MacLeod Diabetes, Endocrine and Metabolic Centre
The MacLeod Diabetes and Endocrine and Metabolic centre offers specialist treatment and support for people living with diabetes, endocrinology, lipid and obesity.
Our team includes consultants, specialist nurses, psychologists, dietitians, podiatrists, doctors and other professionals in training. We provide inpatient and outpatient care and community support with your GP (via phone, email, virtual clinics and community clinics). We will assess any referral into the centre and consider the best way to help you. This could be via a face-to-face appointment, video or phone appointment.
The department is also a central hub for training medical students.
More on what we do
Our diabetes team routinely see patients living with type 1 diabetes, where the pancreas produces little or no insulin. We also see some patients with more complex type 2 diabetes. Most type 2 diabetes is managed by your GP.
We have many specialist clinics, including:
- Pre-conception clinic for women with diabetes planning to have a baby
- Diabetes pregnancy clinic
- Young persons’ diabetes clinic, including for patients transitioning from paediatric diabetes care
- Renal diabetes clinic for patients with significant diabetes-related kidney problems
- Insulin pump clinic
- Clinics for patients with rare genetic causes of diabetes
- Diabetes foot clinic for patients with complex or active diabetic foot disease
- Clinical health psychology for patients who are experiencing emotional difficulties related to their diabetes
We offer structured education for type 1 diabetes: the introductory TIDE course, and the more detailed ERICA course (equivalent to the nationally recognised DAFNE programme).
The department has an international reputation for award-winning research, particularly into rarer genetic forms of diabetes and type 1 diabetes. This supports the clinical service and allows access to clinical trials.
Our endocrinology team offer specialist clinics in hormones, particularly pituitary, adrenal, thyroid and genetically inherited diseases. Endocrinology is related to hormones, and the effects of hormone levels that are too high or too low. We also see people who have certain types of cancers in endocrine glands.
Our team of specialist nurses and doctors often perform specialist blood tests and scans to help make a diagnosis. These tests may be arranged before you see a doctor you in clinic, so that results are available to discuss.
We work closely with other specialities including thyroid, pituitary and adrenal surgeons and oncologists (cancer specialists) to provide the best possible patient care.
Exeter Medical Obesity Service (EMOS)
The EMOS team are a dedicated and compassionate group of professionals who will take into account your individual circumstances. The team includes; administrators, consultant doctors (endocrinologists), psychiatric nurses, psychologists, physiotherapists, talking health therapists and specialist dietitians.
We offer support in the following areas:
- Medical and dietetic initial assessment, which might include onward referral for further psychological assessment, if necessary.
- Help to understand and explore your relationship with food and weight including patterns of behaviour that can be difficult to change.
- Information and guidance about nutrition, feeling well-nourished and looking after your health and wellbeing.
- Support to increase your confidence in physical movement and increase your daily activity levels.
EMOS is a ‘tier 3’ service which means we assess and support people to work towards bariatric surgery. Bariatric surgery takes place in ‘tier 4’ service which are located at Musgrove Park Hospital in Taunton and at Derriford, Plymouth. It is not necessary to be seeking surgery to come to EMOS, nor is surgery appropriate for every person.
EMOS has entry criteria based on both severity of the weight problem, and the presence of other health problems (such as diabetes). We cannot see people who do not meet those criteria unfortunately.
- Dr Antonia Brooke, clinical lead, specialist endocrinology
- Dr Mark Daly, diabetes foot
- Dr Mollie Donohoe, Turner syndrome, diabetes foot
- Dr Tom Fox, diabetes foot clinic, insulin pump clinic, general diabetes, EMOS
- Professor Andrew Hattersley, rare Genetic forms of diabetes, diabetes in pregnancy
- Associate Professor Angus Jones, rare Genetic forms of diabetes, general diabetes
- Dr Katarina Kos, EMOS and general diabetes
- Dr Helen Lockett, insulin pump clinic (lead), general diabetes
- Dr Kash Patel, general diabetes
- Dr Julia Prague, specialist endocrinology
- Professor Bijay Vaidya, specialist endocrinology, general diabetes, endocrine disease in pregnancy
- Dr Neil Walker, general diabetes clinic, renal diabetes (lead), insulin pump, young persons’ diabetes clinic, general endocrinology
- Dr Roderick Warren, general diabetes, diabetes foot (lead), young persons’ diabetes (lead), general endocrinology
Specialist diabetes nurses
- Tina Sanders – lead nurse
- Tracy Courtney
- Marie Dougal
- Sarah Havill
- Emma Rawdon
- Jane Stewart
- Rachael Thompson
Specialist Endocrine Nurses
- Rhianne Mason
- Claire Morton
- Laura Brown – lead
- Zoe Boulton
- Fiona Thompson – lead
- Josie Rodgers
- Vicky Creese
- Esme Deakin
Clinical Health Psychologist
- Dr Anna Disney
Where to find us
RD&E Wonford, Barrack Rd, Exeter EX2 5DW
The Macleod Diabetes and Endocrine Centre (click for site information and directions) is situated just off Haldon View Terrace, near to the corner with Barrack Rd.
We advise that you do not come to the main hospital entrance, which is a 10 minute walk. There is a dedicated car park outside our building, although spaces are limited.
We also offer diabetes and endocrine clinics at Honiton Hospital (click for site information and directions).
Telephone: 01392 403846
Use this number if you have already attended our clinic, and have queries about a new or a follow-up appointment. This number can also be used for general enquiries, but first please check below for the number you require.
Diabetes specialist nurse
Telephone: 01392 411611 and ask for 'Operator'. When you are put through to a switchboard operator, please ask them to put you through to the 'adult diabetes nurse on call'. You may have to wait a few minutes to be connected (for example, if they are already taking a call).
A nurse is on call Monday to Friday for routine enquiries from 9am to 5pm. For urgent enquiries they are available from 9am to 8pm every day including the weekend.
Do not hesitate to phone if you are feeling ill and are concerned about your blood sugars. For routine enquiries, please try to phone during normal working hours. If you wish to contact a particular individual, please see the specialist nurses page for more information.
Endocrine specialist nurse
Telephone: 01392 402847 / 01392 403835
Messages are checked once every working-week day. Please be sure to leave your name and telephone number, and suggest times for us to call back.
General dietetic secretary: 01392 403830 - for most enquiries, including diabetes-related queries.
Obesity dietitians secretary: 01392 402294 - for patients who are attending our obesity clinic.
Specialist diabetes podiatry clinic
Telephone: 01392 402204
We provide a specialist service to a large area of Devon, and cannot offer routine review or nail care. Patients must be referred by a GP, practice nurse or community podiatrist.
ERICA course organiser
Telephone: 01392 403830
Use this number if you have been referred for an ERICA (Exeter Recommendations for Insulin Carbohydrate Adjustments) course and have a query about dates, venues etc.
Find below some external links to websites or documents that we think may be useful (however we cannot vouch for their content or accuracy).
Managing insulin during illness
- General advice on management of blood glucose during illness – includes guide for insulin dose adjustment
- Sick day rules for type 1 diabetes (DAFNE/ERICA trained)
- Sick day rules for type 1 diabetes (insulin pump)
Downloading and sharing your blood glucose data
- Instructions for download of blood glucose meter at home
- Instructions for Wavesense Jazz Wireless meter with Diasend app
- Instructions for download of insulin pump at home
- Instructions for MyLife bolus advice app
Footcare patient information
- Care of the Diabetic Foot
- Holiday Feet
- How to check your shoes
- Impaired Sensation
- Painful Diabetic Neuropathy
- The Charcot Foot
Information for healthcare professionals
There is a dedicated time when primary care professionals only can speak to one of our consultants.
The slot is 2pm-2.45pm, Monday to Friday.
The contact number is 0781 8002363.
If we are already on a call, we ask that you phone back later. If you have to leave a message, please leave a direct contact number - not the surgery switchboard.
Consultants will also give advice via the NHS e-referrals service, or by email. Queries should be sent to firstname.lastname@example.org.
We cannot read or answer emails from anyone other than primary care professionals.
Click here to view our 'Exeter Diabetes Handbook'