Patients and Relatives


A telephone / email service is provided by our Diabetes Nurse Specialist for support and advice to all patients.  This is available from 8am to 4.30pm Monday to Friday.

Our outpatient clinics take place on Monday afternoon, Tuesday morning and Thursday afternoon. Please schedule a Monday afternoon appointment if you would also like to see Edel Kellegher, the podiatrist.  You will need a referral from your GP to attend the Diabetes service.

What to bring with you to each clinic appointment:

  • A list of all your current medications or a recent prescription.
  • Your blood glucose diary and glucose meter.

You will need to have blood tests done before each outpatient visit.  This means that we can give you feedback on the day about glucose and cholesterol levels,  kidney function etc and make adjustments to your medication if needed.  Please contact Catherine,  the clinic secretary for details on 01 206 4652.

Lifestyle Resources

Physical Activity:
www.getirelandactive.ie

Weight Management:
www.weigh2live.ie
http://www.nhs.uk/LiveWell/loseweight/Pages/Loseweighthome.aspx
www.healthpromotion.ie

Smoking:
www.quit.ie
www.irishheart.ie 

Structured Community Education:

X-PERT free community structured diabetes education programme

Information on the X-PERT programme is available on:
http://www.hse.ie/eng/services/list/2/PrimaryCare/pcteams/dublinsouthpcts/dunlaoghaireglasthulepct/XPERT.pdf 

Free Programme for Healthy Eating and Weight Management (PHEW)

Information on the PHEW programme is available on:
http://www.hse.ie/eng/services/list/2/PrimaryCare/pcteams/dublinsouthpcts/dunlaoghaireglasthulepct/PHEW/PHEW%202014%20Flyer.pdf

For information on XPERT and PHEW course dates or to enroll contact:
Mary Doolan
Health Promotion Service,
Block B, Civic Centre,
Main St, Bray, Co Wicklow
Ph: 01 2744360
healthy.eating@hse.ie

Education

Foot Care:

The nerve endings and blood supply to your feet can be affected by diabetes over time. Keeping your diabetes under control and checking your feet daily can prevent future foot problems

The diabetes team will do an examination to assess the circulation and sensation in your feet at least once per year. They will refer you to see a Podiatrist/Chiropodist if they identify any problems.  You can avail of community Podiatry Services in your area to assist you with nail care, bunion or callus treatment and much more.  .  Those over the age of 65 years who hold a medical card are entitled to free Chiropody care in the community.  Contact your local health centre for more information, or go to:
http://www.hse.ie/eng/services/list/4/olderpeople/tipsforhealthyliving/footcare.html
http://www.citizensinformation.ie/en/health/care_in_your_community/chiropody_services.html

For information on how you can look after and care for your feet click on the link below:
http://www.diabetes.ie/wp-content/uploads/2012/05/Diabetes-Ireland-Generic-Booklet-HQP-2-4-12.pdf

If you notice any changes, pain, numbness or discolouration in your feet please contact your Diabetes Nurse or your GP.

Eyes:

Diabetic Retinopathy is a complication of diabetes which affects the small blood vessels in the lining at the back of the eye and can lead to deterioration in vision.  Diabetic retinopathy may not have any symptoms so it is important to have a screening test done once per year. When the condition is caught early, treatment is very effective at reducing or preventing further damage.

If you do not attend an eye department for your eyes the National Diabetic Retinal Screening Programme is a new, government-funded screening programme that offers free, regular diabetic retinopathy screening to people with diabetes aged 12 years and older.  If you have diabetes and would like to check that you are on the register to avail of the National screening programme, please ring their Freephone 1800 45 45 55 and choose option 4 (details are also on their web page www.diabeticretinascreen.ie).  

Your Targets for Diabetes

Controlling your blood sugar levels can help reduce your risk of heart disease by between 33% to 50% (World Heart Federation).

Controlling your blood lipids (cholesterol and triglyceride) can reduce heart disease complications by 20% to 50% (World Heart Federation).

Maintaining a healthy diet and increasing your daily activity will improve your diabetes control, help to lose or maintain weight loss, and help protect against heart disease and stroke.

– Target blood glucose (pre-meals): Between 4.0-7.0mmol/L
– Target HbA1c*: Less than 53mmol/mol (7.0%)
– Target Cholesterol: Less than  4.6
– Target Blood Pressure: Less than 130/80
– Daily physical activity: At least 30-60 minutes per day

* HbA1c is the average amount of sugar in your blood over the last 2-3 months.  This is obtained by a blood sample from your vein.  This should be measured at least annually by your doctor to assess your overall diabetes control.

Resources

Diabetes Federation of Ireland www.diabetes.ie
Diabetes UK www.diabetes.org.uk
American Diabetes Association www.diabetes.org