about us

WHO-collaborating Centre for Diabetes Treatment and Education, National Hospital Organization, Kyoto Medical Center, Kyoto, Japan

1.Our History
Kyoto Medical Center ( formerly known as National Kyoto Hospital ) opened specialized diabetic clinic in 1961, which was authorized as the Diabetes Center in 1965 by the Ministry of Health and Welfare of Japan. By the year of 1988, World Health Organization (WHO) recognized the Center and designated it as one of the WHO-collaborating Centre for Diabetes Treatment and Education in the aim of treating and educating Japanese public.

Our missions as WHO-collanboratig Centre at the beginning were as follows;

  1. To promote the prevention and control of diabetes at the national level.
  2. To develop the WHO control program of diabetes in primary health care setting.
  3. To collaborate on international and local training programs led by WHO.

In Western Pacific Region, there are only two WHO-collaborating Centres for Diabetes ; International Diabetes Institute directed by Prof. Paul Zimmet in Australia and Kyoto Medical Center in Japan (1st Director: Prof. Yoshiatsu Akazawa). Together, we are responsible to make contribution and progression in care for Diabetes in the Western Pacific Region.

In March 1999, Ministry of Health and Welfare of Japan announced the plan to reform National Hospitals and Sanatoriums. They selected 19 fields of Medicine, such as cancer and vascular disease as our national political tasks, and decided to commit to improve their diagnosis and treatments. Endocrine and metabolic disease was selected as one of the 19 fields, and they designated one center per region from all National Hospitals and Sanatoriums as the key institute to fulfill the task. Kyoto Medical Center was chosen to serve as a highly-specialized medical center (quasi-national medical center) in the field of Endocrine and Metabolic diseases.

Since then, we built the endocrine and metabolic diseases network with other institutions, and have been engaging in highly-advanced medical technologies in this field, clinical researches to develop and test new diagnostic/treatment technologies as well as new pharmaceutical inventions, providing clinical training opportunities to various medical professionals, and reporting the network information and outcomes of our researches.

2.Our Foot Crinic
In January 2000, after the long time commitment to the care of endocrine and metabolic diseases, we opened diabetic foot clinic at our center, and designated diabetic foot as the theme of clinical tasks and research for our endocrine and metabolic disease network. Two years later, in June 2002, Austrian shoe meister joined our team, and the specialized footwear clinic was opened.

Now we have the system, in which diabetologists play as a gate-keeper, and dermatologists, vascular, plastic and orthopedic surgeons are here on site for complicated cases. A Japanese orthotist and an Austrian shoe meister help us providing orthotics and any other devices that augment the care of our patients.

As the system grows, more patients were referred to our clinic, and thus it made us open another specialized clinic called Foot Center clinic that accepts patients with more comprehensive foot problems. We expanded our team in additions to the specialists mentioned above, and invited cardiologists and radiologists to accommodate the needs of wider range of foot problems. Now we see patients not only with diabetic foot, but also patients who suffer from non-diabetic problems such as peripheral vascular disease and various orthopedic problems.

We introduced Western diabetic foot care to our center, and the outcomes are stunning. We see the reduction in primal and re-ulceration occurrence as well as the shortened the length of hospitalization. The rate of major amputations has also declined. We hope to continue serving patients with foot problems and contributing the health of people from local to the Western Pacific Region.

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