Non-classical diabetes
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.