• Discipline of Diabetes & Endocrinology

    ABOUT THE DISCIPLINE

    The Department of Diabetes and Endocrinology has a rich history dating back to the 1970s, when it was established under the leadership of Professor A.C. (Kader) Asmal. In the early 1980s, Professor Asmal emigrated to the United States, and Professor M.A.K. Omar, his protégé, succeeded him until 1987.

    From its inception, the unit has been deeply involved in clinical research, particularly in the field of diabetes and metabolic disorders. Originally based at King Edward VIII Hospital, the department relocated to the Inkosi Albert Luthuli Central Hospital in October 2002, enhancing its ability to provide specialized and advanced endocrine care.

    In 2004, the unit evolved into the Department of Endocrinology, and by 2007, it became the Department of Diabetes and Endocrinology, reflecting its growing role in both diabetes management and endocrine health.

    Our Team and Facilities

    The department comprises:

    • 4 full-time Consultants

    • 4 part-time Consultants

    • 2 Registrars in rotation from the General Medicine pool

    • Dedicated Nursing staff in both the clinic and ward

    Together, this team provides comprehensive diabetes and endocrine care at Inkosi Albert Luthuli Central Hospital in Durban.

    Services and Collaboration

    Serving as a tertiary referral centre for diabetes and endocrinology in KwaZulu-Natal, the department offers:

    • Four weekly outpatient clinics

    • In-patient facilities for advanced management

    • Close collaboration with allied specialties including Neurosurgery, Specialised Surgery, and Chemical Pathology

    The Department of Diabetes and Endocrinology remains committed to clinical excellence, patient-centered care, and ongoing research to advance the treatment of diabetes, thyroid, and hormonal disorders across South Africa.

    Undergraduate Courses

    The unit is actively involved in both undergraduate and post graduate teaching. 

    • Lectures 4th year
    • Bedside tutorials: 3rd, 4th and final year students
    • Teaching ward rounds: at King Edward hospital on intake days and at Inkosi Albert Luthuli hospital daily including the Grand Round on a Friday
    • Teaching at the Endocrine/Diabetes clinic 

    Postgraduate Courses

    • Endocrinology Journal Club : Mondays
    • Endocrinology Clinical Teaching: Tuesdays (for registrars in training in General Medicine and sub-specialty training consultants).
    • Endocrinology Teaching and Grand Rounds : Fridays
    • “Friday Meeting” – held after the clinical grand rounds and includes, depending on the week of the month, a Research Forum, Clinical Seminar, Basic Science, or an Administrative Unit Meeting.

    The Department runs four out-patients clinic/week:

    • · Monday: Endocrinology Clinic
    • ·  Tuesday: Ward Follow-up + Endocrine and Diabetes Procedures
    • · Wednesday: Diabetes clinic (Type 2)
    • · Thursday: Diabetes Clinic (Type 1)

    A “Grand round” is held every Friday morning – this round starts in the Endocrinology Ward and includes all the Health care professionals involved with the day-day management viz. doctors, nurses, dietician, social worker and psychologist. 

    RESEARCH EXPERIENCE

    • Post-Doctoral Thesis (M.D) on “Impaired Glucose Tolerance in South African Indians”, Under supervision from Professor MAK Omar (1985-1990).
    • Clinical Research Associate – University of Newcastle Upon Tyne: Research into Epidemiology of Diabetes in Migrant Chinese in Newcastle; studies on hepatic glucose output and glycerol gluconeogenesis in NIDDM (1991 – 1992).
    • Epidemiology and pathogenesis of Diabetes Mellitus and its complications in South African Indians- cross-sectional and prospective studies (1984-1994)
    • Epidemiology of diabetes in rural South Africans of Zulu (1999-2000)
    CURRENT RESEARCH:

    Current research includes studies on epidemiology of diabetes and other non-communicable diseases (NCDs) in Africans, including a genome wide association study of type 2 diabetes susceptibility loci, through the African Partnership for chronic disease research (APCDR) (https://www.apcdr.org), as well as being Lead Principal Investigator for a multi-country African study on epidemiology and genetics of type 2 diabetes (H3Africa Diabetes study), and through supervision of Masters and PhD students, on clinical Endocrinology and Diabetes.

    Self-Initiated
    • Epidemiology of diabetes in urban South Africans Blacks – the Durban Diabetes Study (DDS)- a collaborative study with the Universities of Cambridge and Oxford (UK)
    • A genome-wide association study (GWAS) of type 2 diabetes mellitus susceptibility loci in African subjects of Zulu descent in Durban, KwaZulu-Natal, a collaborative study with the Universities of Cambridge and Oxford

    (UK)

    • H3A Africa: Burden, spectrum and aetiology of type 2 diabetes in sub-Saharan
    • Discover Me South Africa (DMSA): vide infra
    POST GRADUATE RESEARCH SUPERVISION
    • PhD Students Graduated Students:
      1. S. Saloojee: Metabolic syndrome and severe mental illness in the EThekwini district of KwaZulu – Natal, South Africa. Graduated March 2017
      2. N.C. Magula: Metabolic Complications of HAART in a South African Black Population.- PhD awarded March 15
      3. Tshidi Thaane: Effects of high and moderate intensity exercise on

    inflammation and endothelial function in insulin resistance. PhD awarded June 2019

    Current Students:

    1. Dr Sifiso T Mtshali: An impact and cost analysis of management of diabetes

    at quaternary level-the case of Inkosi Albert Luthuli Central Hospital (Registered 2017)

    1. Dr Rudo Gwini: Diabetes mellitus and complications in a Zimbabwean hospital population in Bulawayo. (Registered 2018)
    • MMed/MMed Sci Students Graduated Students:
      1. N. Narsai (2012): Radio-active Iodine in the management of Thyrotoxicosis (2012)
      2. K. El Mezughi (2017): Pituitary tumours: A retrospective study of surgically treated patients attending the Endocrinology Clinic, Inkosi Albert Luthuli Central Hospital (IALCH) between 2008 – 2012 – 2017
      3. Dr VG Naidoo. (MMedSci) (2017): Quality aspects of colonoscopy.
      4. A. Zorgani (2018): A retrospective study of patients with Phaeochromocytoma attending the Endocrinology Clinic at Inkosi Albert Luthuli Central Hospital (IALCH). Co-supervisor:
      5. Dr A Elbueshi(2018): A retrospective study of patients with Acromegaly attending the Endocrinology Clinic at Inkosi Albert Luthuli Central Hospital (IALCH) between 2003 -2013.
      6. Dr P Govender (2018): Characteristics of subjects with diabetes mellitus diagnosed before 35 years of age presenting to a tertiary Diabetes clinic in Durban, South Africa, from 2003 to 2016.
      7. Dr IM Paruk (MMedSci) (2018): Prevalence of low serum testosterone levels among men with type 2 diabetes mellitus attending two outpatient diabetes clinics in Durban, South Africa
      8. Dr MZ Hoosen (2020): A retrospective study of glycaemic control, morbidity and mortality in patients with Type 1 diabetes mellitus attending the Diabetes Clinic at Inkosi Albert Luthuli Central Hospital in Durban, KwaZulu-Natal.

    Current Students:

    1. Dr V Koonjah: Diabetic kidney disease in type 2 diabetes mellitus patients attending the Diabetes clinic at Inkosi Albert Luthuli Central Hospital between January 2018

    – December 2019 – A retrospective chart review

    1. Dr D Perumal: Dysglycaemia and HIV infection: analysis from a population study in urban black South Africans (Durban Diabetes Study).
    2. Dr K Govind: Clinical Characteristics, Management and Outcomes of Primary Hyperparathyroidism at Inkosi Albert Luthuli Central Hospital from 2009 to 2020.
    (iii)          Non-Degree Supervision
    1. Dr M. Paruk: Prevalence of coeliac disease and anti-thyroid peroxidase seropositivity in patients with type 1 diabetes mellitus.
    2. I.M.Paruk: A retrospective study of adult patients with spontaneous hypoglycaemia referred to Inkosi Albert Luthuli Central Hospital: aetiology, characteristics and treatment outcome
    COLLABORATIVE RESEARCH PROGRAMMES- CURRENT
    • Human Health Heredity and Health in Africa (H3Africa): Burden, spectrum and aetiology of type 2 diabetes in sub-Saharan Africa. Lead PI of study at10

    sites in 7 SSA countries.

    • Durban Diabetes Study (DDS) and DDS Extension: Epidemiology of diabetes in urban South Africans Blacks, a collaborative study with the Universities of Cambridge and Oxford (Dr. Manj Sandhu, Prof. Mark McCarthy and teams)
    • A genome wide association study (GWAS) of type 2 diabetes susceptibility loci in African subjects of Zulu descent in Durban, KwaZulu-Natal: in collaboration with the Universities of Cambridge and Oxford (Dr. Manj Sandhu, Prof. Mark McCarthy and teams)
    • African Partnership for chronic disease research (APCDR)– in collaboration with Dr. Manj Sandhu and team at Cambridge University and includes the African Genome variation Project, HIV genomics, Hepatitis C and Diabetes
    • The impact of diabetes on tuberculosis incidence and mortality in HIV- positive adults: in collaboration with the University of Washington (Drs. Paul Drain and Rachel Kubiak)
    • Discover Me South Africa (DMSA) – in collaboration with Professor Manjinder Sandhu, Omnigen Biodata (UK), Imperial College, London, UK

    Staff

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    Dr.

    Ashegan Pillay

    Specialist Consultant
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    Dr.

    Sherlina Kasipersad

    Junior Consultant
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    Prof.

    Ayesha A Motala

    Part Time Academic
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    Dr.

    Aslam Amod

    Part Time Academic
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    Dr.

    Hoosen A. Randeree

    Part Time Academic

    Contact Details

    Name Position Contact Details
    Dr Fraser James Pirie HOD/ HCU (031) 260 1293
    pirief@ukzn.ac.za
    Mr Sphelele Percival Sishi Administrator (031) 260 4537
    sishis3@ukzn.ac.za