Diabetes

Diabetes is a lifelong condition which alters the control of sugar in the blood stream. Diabetes occurs when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. There are two main types of diabetes Type 1 and Type 2. For more information about diabetes, please see diabetes.org.uk.

Diabetes is a common condition with over 30,000 people living with diabetes in Shropshire, Telford and Wrekin (STW) and the Shrewsbury and Telford Hospitals offer a full range of specialist diabetes services.

Diabetes specialist team

Our team includes consultants, diabetes nurses, podiatrists, dieticians and many more members of the hospital team.

Our services include:

An insulin pump is a small device that delivers insulin continuously throughout the day and night, like how the pancreas normally releases insulin.

The insulin pump clinic is a specialised service that provides support to people who use hybrid closed loop insulin pumps to manage their type 1 diabetes. We are working to National Institute for Health and Care Excellence guidelines and their five year roll out plan to progress individuals through to insulin pump therapy. If you would like more information regarding your eligibility to this service, please speak to the team caring for your diabetes.

The clinics are staffed by consultants, specialist nurses and a dietician who all work together with the person, who has the pump, to help optimise their insulin pump therapy and manage their diabetes.

Key aspects of the insulin pump clinic include training and education, quick access to support and problem solving, access to expertise, regular reviews and integration with technology.

All people with an insulin pump have access to join a social support group that is vital importance for support.

A complex diabetes clinic focuses on managing people with diabetes who have more challenging emotional and care needs, including those with poorly controlled diabetes who may have become disengaged with their diabetes.

This clinic offers a tailor-made personal plan for people who are struggling with their diabetes and need more support.

Key elements of the clinic is the treatment is person centred and provides individualised care to map progress and support people.

The general diabetes clinics are where people living with high risk type 2 and type 1 diabetes are seen. Within this clinic, individualised treatment plans are made with your designated consultants. Be assured even though you may see only one individual, we reassure you that your care will be managed by the multidisciplinary team. This review appointment will be your opportunity for you to learn to manage your own health and wellbeing.

In SaTH we have a dedicated multidisciplinary foot team (MDFT) for people with diabetes who have acute foot problems such as foot ulcers. The team consists of diabetes consultants, vascular surgeons, podiatrists, orthotists as well as involvement with other disciplines around the hospitals such as radiographers and microbiologists. This MDFT approach is so important to healing problems quickly.

The diabetic foot clinic runs every day of the week.

  • Monday 9am to 1pm in the Hummingbird centre, Royal Shrewsbury Hospital
  • Tuesday 9am to 1pm in the Hummingbird centre, Royal Shrewsbury Hospital
  • Wednesday 9am to 1pm in the Hummingbird centre, Royal Shrewsbury Hospital
  • Thursday 1pm to 5pm in Clinic C, Princess Royal Hospital, Telford
  • Friday 9am to 1pm in the Hummingbird centre, Royal Shrewsbury Hospital

Existing patients or people who have previously been to the diabetes foot clinic can contact us using an emergency telephone number during office hours 07843 505015 or alternatively, you can email us on sath.dfc@nhs.net. If you would like advice, the best thing would be to email us a photograph with your details (name, date of birth, address and a telephone number). We can then contact you if we need to speak with you urgently.

It is so important that if you do have a foot problem that you see us as soon as possible. We know from research that the quicker you get to a MDFT the quicker your chances of healing the wound.

New patient referrals are accepted from all healthcare professionals; however, the clinic does not accept self-referrals unless you have been in the system previously.

Why do people with diabetes have problems with their feet?

Complications can happen to your feet if you have diabetes. Commonly you can lose some of the feeling in your feet (Neuropathy). This loss of feeling can be caused by high levels of sugar damaging the nerve endings. This effects not only the feeling in your feet but also the skin quality and shape of your feet.

Other complications include a higher risk of infection and a reduced amount of blood getting down to the feet (Peripheral arterial disease). These complications should be monitored for carefully. It is important you attend your diabetes foot screening and if at risk have regular foot surveillance and protection.

Never ignore a foot problem and wait to see if it heals or goes away on it’s own.

Approximately 20% of our inpatients have diabetes and we aim to ensure good quality care is provided for people with diabetes, whenever they are admitted to hospital. People should continue to be involved in decisions concerning the management of their diabetes wherever possible.

Our specialist nurses are usually involved in the following situations:

  • All newly diagnosed people with Type 1 diabetes
  • All people starting insulin
  • People on a sliding scale and for whom, advice is needed
  • Individuals newly diagnosed with Type 2 diabetes
  • People admitted with complications related to their diabetes such as diabetic ketoacidosis, hyperosmolar hyperglycaemic state and hypoglycaemia
  • People with unstable diabetes
  • People who use insulin pump therapy
  • People who need education on, or provision of monitoring equipment.

Our inpatient podiatry team will be involved the care of any person with diabetes and a foot complication such as an ulcer.

A diabetes antenatal care clinic is a specialised service that provides support and management for pregnant people with diabetes, including gestational diabetes. These clinics offer a multidisciplinary approach involving diabetologists, obstetricians, midwives and a diabetes nurse to ensure the best possible outcomes for both mother and baby.

This clinic allows people with diabetes to transition over from the paediatric service to the adult diabetes services. The clinic is jointly run by an adult and paediatric diabetologist, and people are supported by specialist diabetes nurses, dieticians and psychologists.

People with diabetes – Trend Diabetes

Diabetes foot ulcer information

Looking after your feet on holiday information

Diabetes – caring for your feet whilst in hospital information

Diabetes foot ulcers in remission information

Diabetes foot information for patients on dialysis

Peripheral Arterial Disease (PAD) information

Osteomyelitis (bone infection) information

Charcot information

The diabetes team are passionate about sharing knowledge with the wider healthcare community.  There are many workshops and educational events organised annually for healthcare professionals with an interest in diabetes.

Current events:

Tuesday 17 June 2025 – Wound conference

Tuesday 8 July – Insulin workshop, how to initiate, titrate and manage

Thursday 11 September – Severn diabetes conference

Key Info

Contact Us

Princess Royal Hospital
01952 641222 Ext: 4415

Royal Shrewsbury Hospital
01743 261000 Ext: 3436

Community Diabetes Nurses
01743 277693

Insulin pump service 

01743 263429

sath.pumpsecretary@nhs.net

Diabetes foot clinic 

01743 261241

sath.dfc@nhs.net

Interested in working with us?

For more information about vacancies in the Trust please visit our Belong to Something website.

Location

Our department works across the two sites at Shrewsbury and Telford. The consultants manning the departments are as follows:

Royal Shrewsbury Hospital

Dr Anna Green: 01743 261241

Dr Probal Moulik: 01743 261241

Dr Prashant Singh: 01743 261021

Dr Srinivasa Rangan: 01743 263350

Dr Anuja Sagdeo: 01743 263055

Princess Royal Hospital

Dr Barton: 01952 641222 ext 4791

Dr Basavaraju: 01952 641222 ext 4628

Associated Wards and Services

Ward 26 (Royal Shrewsbury Hospital)
Endocrinology
Outpatients