The clinic which is on Thursday afternoons in the diabetes centre is mainly to assess specific issues for patients with diabetes eg assessment of poor glycaemic control, nephropathy, erectile dysfunction, neuropathy, refractory recurrent hypoglycaemia, refractory hypertension, and is not a replacement for the diabetes review clinic in hospital on Wednesday mornings or in general practice. The consultant physician requests blood tests and investigations when necessary.

A treatment plan is then constructed in a letter to the GP with recommendations for future management.