He completed his higher specialist training in diabetes and endocrinology as a clinical lecturer. During this tenure he also completed a research degree i.e. M.D. in the role of non-invasive screening methods in detecting diabetes mellitus.
His clinical areas of interest include antenatal and community diabetes as well as role of technology in management of Type 1 DM. He leads the Type 1 Diabetes service and is also joint lead for the regional islet transplantation services with colleagues from Oxford. In addition he has published in the field of diabetes management during Ramadan, antenatal diabetes, diabetes and cardiovascular disease and intensive insulin therapy as well as non-alcoholic fatty liver disease.
Dr Karamat is on the working group for South Asian Health Foundation (SAHF) and has presented extensively on ethnicity and Diabetes. He is actively involved in medical education and works as clinical tutor for international doctors working at University Hospitals Birmingham as part of international training fellowship programme. He has also recently taken over as the Training Programme Director for Diabetes and Endocrinology and looks after training of higher specialist trainees for Health Education West Midlands.