Diabetes and Technological Monitoring Unit

Specialist assessment and advanced management of diabetes

The Diabetes and Technological Monitoring Unit at the Memorial Publio Cordón Hospital offers expert care to people with prediabetes, type 1 diabetes or type 2 diabetes who require a precise clinical assessment and a structured treatment plan.

Under the medical supervision of specialists in Endocrinology, the Unit is involved both at the time of diagnosis and in cases of inadequate control, metabolic decompensation or the need for advanced treatment optimisation.

The aim is to establish a personalised plan, based on objective data and current scientific evidence, geared towards sustained metabolic control and the prevention of medium- and long-term complications.

Specialist care for difficult-to-manage diabetes

The unit is intended for people with persistent difficulties in achieving glycaemic control, difficulties adapting to treatment, a need for insulin adjustment, or the need to assess new therapeutic strategies. It also provides care for newly diagnosed diabetes, pregnancy planning for women with diabetes, recurrent hypoglycaemia, or progression from prediabetes to established diabetes.

Expert assessment enables the precise determination of the type of diabetes, its stage of progression and the individual’s metabolic profile – key factors in making safe and appropriate treatment decisions.

Clinical situations requiring specialist assessment for diabetes

The unit takes a structured approach to the study of glucose metabolism disorders, analysing each case according to personal history, comorbidities, cardiovascular profile and realistic treatment goals.

Among the clinical conditions most frequently requiring specialist assessment are:

• Prediabetes with high metabolic or cardiovascular risk.

• Type 1 diabetes at various stages of progression.

• Type 2 diabetes with inadequate control or a need for intensified treatment.

• Recurrent hypoglycaemia.

• Advanced adjustment of insulin therapy.

• Implementation and optimisation of technological devices.

• Assessment and monitoring of associated complications.

Each case is analysed in accordance with sound clinical criteria, incorporating the available scientific evidence and the most appropriate treatment options.

Accurate diagnosis and planning based on objective data

The assessment begins with a specialist consultation during which the patient’s glycaemic profile, previous treatment, dietary habits and level of physical activity are reviewed in detail.

The unit utilises advanced systems for continuous glucose monitoring, analysis of glycaemic variability and specific metabolic tests, which enable a precise interpretation of daily changes in glycaemic control.

Where the clinical situation requires it, a coordinated assessment is carried out between the endocrinology department and other hospital specialities, establishing a structured treatment plan tailored to each individual.

Advanced personalised treatments

The therapeutic approach includes optimising medication, personalised adjustment of basal and prandial insulin, the use of insulin pumps and automated hybrid systems, as well as structured therapeutic education programmes.

The incorporation of technology — continuous monitoring, interstitial sensors and digital monitoring platforms — enables clinical decisions to be made based on objective data and improves adherence to treatment.

Each intervention is prescribed following a rigorous individual assessment, taking into account benefits, risks and the patient’s ability to manage the treatment, always under specialist medical supervision.

A specialist team and ongoing support

The unit comprises endocrinologists with experience in advanced diabetes, nursing staff specialising in diabetes education, and clinical dietitians with specific training in dietary planning aimed at glycaemic control.

The care model prioritises structured support from the time of diagnosis and throughout the course of the disease. Time is set aside to explain the process, answer questions and provide training in the safe use of technology and insulin treatment.

Therapeutic education is an essential part of the care plan, enabling each person to understand their condition, play an active role in clinical decisions and acquire practical tools for daily life.

This approach combines medical rigour, advanced technology and a personalised approach based on active listening, clear information and ongoing monitoring.