Reviewed on : 24 May 2017

Reviewed by : Dr Jim McMorran

Expires : 24 May 2019

The Community Diabetes and Cardiovascular Risk Clinic Service

Spires Suite at City of Coventry Health Centre, 2 Stoney Stanton Road, Coventry CV1 4FS.

Referral via the NHS eReferral Service (clinic is called “Community”) for patients with a Coventry registered GP.

Service provided by General Practitioners with Specialist Interest (GPwSI):

Dr Jim McMorran and Dr Mukesh Mistry

Difficult to manage diabetes patients including:

• Suboptimal glycaemic control despite three oral hypoglycaemic agents
• Initiation of newer therapies such as SGLT2 inhibitors, GLP1s
• Consideration for conversion to injectable therapies
• Difficult to manage lipid problems in diabetic patients
• Patients with unstable glycaemic control

Difficult to manage lipid problems including:

• Statin intolerance
• Mixed hyperlipidaemia
• Hypertriglyceridaemia
• Possible familial dyslipidaemias such as familial hypercholesterolaemia and familial combined hyperlipidaemia
• Assessment of cardiovascular risk with specialist markers such as lipoprotein a, apolipoprotein B levels
• Management of low HDL
• Initiation of combination lipid lowering therapies such as combining a statin and fibrate
• Management of combined dyslipidaemia in renal impairment