D-Foundation

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Screening / Wellness Clinic

At our nurse led clinics a variety of basic checks can be done. Advice on general health screening can also be accessed if needed; Some of our specific services include:

A. Prediabetes and Diabetes Screening

B. Blood Pressure Checks

C. Cholesterol Profile Checks

D. Kidney Screening

E. ECG (Heart Screening)

F. Blood Glucose Machine Education

G. Freestyle Libre Application

Medical Consultations

Our Medical Physicians are highly qualified and equipped to deal with  your medical and diabetes specific needs as part of the multidisciplinary team and approach.  A full medical, family and social history will be taken.

Education & Diabetes Specialist Nurse Services

Learn more about your risk of Diabetes and other related NCDs (noncommunicable diseases). Have you or a loved one had a recent diagnosis of prediabetes or diabetes?

Need assistance with getting your blood glucose(“sugars”) to target

Living with Type 1 Diabetes

Unsure about your medication timing

Experiencing high and low blood sugars

Taking Insulin

Experiencing some dramatic life change

Suffering from Diabetes Distress

Require specific attention or advice e.g. shift worker, athlete, elderly relative etc

Need information or education on CGM (continuous glucose monitoring) or Flash Monitoring

EVERY person LIVING with Diabetes or Prediabetes Requires ANNUAL Self Management Education (ADA)
Our Diabetes nurses in particular are specially trained to address your general diabetes and diabetes prevention education, along with coping skills and more specific information related to Medication, Insulin Training & Management, Carbohydrate Counting, Diabetes Distress Management.
Association of Diabetes Care and Education Specialists (ADCES)
We believe everyone deserves to “live their best life!”

Nutrition & Weight Management

Consultations with our Registered Dietitian and Nutritionist provide you with so much information for general health or to manage your Diabetes, Hypertension and other medical conditions. We realize no one eats the same or has the same lifestyle or food preferences, so advice is given after an initial dietetic consultation to understand your personal needs, preference, concerns and barriers.

General Adult Nutrition

Pediatric Nutrition

Individualized Plans for Diabetes Management

Hypertension and Cholesterol Management

Gluten Free Diet Plans

Polycystic Ovarian Syndrome

Meal Planning

Carbohydrate Counting

Weight Management

Intermittent Fasting Plans

Virtual Support Groups

We provide Nutrition Education and advice forall ages and lifestyles tailored to suit your needs.

Cardiology Consultations

Run by a Consultant Cardiologist who tends to all general cardiology issues. Did you know that cardiovascular disease is the leading cause of premature sickness and mortality in persons living with Diabetes, Hypertension, Cholesterol Disorders and those with a significant smoking history? Therefore, early diagnosis is critical as is optimal appropriate investigation and management.

Our Cardiology services are available to the General Public and ALL persons requiring a further opinion not just persons living with Diabetes

Do you have concerns about your cardiac status?

Do you have an abnormal ECG?

Have you had a previous vascular event?

Are you having symptoms that make you wonder if you have a cardiac symptoms?

Please discuss withyour primary care provider first if you require areferral to see a Cardiologist!

Vascular Screening

Screening for Peripheral Arterial Disease (PAD)a common complication of Diabetes and Hypertension and in smokers, which can put one at risk of limb loss. Interestingly African Americans and Caribbean people are at a higher risk of PAD as are persons living with diabetes. A complete history and consultation is taken to uncover any other issues related to the lower limb that may need further attention.
Who should have Vascular Screening

Age 65 years and older

Age 50 years and over living with Diabetes, Hypertension, Cholesterol Problems or having a family history of PAD

Age under 50 year with Diabetes for > 10 years

Long Term Smoker

Personal History or Family History Ischemic Heart Disease or Stroke

Eye Screening

Eye Screening is a painless procedure performed digitally and involves:

A General History and Eye History

Visual Acuity Check (reading the charts)

Digital Retinal Photographs

What else do we offer?

This essentially is used to examine the back of the eye in more detail and can be used to look for diseases of the Optic Nerve, Macula, and the Retina in greater detail
The pressure in the eyes can be measured painlessly with a tool called a Tonometer and if further testing is needed an OCT can be requested by the Eye Team.
Our Eye Screening services are available to the general public!

Foot Clinic

In the foot clinic we deliver general foot and footwear education andprovide the following foot services.

Diabetic Foot Screening

Basic Assessment for Nail & Skin Disorders

Advice on Management of Chronic Venous Disease

Nail Care

Callus Management

Orthotic Services (Coming Soon)

Wound Care Clinic

Our team specializes in providing expert care for diabetic wounds, recognizing the importance of prompt and effective treatment for those living with diabetes. Due to the slower healing process in diabetic individuals, it’s critical to address wounds with urgency.

Please be aware that puncture wounds are treated as surgical emergencies, and any wound showing signs of infection requires immediate attention. In individuals with diabetes, the elderly, or those with nerve damage, the usual signs of infection may not be present, making early consultation essential.

In Barbados, more than 300 amputations are performed annually due to complications from wounds. However, you don’t have to be part of this statistic. Avoid attempting to manage wound care on your own and do not delay seeking professional help.

Remedial Therapy & Massage

Sessions to target specific needs are available by request, following a brief interview to identify what treatments will most meet your needs. The service is currently under further development.