Clinical Service

Multidisciplinary services provided by the Royal Prince Alfred Hospital Diabetes Centre include:

Acute intervention service
Individuals with newly-diagnosed type 2 diabetes, or those with known diabetes and an area of management of concern, can be seen at RPA Hospital Diabetes Centre's acute intervention service, usually within two to four weeks of referral.

Ambulatory stabilisation, education and psychological support
RPA Hospital Diabetes Centre's team of highly qualified and experienced medical, nursing and dietetic staff are actively involved in ambulatory care and procedures such as initiation of oral agent or insulin therapy, and titration of treatment provided outside hospital.

Diabetes and liver clinic
Liver disease may cause or contribute to, be coincident with, or occur as a result of diabetes mellitus. This interdisciplinary service, staffed by diabetes and liver specialists, provides assessment for patients with diabetes and potential for Non Alcoholic Fatty Liver Disease (NAFLD), Non-Alcoholic Steatohepatitis (NASH) and Cirrhosis.

Diabetes complications assessment service
This service takes the format of a single visit, making it more convenient for the patient by removing the need for multiple visits to a variety of specialists. The single visit provides screening for diabetic eye disease, renal disease, foot disease and cardiovascular disease as well as assessment of glycaemic control by RPA Hospital Diabetes Centre's well trained and experienced team.

Diabetes in pregnancy service
Universal screening for gestational diabetes, effective treatment and post-natal follow up can reduce risks to the mother and baby. Pre-existing diabetes in pregnancy carries potential risks for both mother and baby. RPA Hospital Diabetes Centre's specialised and highly experienced team provide obstetric and intensive diabetes management.

High risk foot service
This clinic looks after patients with diabetes with an ulceration below the ankle, infection and/or Charcot's Arthropathy (progressive degeneration of a weight bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity).

Monogenic and atypical diabetes service
People with diabetes are typically classified as having type 2 or type 1 diabetes, but many do not fit into these categories. They may have new or atypical forms of diabetes requiring a more precise diagnosis, specific monitoring and treatment. In collaboration with clinical genetics and genomic medicine specialists, this clinic provides personalised medicine for diabetes, integrating treatment with genetic makeup. RPA Hospital Diabetes Centre's tailored, multi and interdisciplinary coordinated approach to makes it possible to meet the complex needs of these rarer forms of diabetes.

Rapid access clinic
RPA Hospital Diabetes Centre's Rapid Access Clinic has been established to provide prompt access for patients who have been discharged from RPAH and require short term clinical support before transferring care back to their GP.

Renal diabetes clinic
RPA Hospital Diabetes Centre's renal diabetes clinic is dedicated to the care of patients with diabetes who also have chronic kidney disease (CKD) Stage 3b (i.e. eGFR less than 45 ml/min/1.73m2) or have undergone a kidney or liver transplant.

Transplant service
RPA hospital has one of NSW's largest liver and kidney transplant service. Some of the medications used following a transplant can lead to worsening blood glucose control in people who had diabetes before their transplant. These same medications can lead to new onset diabetes after transplant (NODAT). RPA Hospital Diabetes Centre's team has expertise in managing this type of complex diabetes.

Type 1 diabetes service
RPA Hospital Diabetes Centre's type 1 diabetes service provides ongoing care to people living with type 1 diabetes. It is routinely staffed by nursing and medical staff who have experience in diabetes clinical management, psychological support and education. A large component of this service is underpinned by the use of the latest diabetes technologies.

Young adult diabetes service
RPA Hospital Diabetes Centre's young adult diabetes service offers patient-centred care for young adults with type 2 diabetes, aged 16 to 35 years, who are newly diagnosed, have had diabetes for some time or who are transitioning from paediatric to adult care.