General practitioner

For consultation about a patient or about a referral you can contact our medical specialist at:

Tel. 088-2807277 (24 hours a day, 7 days a week).

Type 1 diabetes occurs at an ever earlier age, but is relatively rare. In the Netherlands, about 6.500 diabetes patients are under sixteen years of age. Paediatricians therefore have limited experience with and knowledge of this disease. Diabeter is the only caregiver that is able to give children and young adults with type 1 diabetes the care and treatment at the level that is needed for this complex and chronic disease. We reach this aim because we are solely committed to treating patients with type I diabetes and have all the special knowledge that is not always at hand in general hospitals.

Demonstrably less complications

Our complete, continuous long term aim at diabetes care leads to demonstrably less complications in both the short and the long term. Our quality indicators and patients’ experience tell the story about this.

Fast diagnose is essential

It is of the utmost importance to recognise (type 1) diabetes quickly. The disease can develop rapidly. As a general practitioner you play an important role in this respect.

It is always possible for children (0-18 years) to have diabetes. Think about the following:

• Diagnostic levels in children can be identical to those in adults.
• 98% has type 1: absolute deficit of insulin = absolute danger for ketoacidose deregulation (DKA).
• With young children (still in diapers) the symptoms are subtle and comparable to other diseases. The threat of deregulation and diabetic ketoacidose/coma is indicated by typical signs: feeling groggy, vomiting, Kussmaul breathing (looking like asthma in young children), drinking much and having to pee a lot (a contradiction in gastro-enteritis: no polyuria).
• Contrary to adults the course of deregulation on account of diabetes is very fast: in 4 to 8 hours they can go from “a little under the weather” to comatose.
• A child with a high glucose level has to be seen in a hospital immediately.

If the blood sugar level is immeasurably high, breathing is quick and/or the child is groggy, immediate transportation to a hospital security ward is necessary: call 112.

Set values for sober capillary blood sugars

• Normal <5,6 mM, from 6,1 mM up is fitting for diabetes

Set levels capillary blood sugars after meal:

• Normal <7,8 mM, from 11,1 mM up is fitting for diabetes

Referring

We accept patients from everywhere in the country. If you want to refer a patient, please provide us with a letter with all relevant patient data from the past. You can fax this to 088-280 92 99. The referral will be to the Diabeter office nearest where the patient lives. All entries of recently diagnosed patients preferably go through the available specialist: 088-280 72 77, option 1.

Why refer to Diabeter?

The advantages of referring patients to Diabeter:

• Specialized high-value diabetes care
• Availability of a medical specialist 24/7
• Centre of Reference from the EU-SWEET program
• Use of the latest technology and treatment and research results
• Only 3% diabetes related hospitalizations per year (national average 20%)
• Multidisciplinary team including dietician and psychologist
• Intensive coaching of child and family, also in digital form (email, uploads)
• Patient friendly environment in our offices
• Actively involved in scientific research and schooling
• Easy to reach by car and public transport
• Completely paid for under the basic health care insurance.