Diabetes management with Dr Stavy
Diabetes care.A joined-up plan.
Dr Stavy’s diabetes management combines diet, conventional medicine and selected holistic support around the needs of the individual. The aim is to improve day-to-day control and wider metabolic health without losing sight of established diabetes care, medicines, monitoring or complication prevention. This page focuses mainly on type 2 diabetes.
- Three parts
- Diet, conventional medicine and selected holistic support
- Whole-health review
- Glucose control, medicines and wider metabolic risk considered together
- Connected care
- Your existing GP or diabetes-team plan remains important
What patients say about Dr Stavy
These short excerpts are from public Google reviews. They describe individual experiences of the consultation and do not predict a medical outcome.
“She puts her patients at ease and makes them feel comfortable sharing their concerns.”Penny Karaoulani · Google review
“She is patient, understanding and kind.”Kosta Papa · Google review
“She takes incredible care to get to know her patients’ whole lives.”Nicola Ihnatowicz · Google review
Where are you starting from?
You may already have a diabetes diagnosis and want a more joined-up review. You may be concerned about blood-glucose results, weight, medicines or long-term risk. Perhaps you are doing well but want to understand how food, treatment and follow-up fit together.
You do not need to arrive with a new treatment in mind. Bring the questions that matter to you and the information you already have.
Dr Stavy uses an integrative approach to diabetes.
Dr Stavy tries to improve diabetes through diet, conventional medicine and selected holistic medicine. In practice, that means looking at the medical plan and the person around it rather than treating food, medicines and daily life as separate problems.
The conventional part of care remains important. Diabetes can affect the heart, kidneys, eyes, nerves and feet, and treatment decisions need to take those risks into account. NICE updated its type 2 diabetes medicine recommendations in February 2026 and continues to emphasise individualised treatment and shared decision-making. [1]
Holistic support is not used as a reason to stop essential diabetes treatment. The evidence for different complementary approaches varies, and some products can interact with medicines. If you want to discuss a holistic treatment, bring the exact name, dose or product so it can be considered in the context of your diabetes care.
What should a diabetes review keep in view?
A diabetes review is broader than one glucose reading. NICE and NHS diabetes care processes include glucose control, cardiovascular risk, kidney health, foot checks and retinal screening. The exact targets and frequency depend on the person and their treatment. [1][2]
| Area | Why it matters | What to bring or clarify |
|---|---|---|
| Glucose control | HbA1c gives an average picture of blood glucose over time. Home glucose or sensor readings can add context when they are part of your treatment plan. | Recent results and any monitoring data your care team has asked you to collect. Ask what target applies to you. |
| Medicines | Benefits, side effects, kidney function, cardiovascular risk and the risk of low blood glucose can affect medicine choices. | A current medicine and supplement list. Do not stop or alter prescribed treatment without clinical advice. |
| Heart and kidney risk | Diabetes increases cardiovascular and kidney risk, so blood pressure, cholesterol and kidney tests are part of routine care. | Recent blood pressure, cholesterol, creatinine/eGFR and urine albumin results where available. |
| Eyes and feet | Retinal screening and foot-risk assessment help detect complications that may need earlier action. | The date and outcome of recent screening, plus any new foot wound, numbness or change in vision. |
| Daily life | Food, activity, sleep, stress, work patterns and treatment burden can affect how practical a plan is. | What is working, what is difficult and which changes feel realistic for you. |
Diet should support the medical plan.
Food is one part of diabetes management. There is no single eating pattern that suits every person with type 2 diabetes. The useful question is how a diet fits your blood-glucose control, weight, medicines, cardiovascular risk, preferences and daily life. NICE links dietary advice with healthy living and weight management rather than one universal prescription. [1]
Bring a realistic picture of how you eat rather than trying to make it look “perfect” for the appointment. If a change is likely to affect glucose levels or medication needs, that change should be considered alongside the clinician responsible for your treatment.
A diet plan should also be sustainable. If the approach is so restrictive that it is difficult to maintain, causes repeated low glucose episodes, or conflicts with other health needs, it needs review rather than more willpower.
Medicine decisions need context.
Diabetes medicines are not chosen from HbA1c alone. NICE’s 2026 update places more emphasis on cardiovascular disease, heart failure, kidney disease and other individual factors when choosing glucose-lowering treatment. [1]
If you want a second look at your treatment, bring the exact names and doses of your medicines and explain how you take them. Also mention side effects, missed doses, episodes of low glucose, recent illness and any supplements or holistic products you use.
This page does not state that Dr Stavy routinely takes over diabetes prescribing from your NHS GP or specialist team. Where another clinician is responsible for a medicine, the safest approach is to make responsibilities explicit before treatment is changed.
Do not change treatment on your own
Some diabetes medicines can cause low blood glucose. Illness, vomiting or diarrhoea can also change what is safe to take. NHS guidance advises people using diabetes medicines to speak to a doctor or healthcare team when unwell and not to stop medicines unless instructed. [5]
If you use insulin, do not skip or stop it because you are unwell without following your sick-day plan or urgent clinical advice. DKA can develop quickly and needs hospital treatment. [3]
If you are considering prescription treatment for weight management as part of diabetes care, read the weight-management medicine assessment page for the separate assessment and monitoring process.
Ongoing care should stay connected.
Diabetes management is not a one-off consultation. Results, medicines, food, symptoms and long-term risk need review over time. The NHS recommends regular checks for glucose control, blood pressure, cholesterol, kidney health, feet and eye screening. [2]
Dr Stavy’s role is to bring a broader medical and holistic perspective to that picture. If you already have an NHS GP, diabetes nurse, endocrinologist or another specialist, tell her which parts of care they manage. Ask who is responsible for prescriptions, routine diabetes checks, urgent advice and follow-up.
That clarity matters because two clinicians can otherwise make reasonable decisions from different pieces of information. Bring updated letters and results where possible, and make sure important changes are shared with the clinician who needs to act on them.
Prepare for the appointment.
Bring your medicine and supplement list, recent diabetes blood results, relevant letters, and any home glucose or sensor information that your care team has asked you to monitor. Note any episodes of low glucose, new symptoms, side effects or practical difficulties with the current plan.
If you have recent eye, foot or kidney assessments, bring the outcome or date. You do not need to repeat tests simply because you are having a private consultation. Dr Stavy can review what is already available and discuss whether anything else would answer a useful question.
Questions about diabetes care with Dr Stavy
What kind of diabetes care does Dr Stavy provide?
Dr Stavy approaches diabetes and metabolic health through diet, conventional medicine and selected holistic support. The consultation can review your current treatment, results, daily habits and wider health risks. The aim is a joined-up plan, not a promise to cure or reverse diabetes. Established diabetes monitoring and necessary medical treatment remain important.
Does holistic medicine replace my diabetes medication?
No. Holistic approaches are not used as a routine replacement for necessary diabetes treatment. Evidence and safety vary between complementary approaches, and some products can interact with medicines. Bring the exact product or treatment you want to discuss. Do not stop prescribed diabetes medication unless the clinician responsible for it advises you to do so.
Will Dr Stavy change my diabetes medicines?
This page does not state that Dr Stavy routinely takes over diabetes prescribing from your NHS GP or specialist team. She can review the medical picture and discuss treatment questions. If another clinician is responsible for a medicine, clarify who will make and monitor any change before altering the plan.
What should I bring to a diabetes consultation?
Bring your current medicines and supplements, recent HbA1c and other relevant blood results, any kidney results, clinic letters and the dates or outcomes of recent eye and foot checks. If you monitor glucose at home, bring the information your care team has asked you to collect. A short list of your main questions is also useful.
How often should diabetes be reviewed?
Review frequency depends on your treatment, glucose control, other health conditions and which checks are due. NHS guidance describes regular monitoring of HbA1c and at least annual review of several wider risk factors, while eye and foot pathways have their own schedules. Follow the plan agreed with the team responsible for your diabetes care. [2]
What symptoms need urgent diabetes care?
Call 999 or go to A&E if diabetes is accompanied by marked thirst and frequent urination with vomiting, severe drowsiness or confusion, or shortness of breath, because DKA or HHS can be life-threatening. Call 999 if someone with suspected severe low blood glucose is unconscious or having a seizure. [3][4]
Can Dr Stavy’s care work alongside my NHS diabetes team?
Yes, provided responsibilities are clear. Bring details of the clinicians already involved and the plan they have given you. Ask who is responsible for prescriptions, routine monitoring, urgent advice and follow-up. A private consultation should add useful context without creating a second, conflicting diabetes plan.
Medical sources and further reading
- NICE NG28: Type 2 diabetes in adults: management. Updated February 2026, including revised medicine recommendations and healthy-living terminology.
- NHS: Treatment for type 2 diabetes. Includes ongoing checks for HbA1c, blood pressure, cholesterol, kidney health and feet.
- NHS: Diabetic ketoacidosis. Urgent symptoms and emergency routes.
- NHS: Complications of type 2 diabetes. Includes urgent signs of DKA or hyperosmolar hyperglycaemic state.
- NHS: Type 2 diabetes treatment and illness advice. Guidance on medicines when unwell and when to seek urgent advice.
The medical sources support the general diabetes information. The description of Dr Stavy’s integrative approach reflects the practice input supplied by the project owner. Final clinical wording approved by Dr Stavroula Nikitopoulou and independently reviewed by Mr Stefanos Kachrilas.
Bring the pieces together.
If you already live with diabetes and want a broader review, ask about a diabetes and metabolic-health consultation with Dr Stavy. Bring your current plan, results and the questions you want to understand better.
Dr StavyDiabetes & metabolic health
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