Contact

Outpatients appointments
020 3312 5000

Visitor Information

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Our non-classical diabetes clinic offers specialist care for people with suspected genetic forms of diabetes and atypical forms of diabetes, which can have different symptoms to type 1 and type 2 diabetes.

We offer a wide range of specialised tests to clarify each patient’s diagnosis and recommend the most appropriate treatment on a personalised basis. The service delivers precision diabetes care, using genetic information or the results of specialised tests to guide the best treatment.

Conditions and treatments

Our service provides clinical assessment, specialised blood tests with expert interpretation, genetic testing (where relevant), advice on insulin or tablet treatment, advice for relatives who might be at risk of diabetes, cascade testing, management during pregnancy and more.

We treat people whose diabetes classification is problematic, or in whom atypical diabetes has been diagnosed, including:

  • maturity onset diabetes of the young (MODY)
  • syndromic diabetes
  • mitochondrial diabetes
  • ketosis-prone type 2 diabetes

Clinics

Our non-classical diabetes clinic offers specialist care for people with suspected genetic forms of diabetes and atypical forms of diabetes, which can have different symptoms to type 1 and type 2 diabetes. At our London atypical diabetes clinic we offer personalised care for people with maturity onset diabetes of the young (MODY), syndromic diabetes, mitochondrial diabetes, ketosis-prone type 2 diabetes.

Address

Non-classical diabetes clinic
Diabetes and endocrine centre
First floor, Mint Wing
St Mary’s Hospital
Praed Street
London W2 1NY

Hours

14.00 17.00, second Wednesday of every month

Meet the team

Consultant

Dr Shivani Misra, clinical lead

Nursing team

Carol Jairam, nurse specialist
Lavanya Devarajan, nurse specialist

Patient information

Before your appointment

Appointments are made usually within 12 weeks of receipt of your referral, though sometimes this can take up to 18 weeks.

You are welcome to bring a relative or close friend with you to your appointment. There is usually space for one extra person and we can accommodate more, if needed.

Please bring details of diagnoses of diabetes or other medical conditions which run in your family with you to the appointment. It is particularly helpful if you have a copy of the result of any genetic testing which has been done in any members of your family. Please also bring your glucose monitor or record of recent blood sugar levels.

During your appointment

You are welcome to ask for a chaperone – if you do, we will endeavour to provide one for you.

You can expect your first appointment to last 30 to 45 minutes. Please allow a further 30 minutes to have blood tests performed. We may perform genetic tests if relevant to your condition.

You will be seen by a member of the specialist team. You’ll have the opportunity to meet the consultant and specialist diabetes genetic nurse.

During your consultation, we may ask to examine your arms and legs, so please wear comfortable clothing.

Please note that our hospitals are teaching hospitals, so medical students may be present for some appointments. If you do not wish to have them in the room please let the nurse or doctor know and the students will be asked to step outside.

Refer to this service

Care providers should refer people who:

  • need clarity about their diabetes diagnosis – we can provide clarity around diagnosis for type 1, MODY, type 2, ketosis prone diabetes and other types
  • people in whom you are considering MODY – we can arrange genetic testing and counselling for people with suspected genetic forms of diabetes
  • anyone with a confirmed diagnosis of atypical diabetes

We will provide on-going specialist and personalised care for people with atypical forms of diabetes. If they are not local to our area, we can arrange to see them annually to offer specialist input.

Please email referrals to lead clinician Dr Shivani Misra at s.misra@nhs.net

GPs and other health professionals may also email the following for advice about referrals:

Secretary: becci.flitt@nhs.net

Nursing team: imperial.diabetes@nhs.net

Additional information

Clinical trials and research

Our service is currently involved in the Familial Genetics of Diabetes Study and the MY DIABETES study. We will be happy to discuss these studies with you during your clinic appointment.

Further online resources