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Barnstable Brown Kentucky Diabetes and Obesity Center



Clinical Care

U.S. News #1 Hospital in Kentucky and Recognized in 10 Specialties

Ranked High Performing in Diabetes and Endocrinology

The Kentucky Diabetes and Obesity Center strives to provide exemplary care for patients with type 1, type 2, or other types of diabetes. Upon admission to the hospital, patients continue to be followed by their endocrinologist or other health care providers, leading to seamless provision of care. Rapid responses to clinical consults are provided by Center clinical staff for both inpatients and outpatients. Referring physicians are provided with rapid communication summarizing findings and treatment plan. Diabetes education is offered to all patients through our AADE accredited diabetes education program provided by our Certified Diabetes Educators or referral to a local diabetes education office. Urgent Endocrinology appointments will be accommodated every Tuesday or Friday afternoon, or at other times by arrangement. Patient care is provided by diverse health care providers on campus, including primary care, and other healthcare providers, including allied health professionals, Dentistry and Nursing. Patients will receive pre-operative or pre-procedure guidelines for diabetes management. Excellent glycemic control during hospital admission is a priority.

Clinical interdisciplinary initiatives of the Center include:
  • Preoperative surgical diabetes evaluation and management.
  • Management of diabetes in transplantation.
  • Management of Cystic Fibrosis related diabetes.

Centralized treatment algorithms and guidelines have been developed and utilized at the UK Chandler Medical Center and UK Good Samaritan Hospital. All health care providers within the UK HealthCare network are trained in the use of these guidelines and algorithms to ensure that all patients with diabetes receive exemplary care by all UK HealthCare providers.

A major goal of the Center is to liaise with regional health care providers around the Commonwealth of Kentucky to enable patients to receive their diabetes care close to home, and utilize the UK Diabetes and Obesity Center clinic location only as needed.

To facilitate care for outpatients with diabetes, the goal is to develop a "one stop" clinic visit addressing all diabetes needs. This is currently under development, with the goal to provide collaborative clinical efforts and scheduling to accommodate diverse health care provider evaluations. By scheduling diabetes, ophthalmology, cardiology and other consultant appointments on the same day, especially for those patients who travel long distances to their appointments, patients will receive excellent, multidisciplinary care addressing their healthcare needs, and maximizing efficient use of their time.

Obesity Management

 Our obesity program is aimed at medical management of complications associated with obesity, including hypertension, diabetes, metabolic syndrome and lipid and cholesterol disorders. Patients are offered comprehensive evaluation by endocrinology providers, laboratory assessment, dietician counseling, and a group therapy lifestyle intervention class. Treatment programs include:

  • Low-calorie diets
  • Lifestyle changes through the incorporation of group therapies
  • Clinical investigations
  • New nutritional applications

In co-operation with the University of Kentucky, Division faculty and senior trainees provide medical supervision for the HMR Program, an intensive multidisciplinary weight loss program located at Tates Creek Center. Further information is available at Health Management Resources

 In addition Dr. Barbara Fleming-Phillips is a Diplomate of the American Board of Obesity Medicine (ABOM). The American Board of Obesity Medicine serves the field of obesity medicine by establishing a credentialing protocol and maintaining a standard for assessment and certification of physicians.  Certification signifies a level of completion of education and competency the field of obesity study.  The ABOM is not yet recognized as a specialty by the American Board of Medical Specialties.  Currently, the ABOM is a partner organization with the American College of Physicians, The Endocrine Society, the American College of Preventive Medicine as well as Harvard, Columbia and many others.  The certification further allows Dr. Fleming-Phillips to evaluate and treat patients in the areas of lifestyle medicine and obesity management.

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Page last updated Wednesday, March 11, 2015