Diabetes and Endocrinology - information for healthcare professionals
Referral to the Exeter Medical Obesity Service
Referral to the Exeter Medical Obesity Service can happen if a patient is 18 years old or more and has a BMI of 40 kg/m2 or over, or is are 18 years old or more and was recently diagnosed (within the last five years) with type 2 diabetes, and BMI of 30kg/m2 or over.
Patients with a BMI of 35kg/m2 or over can also be referred to the service, if they have one or more of the following conditions:
- Established (over five years) type 2 diabetes or previous gestational diabetes
- Hyperlipidaemia uncorrected by maximum tolerated doses of statins
- Sleep apnoea
- Gastro-oesophageal reflux disease (GORD) after assessment by a GI surgeon
- Severe osteoarthritis requiring listing for joint replacement
- Intracranial hypertension
- Infertility in which weight is a barrier to therapy
- Non-alcoholic steatohepatitis (NASH)
Due to a greater risk among some ethnic groups of developing diabetes, for patients of South Asian, Chinese, Black African or Caribbean origin, each BMI threshold is lowered by 2.5kg/m2. For example, referral accepted at BMI 32.5 rather than 35 kg/m2.
Exeter Diabetes Handbook
Diabetes Healthcare Professional
Referral to North Devon Specialist Weight Management service
Please visit the North Devon Formulary website pages for referral criteria here
Secondary care (non-GP) referrals should be addressed to Michael Titmus, Advanced Practice Dietitian & Clinical Lead for the North Devon Specialist Weight Management Service (clearly stating that referral is for the Specialist Weight Management Service).
North Devon Integrated Diabetes Service
The North Devon Integrated Diabetes Service project is working to develop person-centred diabetes care integrated across primary and secondary care and delivered consistently across North Devon.
Where clinically required this care will be in hospital, whilst all other diabetes care will be delivered nearer to home enabling a more holistic service where people with diabetes and their families are empowered, manage their health more effectively and reduce the likelihood of further complications by receiving the advice, support and care that they need when they need it.