Guy's and St Thomas' exenatide service
The Guy’s and St Thomas’ Team are currently focusing on introducing exenatide therapy. This treatment is relatively new, is given by subcutaneous injection and should only be started after review by a consultant diabetologist. More details are given in the local guidelines below. Patients thought suitable for exenatide therapy should be referred up to the appropriate hospital diabetes unit.
Who Is This Treatment For?
Exenatide should be considered as a treatment for patients with type 2 diabetes who have inadequate glycaemic control (HbA1c above 7.5%) on maximum doses of sulphonylurea and metformin and who are also obese (BMI above 35 kg/m2). Previously, such patients would have been started on insulin but this often causes undesirable weight gain.
Contacting the Service
Diabetes and Endocrine Day Centre, Guy’s Hospital:
Tel: 020 7188 1915
Fax: 020 7188 1926
Diabetes and Endocrine Day Centre, St Thomas’ Hospital:
Tel: 020 7188 1981
Fax: 020 7188 1991
More details can be obtained by downloading our guidelines for healthcare professionals on the initiation of exenatide (in pdf format)
Note these files are in Adobe Acrobat pdf format. If you have not installed and configured Adobe Acrobat Reader on your system, a free download is available from Adobe.