What is type 2 diabetes?

A disease that’s set to become an epidemic

This is by far the most common type of diabetes, accounting for more than 90% of all diabetes cases.

Type 2 diabetes occurs more frequently in mid-life, though it’s now rapidly increasing among people of all ages. With the major increase in childhood obesity, type 2 diabetes is now increasingly found in children.

Obesity and inactivity are currently on the rise, which lead experts to describe the current surge in the disease as an epidemic. The numbers of people affected worldwide could double by 2025. In the UK, estimates based on current population trends predict that almost 5 million people will have diabetes by 2035, with type 2 accounting for almost all of that increase. Diabetes currently costs our health systems almost £10 billion each year and tackling the rise in the disease is vital

The disease runs in families. If either of your parents has type 2 diabetes, there is a 10–15% chance that you’ll get it.

Difficult to diagnose, tricky to treat

Type 2 diabetes is such a tricky condition because its onset is gradual, starting imperceptibly, initially with a normal blood glucose levels but raised serum insulin implying resistance to the action of insulin, the hallmark of Type 2 diabetes. And because it doesn’t start with obvious symptoms, it’s estimated that as many as 25% of people with this kind of diabetes are unaware that they have it.

Overt type 2 diabetes occurs because there is not enough insulin produced by the beta cells in the pancreas and also because there is resistance to the effective action of this insulin. In time, insulin production slowly declines and treatment with insulin may become necessary.

Insulin resistance is the key

The mechanism behind this early insulin resistance is believed to be the excess fat in muscle, pancreas and liver. So treatment is initially directed at increasing insulin sensitivity by weight loss and exercise where appropriate, and by the use of drugs that increase insulin sensitivity, assist weight loss, avoid hypoglycaemia and protect from heart and kidney disease.

Looking after your arteries

This insulin resistant state is now also known to be associated with high blood pressure, as well as raised triglyceride and low high density lipoprotein cholesterol levels. All of these abnormalities increase the risk of coronary heart disease and stroke. The intensive management of all of these risk factors is now known to be as important as normalising blood glucose.

Support Plans

Peace of Mind Plan

Continuous monitoring of your glucose readings by an expert team
Stay alert of any trends or issues that arise in your readings
Together with your diabetes specialist nurse, agree an action plan if a serious issue arises

Breathe easy knowing that you’ll also have access to a specialist to clear up any confusion or doubt that you may experience.

Second Opinion

A 30-minute consultation with an experienced Diabetes specialist consultant including a review of your medical history and clinical treatment.
Expert analysis of CGM and blood tests previously performed by your GP or hospital diabetes team.
Individual care-plan and recommendations for treatment, depending on the results of the review.

Expert second opinions in the comfort of your home to help you improve your diabetes control and safeguard your health.

Diabetes Introduction

A 30-minute consultation with an experienced diabetes specialist nurse.
A professional assessment of your diabetes status.
This includes an HbA1C test, which provides a picture of your average blood glucose over the previous few months.

The Diabetes Introduction package is for people who have recently been diagnosed with diabetes and those who are worried about their risk of developing the condition.

Consultant Comprehensive Review

A 30-minute consultation with a leading Diabetes specialist consultant
Pathology tests including HbA1C, cholesterol and lipids, full blood count and analysis of liver, kidney and thyroid function.
Bespoke care plan to improve your diabetes management.

The Comprehensive Consultant Review is our in-depth consultation. It provides a more comprehensive assessment of your diabetes and general health.

Diabetes Weight Management

You will be supervised throughout by a leading Diabetes consultant specialising in weight management including at least one consultation
You will be provided with appropriate advanced weight loss control medication at least a 4 week programme
Bespoke plan to improve your diabetes weight management and support throughout the programme from your dedicated Health Coach to encourage you and answer any questions

The London Diabetes Centre provides a range of remote weight management plans so you can access the support you need to reach your health goals, wherever you live.

Risk Assessment

A 30-minute consultation with a DSN or diabetes dietitian
Diabetes risk questionnaire
Height, weight, blood pressure, HbA1c blood test and Body Composition Analysis

Our plan is designed for patients who have not been diagnosed with diabetes who want to check their current health status and understand if they are at risk of developing diabetes.

Second Opinion

A 45-minute diabetes consultant consultation with written report
A 60-minute diabetes dietitian or DSN appointment
Height, weight, blood pressure, HbA1c blood test and glucose test

Our plan is designed for recently diagnosed patients who are unsure about their diagnosis and need a second opinion or need help deciding on their care plan.


A 45-minute diabetes consultant consultation with written report
A 60-minute diabetes dietitian or DSN appointment
Height, Weight & Blood Pressure, HBA1c, Blood Glucose, Urine Alb/Cr and other tests

This Gold Standard in diabetes assessment will cover most people’s fundamental requirements for diabetes care.


45 minute consultation with Diabetes Consultant to discuss the results and provide a written report
Advanced Lipoprotein Analysis
An OCT - Optical coherence tomography, Ankle and Toe Brachial Index and DEXA scan

This premium plan includes an in depth assessment of your diabetes status and also your wider health risks concerning cholesterol and metabolic health

Looking to speak with a member of our team?

Carol Willis

Carol Willis - Diabetes Clinic Facilitator

If you couldn’t find what you were looking for today, feel free to give us a call at 0800 048 3330 and ask Carol and her team. Alternatively, just fill in this form and someone will get in touch with you promptly. By using this form, you are consenting to the storage and handling of the data contained in the form by our team.