Type 2 Diabetes
Diabetes education plays a major role when patients are first diagnosed. The patient can expect a comprehensive service including being registered with the NDSS (National diabetes service scheme) provided a free Glucometer with instruction in it's use and meaning of the BGL (blood glucose levels).
Medication review and insulin & exenatide (Bydureon) injection and initiation are other skills taught.
Lifestyle changes are the most effective means of improving health and far outstrip any medication available. Early commitment to lifestyle changes can give up to 15 years better quality of life called the Legacy Effect as seen in the UKPDS study.
Gestational Diabetes is becoming increasingly more prevalent.
With a PhD in this field Dr Porter will provide a comprehensive service to guide you through the pregnancy with confidence of receiving best and most up to date care.
CGM (continuous glucose monitoring) is also offered to monitor for 6-14 days reading the BGL every 5 minutes.
Insulin initiation is also possible with a Shared Care Model of Care working with King Edward Memorial Hospital and their specialists obstetricians.
Type 1 Diabetes
For patients with Type 1 Diabetes transitioning from a paediatric service can be difficult.
With extensive knowledge of all things diabetes an excellent service is offered for patients as they navigate early adult hood, pregnancy; with and without insulin pumps.
For adult onset Type 1 Diabetes education and ongoing care is available for insulin initiation or for adults who wish to commence insulin pump therapy and further to use continuous glucose monitoring. All services are under an Endocrinologist or General Physician supervision.
Insulin Pump Therapy
At last patients with Type 1 Diabetes can stay in their home town and commence insulin pump therapy. Or for patients with an existing insulin pump that has reached the warranty period and require an insulin pump upgrade of the insulin pump is a simple 2 hour session.
All major insulin pumps are available from the new Medtronic MiniMed 640G and Guardian 2 CGM, the Animas Vibe insulin pump and Decom G4 Platinum system or the Roche Accu Check Combo pump system.
Medtonic MiniMed 640G insulin pump and Guardian 4 CGM
Animas Vibe insulin pump and Dexcom G4 Platinum CGM system
Roche Accu Check Performa Combo insulin pump system
Right: is the Freestyle Libre Reader, by Abbott Australasia, that is factory calibrated requiring no more finger prick tests.
Preconception and PCOS Care
Poly Cystic Ovarian Syndrome, Metabolic Syndrome and Preconception care are imperative to becoming pregnant. As all are in the pre-diabetes phase all require excellence in diet, lifestyle and medication management.
Lower fertility is seen with PCOS and preconception management of BGL (blood glucose levels) for all women with diabetes, will mean the difference between a health low risk pregnancy and a medically difficult labour and health of the infant.
Research shows that the period 2 months prior to conception and 1 month after conception can determine the adult health of the baby. The epigenetic changes that occur can mean three generations are effected by poor choices during this preconception phase.
Further prevention of the early development of Type 2 Diabetes starts when the early signs of PCOS or the Metabolic Syndrome begin.
The new Medtronic Guardian Connect works on a Phone App so it's always with you. Your Blood Glucose Level trends and data will always be at hand for better diabetes control.