Dr Ryan D'Costa
Consultant in Endocrinology and Diabetes
MB BS, FRCP (Edin), FRCP (UK)
I have been a Consultant in Diabetes, Endocrinology and General Internal Medicine at Mid Yorkshire Teaching NHS Trust since 2006, having received my specialist training in Nottingham and Derby. I have had extensive clinical experience in all aspects of specialist Diabetes and Endocrinology and have held several important clinical leadership roles to date.
I am the Head of Clinical Services at Mid Yorkshire Teaching Trust for Diabetes, Endocrinology and Weight Management services since 2022.
I also have academic roles including Honorary Senior Lecturer for University of Leeds School of Medicine and the Undergraduate Placement Lead for Diabetes and Endocrinology for Medical Students from Leeds University. I am also Regional Specialty Advisor for Diabetes & Endocrinology for the Royal College of Physicians.
I have an active clinical research interest and have been principal investigator for several multinational commercial and academic clinical trials in diabetes, cardiovascular medicine and diabetic foot disease.
Clinical Awards and Achievements
- Clinical Excellence Award Level 5 (2016) and Local Clinical Excellence Award Level 3 (2019)
- I led on the development of a Local MDT Diabetic Foot Protection Team awarded National Quality in Care Award Highly commended; September 2015
I have an active research interest and am an investigator for a number of commercial and academic clinical trials in diabetes, cardiovascular medicine and diabetic foot disease.
Some of my recent awards and achievements include: In recognition of my contribution to the development and delivery of local services I have achieved Local Clinical Excellence Award Level 5 in 2016. National Quality in Care Award (Highly commended; September 2015): I led on the development of a Local MDT Diabetic Foot Protection Team. This was set up to streamline patient referral pathways and minimise harmful delays in the patient journey.
Treatment information
Some of the principal treatments carried out by Dr Ryan D'Costa at Spire include:
Endocrinology and diabetes
General medicine
Other treatments
- Abnormal weight gain - clinical assessment and investigation for Endocrine explanations of this challenging problem, that are sometimes undiagnosed.
- Adrenal – Adrenal insufficiency (Addisons), low cortisol, Adrenal adenoma (lumps), Adrenal Cushing’s, Hyperaldosteronism (Conn’s Syndrome)
- Diabetes: I provide a comprehensive clinical assessment and advice on management including advice on new treatments and technologies and how these can be used to improve your diabetes and focus on a multi-strategic approach to improve outcomes. These are not restricted only to glucose management but also management of weight, hypertension, erectile dysfunction, kidney impairment, fatty liver and painful peripheral neuropathy that can affect the person with diabetes.
- General Medical Conditions: As an experienced general physician, I can also see patients with a range of general internal medical issues such as abnormal weight loss or gain, unexplained collapses, non-specific tiredness and fatigue, breathlessness, syncope (fainting), electrolyte disturbances, to name a few.
- Hormonal effects of anti-cancer treatments and their management.
- Hypogonadism - including assessment, investigation and management of men with low testosterone levels.
- Investigation and management of Hypertension including exclusion of underlying Endocrine causes.
- Investigation of low blood glucose levels (hypoglycaemia)
- Non-specific fatigue and tiredness to exclude underlying endocrine causes as these can sometimes be related.
- Osteoporosis –prevention, investigation and management advice.
- Parathyroid Disease – including investigation and management of patients with abnormalities with calcium and parathyroid hormone.
- Pituitary Disease/ Conditions: (Prolactin abnormalities, Growth Hormone, Cushing’s, Hypopituitarism, Hypogonadism and Pituitary tumour clinical assessment and investigation)
- Polycystic Ovarian Syndrome - assessment, investigation and management of women with suspected or known PCOS.
- Problems with electrolyte disturbances including sodium, potassium, calcium and magnesium related issues.
- Problems with raised cholesterol (including familial hypercholesterolaemia screening), raised triglycerides and advice on management of cardiovascular risk.
- Thyroid - all areas including hypothyroidism and its management including thyroxine replacement, auto-immune thyroid disease, management of Graves’ Disease (hyperthyroidism), thyroid nodules, goitre and advice on long term follow up.
- Vitamin D deficiency – advice and treatment
Get in touch
Additional information
Clinical interests
Diabetes
Endocrinology
Endocrinology and diabetes mellitus
Erectile dysfunction
General medicine
Hypertension
Osteoporosis
Parathyroid disease
Pituitary disease
Thyroid disease
Qualification and professional memberships
MB BS / Bangalore University, India / 1996
Bachelor of Medicine, Bachelor of Surgery
FRCP (Edin) / Edinburgh / 2015
Royal College of Physicians of Edinburgh
FRCP (UK) / England / 2015
Royal College of Physicians of England
Professional memberships
Diabetes UK
Society of Endocrinology
Association of British Clinical Diabetologists
British Medical Association
Medical Protection Society
Professional leadership
Clinical Lead for the Wakefield Diabetes Clinical Network
Diabetes UK Local Clinical Champion
Clinical Governance Lead for Diabetes and Endocrinology and Mid Yorkshire Hospitals
Undergraduate Placement Lead at Mid Yorkshire Hospitals for Diabetes and Endocrinology for Final Year Medical S
Journals
JAMA. Effect of evolocumab or ezetimibe added to moderate- or high-intensity statin therapy on LDL-C lowering in patients with hypercholesterolemia: the LAPLACE-2 randomized clinical trial.
01/01/2014
Lancet Diabetes Endocrinol. LeucoPatch system for the management of hard-to-heal diabetic foot ulcers in the UK, Denmark, and Sweden: an observer-masked, randomised controlled trial.
01/01/2018
Wound Repair Regen. Multicentre, randomized controlled, observer-blinded study of a nitric oxide generating treatment in foot ulcers of patients with diabetes-ProNOx1 study.
01/01/2018
Cardiovasc Diabetol. The association between macrovascular complications and intensive care admission, invasive mechanical ventilation, and mortality in people with diabetes hospitalized for coronavirus disease-2019 (COVID-19)
01/01/2022
Diabetes Care. Association Between SGLT2 Inhibitor Treatment and Diabetic Ketoacidosis and Mortality in People With Type 2 Diabetes Admitted to Hospital With COVID-19.
01/01/2022
N Engl J Med. Bempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients.
01/01/2023
Cost-effectiveness of swab versus tissue sampling for infected diabetic foot ulcers from the CODIFI2 randomised controlled trial.
01/01/2025
Current NHS posts
Consultant Physician in Diabetes and Endocrinology
Personal profile
In my free time I enjoy a spot of gardening and cooking exotic dishes. As a father of a 11 and a 13 year old I also run a demanding Dad's taxi service!