Endocrinology / Diabetes

Endocrinologists:    Dr Hamish Courtney and Professor David McCance

Obstetricians:         Dr Inez Cooke

The joint Endocrinology/Obstetric clinic runs every Tuesday afternoon in the Antenatal Clinic 13:30 to 17:30 hrs. This clinic is predominately for those with a diagnosis of diabetes however if you do have another endocrinology or biochemical illness (thyroid disease, pituitary disease, adrenal disease or phenlyketonuria) you will also be reviewed.

There are two groups of patients who may have diabetes in pregnancy:

  • Those women who have had Type 1 or Type 2 diabetes diagnosed prior to pregnancy.
  • Those who develop diabetes as a complication of their pregnancy (gestational diabetes).

At this clinic you have the opportunity to be seen by a specialist team which includes an obstetrician, endocrinologist, dietician, diabetes specialist nurse and midwife.

Depending on your diabetes type, blood sugar control and whether you are using insulin or diet to control your blood sugar you can expect to see some of these staff at each hospital visit. Most of your antenatal care will take place at the hospital Antenatal Clinic.

Those patients with thyroid disease, pituitary or adrenal problems will be reviewed by the obstetric and endocrinology teams, usually once in each trimester. Most of your antenatal care will be shared with your community midwife or GP.

Those patients with a history of phenylketonuria will be supported by the endocrinology, obstetric and dietetic teams aiming to keep good control of phenyalanine levels throughout your pregnancy.

It is our aim to help all patients attending this clinic to have a normal vaginal delivery unless there are obstetric/endocrinology reasons why this is not appropriate. We therefore encourage all patients to attend parentcraft classes as usual.