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Dr Gautam Das
Dr Gautam Das
MBBS, MRCP(UK), MRCP(London)
Endocrinology
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About

Dr Das is a registered medical consultant with The General Medical Council UK, and a member of The Royal College of Physicians,London. He specialises in Diabetes , Endocrinology and General Internal Medicine.

His post graduate training was in Diabetes, Endocrinology and General Internal Medicine from London /KSS Deanery.His higher specialist training is from Guy's and St Thomas' Hospital ; the key partner in one of London's foremost Academic Health Science Centres, The King's Health Partners.

Dr Das has a NHS practice  at Ashford and St Peter's Hospital NHS Foundation Trust and his private practice is based at Nuffield Health and BMI hospitals. He undertakes regular specialist endocrinology & diabetes clinics and is responsible for admitting and caring for acutely unwell medical patients at St Peter's Hospital.He is part of the on-call consultant rota at St Peters Hospital.One of his key responsibilities is to provide direct medical care to patients as a consultant.He has over 20 years of  experience as a clinician.

He has special interest in Diabetes foot management and Bariatric(obesity) medicine.He contributes to intra and interdepartmental consultations .He is an active member of the Bariatric and Diabetes foot multidisciplinary team based at Ashford and St Peter's Hospital.

Dr Das also supports health education. He is the firm leader  for students from The Imperial College,London and St George's Medical School during their placement at St Peter's Hospital.He is actively involved in undergraduate and post graduate medical training.He is a clinical and educational supervisor for  junior doctors and GP trainees.

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Medical Procedures

    Dynamic Endocrine tests

    Pituitary disorders :

    Combined Pituitary function test

    Glucagon stimulation test

    Suspected Cushing’s:

    Overnight dexamethasone suppression test

    Low dose dexamethasone suppression test

    Prolactinomas and other functioning Pituitary adenomas :

    Cannulated Prolactin test

    Hydrocortisone day curve

    Oral Glucose tolerance test for Acromegaly

    Posterior Pituitary disorders:

    Water deprivation test

    Prolonged water deprivation test

    Adrenal disorders:

    Short Synacthen test

    Plasma aldosterone and renin activity

    Saline infusion test

    Plasma and urine metanephrines

    Clonidine suppression test

    Gut hormone disorders:

    Prolonged oral glucose tolerance test

    Mixed meal test

    Diabetes:

    Oral glucose tolerance test

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Special Interests

    He will be able to offer consultation and advice to those, who are aged 18 years and above and may requires investigation to rule out hormonal causes for the symptoms mentioned as below:

    Excessive sweating 

    Palpitation

    Flushing

    Diarrhoea

    General malaise, tiredness and fatigue 

    Unexplained weight gains or weight loss 

    Menstrual disorder and Galactorrhoea

    Excessive thirst and or urination

    Erectile dysfunction

    Gynaecomastia


    He will be able to offer consultation for adults, if symptoms suggest one has any of the following conditions:


    Low blood glucose(Hypoglycaemia):

    Low blood glucose can be diagnosed from symptoms and confirmed by checking capillary blood glucose. The liver is the major regulator of circulating blood glucose in a healthy individual and responds to circulating level of different naturally secreted hormones. Diagnosis of the cause will require blood tests and or radiology imaging ,following which necessary treatment can be offered.


    Sodium and electrolyte imbalance (Hyponatremia):

    Symptoms of low sodium depends on the rate of development of hyponatremia and on the underlying cause. Focussed history, blood tests and  imaging are required to reach a final diagnosis and to organise subsequent management plan.

    Type-1 Diabetes 

    This condition is caused due to destruction of  beta cells of the pancreas, resulting in loss of insulin production. Anyone with Type-1 diabetes will need daily insulin injections, regular blood sugar monitoring. One with Type-1 Diabetes requires regular follow ups with other specialists like Ophthalmologist, Podiatrist and Dietician.


    Type-2 Diabetes and Obesity 

    This condition is a metabolic disorder caused mostly due to increased insulin resistance, without initial loss of insulin production. Though Diabetes and obesity consultants are trained to manage this condition, one would still need regular follow ups with other specialists such as Ophthalmologist, Podiatrist and Dietician.


    Pituitary disorders:

    The Pituitary gland lies deep within the base of brain. Pituitary disorders can be diagnosed from focussed history, blood tests, and dedicated MRI scan of the pituitary gland and following that the best available treatment can be offered. Pituitary adenomas of size more than 10mm may need further evaluation in the multi-disciplinary team meeting with an endocrine surgeon and a neuro-radiologist.


    Thyroid ,Parathyroid and calcium disorders:

    Thyroid disorders are diagnosed from clinical history.It requires measuring blood levels of thyroid hormones and thyroid stimulating hormone, that show whether one has an overactive or underactive thyroid. I investigate the cause to advise  the best available treatment.

    Thyroid nodules and goitre needs US imaging and may need further fine needle aspiration cytology and there after discussion in a multidisciplinary team meeting.

    I will also be able to offer consultation to investigate over active and under-active parathyroid disorders and disorders causing high and low calcium following which treatment can be planned.

     

    Testicular and Ovarian hormone disorder(Hypogonadism)

    Diagnosis of primary and secondary hypogonadism requires an investigation of the pituitary gonadal hormone axis with blood tests and or radiological imaging following which treatment can be recommended.

    Polycystic ovarian syndrome and Premature ovarian failure can be diagnosed from symptoms and confirmed by blood tests and Pelvic Ultrasound and treated as per protocol.


    Adrenal disorders :

    Adrenal failure or disorders of excess adrenal hormone secretion can be diagnosed from clinical history, blood tests and adrenal radiological imaging.Adrenal nodules found incidentally during imaging are assessed with blood tests, further imaging  and may need input from an Adrenal multi-disciplinary team.

               

             

Education

MBBS, MRCP(UK), MRCP(London) 

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