The Endocrinology and Diabetes Unit provides assistance on every clinical, diagnostic and therapeutic aspect of Diabetes Mellitus. In fact, doctors, nurses, nutritionists, psychologists and podiatrists collaborate in the OU to optimize therapy and prevent complications.
The center has one of the largest patient series with Type 1 diabetes, both in multi-injection insulin therapy and in pump therapy. In fact, it boasts a long experience in the management of insulin therapy, through insulin pumps and integrated pump and sensor systems.
Training in the use of new technologies is therefore provided (insulin pumps, continuous blood glucose monitoring, flash glucose monitoring and home blood glucose monitoring according to precise personalized plans).
There is an outpatient clinic for the transition in order to effectively manage this delicate phase of transition from the pediatric diabetes center to the adult diabetes center.
Each patient is offered a path based on the evaluation of the most appropriate intervention modalities to the case, to respond to the health needs of each individual, to ensure flexible, personalized, integrated and continuous responses that take into account the real needs and care needs.
In particular, the path dedicated to patients with Type 1 diabetes includes a general clinical evaluation associated with the execution of complete blood chemistry tests, electrocardiogram and, in newly diagnosed patients, antibodies against pancreatic beta-cell, autoimmune process marker, evaluation of insulin secretion by measuring the C-peptide.
Neurological consultations are also performed, with the execution of electromyography, and ophthalmology, with the in-depth study of the fundus oculi. In patients with peripheral vasculopathy, CT angiography of the arterial circulation of the lower limbs is performed.
For Type 2 diabetes, in addition to boasting a high number of cases and a high specialization in the use of old and new drugs, it offers a multidisciplinary approach to the disease, with the management of cardiovascular risk factors (hypertension and dyslipidemia) including the possible need to resort to bariatric surgery.
It deals with the planning of pregnancy in women with Type 1 and Type 2 Diabetes, with the therapeutic management of diabetes in pregnancy, both gestational and pre-pregnancy, and with the management of fertility problems related to metabolism.
A collaboration is active with the U.O. of Obstetric Pathology for a coordinated management of gestational diabetes.
It is a reference center for the multidisciplinary care of Diabetic Foot with the collaboration of Vascular Surgeons, the Orthopedic Surgeon, the Interventional Radiologist, the angiologists, the podiatrist and orthopedic technicians.
A clinical assistance path is active which facilitates hospitalizations in case of emergencies. In addition, the center specializes in the diagnosis and treatment of a particular form of diabetic foot "Charcot's foot", and for the treatment of complicated ulcers thanks to the use of advanced dressings and instruments that promote healing.
A program for the management of acute diabetes complications is active with the Emergency Medicine and First Aid Unit.
