Diabetes Type 1 and 2

Expertise in diagnosis and management of both Type 1 and Type 2 diabetes; assisting to determine the type of diabetes, and management of complex associated complications.

Thyroid Disorders

Diagnosis and treatment of under-active and overactive thyroid, management of thyroid nodules and cancer, interpretation of thyroid blood tests, thyroid hormone management during pregnancy.

Parathyroid Disorders
Diagnosis of calcium disorders including under and over active parathyroid gland(s).
Adrenal Gland Disorders
Diagnosis and management of adrenal hormone excess eg. Cushing's, and deficiency eg. Addison's.

Assessing current health status, assisting in weight and health management, consideration of medication tools to assist with weight loss.

Dr Wagenaar works closely with Intensiv-Pharma dietitians.

Medical Management of Bariatric Surgical Patients

Preoperative medical assessment and optimisation of medical disorders, diagnosis and management of medical and nutritional complications.

Pituitary Gland Disorders
Diagnosis and management of pituitary tumours, pituitary hormone excess and deficiency states.
Assisting patients and GPs with decisions regarding Hormone replacement therapy.
Diagnosis and management of bone disease, interpretation of bone density scans.
Polycystic Ovary Syndrome
Diagnosis of PCOS, management of androgen excess problems.
Sodium Disorders
Investigation and management of low and high serum sodium concentration.
Hypoglycaemic Disorders
Investigation and diagnosis of low blood glucose in non-diabetics.