Type 2 Diabetes
The commonest reason patients come to an endocrine clinic. The aim is not a single good report but steady, liveable control that protects the eyes…
Read moreConditions treated
Endocrine and metabolic conditions
Each page below explains what the condition is, how it is assessed, what management usually involves and when to seek help sooner. It is general education, not individual advice.
Diabetes & Metabolism
5Type 1 Diabetes
An autoimmune condition needing insulin from diagnosis. With modern regimens, monitoring and carbohydrate counting, children and adults with type 1…
Read moreGestational Diabetes
Diabetes first recognised in pregnancy. It is common, it is manageable, and treating it well protects both mother and baby — but it also marks a woman who…
Read moreDiabetes Complications & Foot Care
Screening for eye, kidney, nerve and heart involvement — and the foot care that prevents the ulcers and amputations which cause the most avoidable harm in…
Read moreDiabetes Technology — Pumps & CGM
Continuous glucose monitoring and insulin pump therapy, for the patients they genuinely suit. The technology is only as good as the interpretation of the…
Read moreObesity & Metabolic Health
3Obesity & Weight Management
Obesity is a metabolic disease with hormonal drivers, not a failure of willpower. Assessed and treated as one — with proper investigation, structured…
Read moreMetabolic Syndrome & Fatty Liver
The cluster that travels with excess weight — a large waist, raised sugar, raised blood pressure, disturbed lipids and a fatty liver. Individually mild…
Read moreLipid Disorders & Familial Hypercholesterolaemia
High cholesterol causes no symptoms and does its damage over decades. Familial hypercholesterolaemia in particular is common, dangerous, and repeatedly…
Read moreThyroid
2Thyroid Disorders
Hypothyroidism and hyperthyroidism are among the most treatable conditions in medicine — and among the most frequently over-treated. Careful…
Read moreThyroid Nodules & Goitre
Most thyroid lumps are harmless. The task is to identify the small minority that are not, using ultrasound characteristics and a needle sample — without…
Read moreReproductive & Growth
3PCOS / PMOS — Polycystic (Polymetabolic) Ovarian Syndrome
The commonest hormonal disorder in young women, and one of the most commonly mismanaged. Increasingly called polymetabolic ovarian syndrome (PMOS)…
Read moreMale Hypogonadism & Andrology
Low testosterone, gynaecomastia, erectile dysfunction and male infertility — assessed properly, because testosterone should be replaced when it is…
Read moreGrowth & Puberty Disorders
Short stature, delayed or unusually early puberty, and disorders of sexual development. Assessment is time-critical: some conditions can only be treated…
Read moreBone & Calcium
2Osteoporosis & Metabolic Bone Disease
Bone loss is silent until a fracture. Identifying and treating it beforehand — with a DXA scan, correction of deficiencies and the right medication —…
Read moreCalcium & Parathyroid Disorders
High or low calcium is frequently found by chance on a routine blood test. Establishing why — and in particular distinguishing hyperparathyroidism —…
Read morePituitary & Adrenal
2Pituitary Disorders & Acromegaly
The pituitary governs every other endocrine gland, so its disorders present in unexpected ways. Acromegaly, prolactinoma, Cushing's disease and…
Read moreAdrenal Disorders
Adrenal insufficiency, Cushing's syndrome, phaeochromocytoma, hyperaldosteronism and the incidentally found adrenal nodule — uncommon conditions where the…
Read moreConsultation
Discuss your own reports
Bring your previous prescriptions and every report you hold — old ones are often the most useful.