Endocrinology and Diabetes
The Fiona Stanley Hospital (FSH) Endocrinology and Diabetes Service provides a comprehensive, multi-disciplinary approach to inpatient and outpatient care for adults.
Endocrinology is the study of hormones and their actions in the body. Endocrine disorders arise when hormone levels or actions are abnormal. Examples include adrenal and thyroid disorders, osteoporosis and diabetes.
Diabetes (Healthy WA) is a disorder in which the body cannot make proper use of carbohydrates in food because the pancreas does not make enough insulin, or the insulin produced is ineffective, or a combination of both.
Our services
Our outpatient service is provided across two sites – FSH and Fremantle Hospital (external site). Services include:
- inpatient care for emergency presentations for a range of specialty conditions e.g. diabetic ketoacidosis, hyperosmolar hyperglycaemia state, hypoglycaemia, diabetic foot complications, Addison’s disease and thyroid disorders
- specialty outpatient clinics, providing care for diabetes and endocrine related diseases
- multi-disciplinary diabetic foot ulcer service
- comprehensive diabetes education and allied health services
- intensive type 1 diabetes education courses including, carbohydrate counting, insulin pump and continuous glucose monitoring.
- psychological therapy for diabetes-related stress and difficulties with self-care.
- antenatal diabetes and endocrine care.
Multidisciplinary Diabetes Foot Ulcer (MDFU) service
The MDFU service is a specialist interdisciplinary team (endocrinology, vascular surgery, infectious diseases and podiatry) that manages foot (below the level of the medial and lateral malleoli) ulceration and acute Charcot neuroarthropathy in patients with diabetes.
The service aims to reduce lower limb amputations and hospitalisations in people with diabetes-related foot ulceration, however.
- acute vascular surgical emergencies, including critical limb ischaemia gangrene or abscess formation, should be referred directly to the vascular surgery team
- complex orthopaedic infections, leg ulcers, traumatic injuries to the foot and rheumatological and crystal deposition disorders of the foot are outside the scope of this service.
Read more about the MDFU service.
In mid 2019 the MDFU team's excellence in the delivery of safe, high quality clinical care was recognised when it was named winner of the Excellence in Clinical Care category in the 2019 SMHS Excellence Awards.
Information for health professionals
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