Metabolic Medicine


The department of Metabolic Medicine is the speciality of medicine, which deals with the management of people with Diabetes (abnormalities of blood glucose ‘sugar’ control), Endocrinology (conditions leading to hormonal imbalance) and disorders of metabolism such as Lipid (blood ‘fats’ and cholesterol) and Bone chemistry such as brittle bone disease (Osteoporosis).

The department is staffed with dedicated specialist consultants, nurses and pharmacists. Dedicated facilities have been established with an Outpatient unit (Entrance 10) and an In-patient ward (E53) to provide non-urgent care and emergency for patients with all metabolic diseases.

Care is provided on a multidisciplinary model with well-established links with several other key disciplines at City Hospitals these include: Bariatric Surgery, Ears, Nose and Throat, Endocrine Surgery, Paediatrics, Podiatry, Obstetrics & Gynaecology, Urology and Vascular Surgery.



We provide expert management for adults with type 1 and type 2 diabetes, our specialist diabetes nurses, dietitian and clinical psychologist run a dedicated joint clinics, telephone service and structured education course for those patients with type 1 diabetes.

Additional services include: Insulin Pump Clinic, Adolescent and Transitional, Pre Conceptual Care, Ante Natal Diabetes, Ambulatory Care clinic for Hypoglycaemia and Hyperglycaemia and community diabetes clinics located at Washington galleries.



We provide expert investigation, treatment and management of all endocrine conditions; including Pituitary, Thyroid, Parathyroid, Adrenal, Testis, and Ovary.

We work closely with the regional endocrine team and are part of the Northern Cancer Thyroid Network based at the Freeman Hospital, and the Combined Pituitary Service based at the Royal Victoria Infirmary in Newcastle.



The department provides a Sub-regional service (South of Tyne and Wear, South Shields and North Durham) in Lipid disorders and will soon provide a genetic screening service.

We run dedicated clinics dealing with bone and calcium health within the department and in collaboration with colleagues in the department of rheumatology and orthopedics.


Key Staff

Clinical Director
Dr John Painter

Directorate Manager 
Jackie Burlinson

Dr Peter Carey
Dr Nimantha De-Alwis
Dr Ashwin Joshi
Dr Rahul Nayar



Department of Diabetes, Endocrinology & Metabolic Medicine
Entrance 10, Sunderland Royal Hospital
Kayll Road
Tyne & Wear  SR4 7TP


Information Prescriptions

Bad Cholesterol
High Blood Pressure



Metabolic Medicine Reception – Tel 0191 565 6256 ext 40180
Diabetic Specialist Nurses – Tel 0191 565 6256 ext 42777 / fax 0191 541 0530
Dr Carey’s cecretary – Tel 0191 565 6256 ext 47449
Dr Joshi’s secretary- Tel 0191 565 6256 ext 42160
Dr Nayar’s secretary – Tel 0191 565 6256 ext 42180
Secretaries Office Fax – 0191 5699971



Diabetes Websites
Diabetes Bible
Diabetes NHS
Diabetes UK
Diabetes Research & Wellness Foundation
Dose Adjustment for Normal Eating (DAFNE)
Erectile Dysfunction Health
International Diabetic Association (Sports)
Juvenile Diabetes Research Foundation
Neuropathy Trust

Thyroid & Endocrinology Websites
Addison’s Disease (self help group)
British Thyroid Association
British Thyroid Foundation
Klinefelters Syndrome Association UK
National Institute of Child Health & Human Developement (Klinefelters)Society for Endocrinology
The Pituitary Foundation
Turners Syndrome Support Society
You and Your Hormones

Other  Useful Web sites
British Heart Foundation
Driving & Vehicle Licensing Agency (DVLA)
NICE – National Institute for Health & Clinical Excellence