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Dr Chitrabhanu Ballav

Consultant Endocrinologist

FRCP (London), MRCP (Diabetes and Endocrine), MBBS

Practises at: The Chiltern Hospital

Dr-Chitrabhanu-Ballav-Endocrinology

Personal Profile

Dr Chitrabhanu Ballav is a consultant physician in Endocrinology and Diabetes at Buckinghamshire Healthcare NHS Trust. He is also the clinical lead for Endocrinology and Training Program Director for Internal Medicine at Health Education Thames Valley (Oxford deanery). 

Dr Ballav trained in Endocrinology and Diabetes in Oxford and held several prestigious fellowships including the Transplant fellowship at University of Oxford, Novo Nordisk research foundation fellowship, Rising star award from Sanofi-Aventis, and Donell-Etzweiler International research scholarship at International Diabetes Centre, US. Dr Ballav graduated from University of Calcutta in India winning several gold medals and honours and went on to complete his training in medicine at several centres of excellence in Cambridge, Glasgow, Kent, and Leeds.

Dr. Ballav’s clinical interests in Endocrinology include Thyroid, Calcium and Bone metabolism, Adrenal, and Reproductive Endocrinology. His interests in Diabetes include cardio-metabolic risk management and technology. Dr Ballav has published several papers on these topics and presented at several national and international meetings including the American Diabetes Association Scientific sessions, European Association for Study of Diabetes Annual meetings, and Society for Endocrinology annual meetings. He has co-authored the chapter on Diabetes and Endocrinology in Medicine for MRCP (ed. Bessant, Birns, and Ford, Oxford University Press). 

Dr. Ballav currently runs Type 1 and complex Type 2 diabetes clinics at Buckinghamshire Healthcare NHS Trust. He is part of the multidisciplinary team prescribing, reviewing, and escalating use of technology in management of people with Type 1 diabetes. He runs the antenatal clinic for pre-existing diabetes or pregnancy induced diabetes. He also runs general endocrine clinics reviewing patients with thyroid, adrenal, pituitary, calcium and bone related disorders, and reproductive problems. He attends the regional adrenal and pituitary multidisciplinary meetings. 

Dr. Ballav has written several guidelines for Buckinghamshire including the guidance for management of Type 2 diabetes, new diagnosis of Type 1 diabetes in adults presenting with high blood glucose and ketones. He is currently part of the Integrated Diabetes Delivery Network unifying operating procedures and guidelines across Buckinghamshire, Oxfordshire, and Berkshire (BOB) Integrated Care Board. He is part of the working groups drawing up regional guidelines on obesity, technology, and community management of diabetes. He also regularly advises on management of diabetes in the community by the community specialist nurses and primary care teams and has done multiple presentations to clinicians managing diabetes including general physicians, practice nurses, and clinical pharmacists. 

Dr Ballav has a long-standing interest in medical education. He has been a Royal College Tutor and a lecturer for the clinical course for MRCP in London for more than a decade. His teaching experience include lecturing for the MSc Diabetes course in Leicester, lecturing for undergraduates from Oxford University and University of Buckingham Medical School. He is currently the Training Programme Director for Internal Medicine at Thames Valley (previously Oxford Deanery) and a member of the Specialty Advisory Committee of the Royal College of Physicians. He has been an education supervisor for trainees in general medicine and higher specialty trainees in Diabetes and Endocrinology. 


Clinical Interests

Dr Ballav will be available every Saturday (8:30 AM to 12:30 PM) to review patients with the following disorders.
Thyroid: Over and underactivity of thyroid hormones requiring suppression or replacement treatment, thyroid lumps, thyroid disorders in pregnancy, drug induced disorders of thyroid.
Adrenal: Incidentally discovered adrenal enlargement or lump, under-activity of adrenal gland (e.g., Addison’s disease, suppression from long term use of steroids), over-activity of adrenal hormones like steroid excess causing adrenal Cushing’s syndrome, aldosterone excess causing Conn’s syndrome, or excess adrenaline and related hormones causing Phaeochromocytoma.
Pituitary: Incidentally discovered pituitary growths or enlargement, under-activity of pituitary hormones causing secondary hypogonadism or hypoadrenalism, over-activity of pituitary hormones like prolactin, ACTH (stimulates steroid hormone secretion from adrenals causing Cushing’s disease), or growth hormone (causing Acromegaly).
Reproductive endocrinology: Poly-Cystic Ovarian Syndrome (PCOS) causing reduced periods or abnormal hair growth (hirsutism), absent or reduced periods (amenorrhoea), male hypogonadism (including reduced Testosterone and erectile dysfunction).
Calcium and Bone: Disorders of high calcium like primary or secondary hyperparathyroidism, Low calcium from hypoparathyroidism including post-operative hypocalcaemia, osteoporosis or disorders with thin bones. 
General endocrinology: Non-specific symptoms like fatigue, sweating and flushing, Electrolyte imbalance like low sodium. Drug induced hormone disorders including immunotherapy induced thyroid, pituitary, or adrenal disorders, drug induced prolactin disorders.
Ante-natal (Pregnancy) endocrinology: Including management of disorders of thyroid, parathyroid, and prolactin during pregnancy. Pre-natal advice in patients planning pregnancy with diabetes and endocrine disorders.
Type 2 Diabetes: Diagnosis of diabetes including accurate classification, management of high or low blood glucose level in untreated or partially treated diabetes including adding oral, injectable agents and insulin, Technology including continuous glucose monitoring, management to reduce cardio-metabolic risks in diabetes like heart disease or stroke, diabetes complications like kidney disease, neuropathy, slow gastric emptying (gastroparesis), pre-pregnancy planning and pregnancy. 
Type 1 Diabetes: Technology including continuous glucose monitoring, insulin pumps, and closed loop systems, sports and diabetes, investigation, and management of recurrent low blood glucose (hypoglycaemia), pre-pregnancy planning and pregnancy.
Others: Obesity and lipid (high cholesterol) disorders.

Professional Memberships

Dr. Ballav is actively associated with the following organisations and professional bodies.

1. Society for Endocrinology (SFE)
2. Association of British Clinical Diabetologists (ABCD)
3. Diabetes UK
4. Royal College of Physicians (London).
5. Health Education England, Thames Valley.

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