover of diabetic patients presenting to the hospital. In a brief span of time, the OPD services of this unit have become the busiest amongst the rest of specialties at LRH. Besides there are quiet a large referrals of various endocrine disorders like short stature in children, indeterminate sex, ambiguous genitals, delayed puberty, thyroid, and parathyroid pituitary and adrenal diseases.
The services that are currently being offered include:
Diabetes Clinic. (With Retinopathy Screening by Non-Mydriatic Fundus Camera). The patients are attended by specialist doctors for their various complain. The services offered at diabetes clinic are of diabetes educators dieticians and free blood sugar sampling (on site). There is facility for retinopathy screen with a non mydriatic fundus camera place in Eye OPD.
General Endocrinology Clinic. Consultations are given to patient with thyroid & parathyroid disorder, disorders of sexual differentiation, reproductive and pediatric endocrinology specially growth disorders in children and delayed puberty in adolescence, PCOS, Obesity, Vitamin D deficiency, Osteoporosis etc.
Diabetic Foot Clinic. Under supervision of SMO with surgical background 4 dressers tend to a large number of patients with different categories of diabetic foot ulcerations, Charcot foot, deformities etc. There are onsite facilities for minor D/D. Besides those, assessment of feet with biothesiometer and ABI with Doppler ultrasound, off loading with total contact cast is done routinely. The patients with peripheral arterial disease are referred to Cardiologist for Peripheral Angiography and relevant management.
Diabetes in Pregnancy Clinic. An outpatient clinic is run jointly with Gynae A unit with the aim to screen the high risk pregnant females for diabetes and those with type 1 or type 2 Diabetes are optimized for glycemic control. Besides that cases of reproductive endocrinology are also dealt with in this clinic.
Dynamic Day Care testing. The various dynamic endocrine tests like the insulin stress test for short state children, Synacthan test for Adrenal insufficiency are done routinely within the ward.
Insulin Bank Services. In March ’2014 the Government initiative of Insulin Bank has been commenced at Endocrinology Unit. This scheme is to support all the Type 1 Diabetics and the Zakat dependent Type 2 Diabetics.
The objective behind this program is “By implementing insulin for life in Khyber Pakhtunkhwa we can prevent in long run premature deaths and complications in children and young patients and also can prevent complications in Type 2 diabetes hence reducing load of complications like blindness, heart attack, kidney failure, stroke and amputations”.