Consultation
Metabolic Health & Diabetes
Metabolic dysfunction often develops quietly. This consultation focuses on insulin resistance, prediabetes, diabetes and the cardiovascular and metabolic risks that travel with them.
Is this for you?
You may recognise some of this.
Prediabetes
Type 2 diabetes
Insulin resistance
Elevated fasting glucose
Elevated HbA1c
High triglycerides
Abdominal weight gain
Fatty liver or metabolic liver concerns
Family history of diabetes
Difficulty controlling blood sugar
Metabolic syndrome
Wanting to reduce future diabetes risk
Wanting more intensive metabolic optimisation
What we explore
Symptoms usually have more than one contributor.
We consider the areas that most often drive what you are experiencing, then narrow down to the ones your history and examination point towards.
- 01Glucose control
- 02Insulin resistance
- 03Body composition
- 04Blood pressure
- 05Cholesterol and lipoprotein risk
- 06Kidney health
- 07Liver health
- 08Cardiovascular risk
- 09Weight
- 10Nutrition
- 11Physical activity
- 12Current medication
How we investigate
Assessment before assumption.
Investigations are selected according to your history, symptoms, examination and clinical context. Not every patient requires every test.
Glucose and HbA1c
Relevant insulin assessment where appropriate
Advanced lipid assessment
Kidney function
Urine testing where indicated
Liver markers
Blood pressure
Body composition
Relevant nutritional and hormonal markers
Additional cardiovascular assessment where appropriate
From assessment to action
From assessment to action.
- 01
Consult
- 02
Investigate
- 03
Understand
- 04
Treat
- 05
Review
Investigation is only useful when it changes what we do. Once we understand the likely drivers of your symptoms or health concern, we build a focused treatment strategy around the findings.
The Process
What treatment may involve
Lifestyle intervention
Nutrition
Weight management
Evidence-based diabetes medication
GLP-1/GIP therapy where clinically appropriate
Management of blood pressure
Lipid-lowering treatment where indicated
Cardiovascular risk reduction
Body composition optimisation
Exercise strategy
Ongoing monitoring
The objective is not only better glucose. It is reducing the long-term cardiovascular, kidney and metabolic consequences associated with insulin resistance and diabetes.
Focused care. One priority at a time.
Your consultation is centred on the reason you booked. If we identify another area that would benefit from deeper assessment, we may recommend a separate focused consultation rather than trying to address everything superficially in one appointment.
Ready to take the next step?
Book the consultation that best matches your main concern. We can build from there if anything else needs deeper assessment.