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This condition is treated in the Diabetes clinic.
Pre-referral work-up
History
All referrals should comply to the referral standards and include in particular:
- Reason for referral: failed management, change in pattern
- Onset of condition including glycosuria, nocturia, polyuria, polydipsia, polyphagia
- History of weight loss, malaise, fatigue
- History of predisposing features: haemochromatosis, autoimmune disorders, cultural group, obesity, inactivity, hypertension
- Obstetric history of macrosomia or gestational diabetes
- Medications causing hyperglycaemia
- Risk factors for complications: smoking, pre-existing skin disease or cardiovascular disease
- Occupational issues: pilots, bus drivers
- Examination should include BMI, waist circumference, blood pressure, pedal sensation and circulation
- Urinalysis including ketones
- Current medications and past medications including reason for change
Note: Pregnant patients need early referral to Antenatal Endocrine Clinic
Please indicate if a GP team care arrangement exists and who is involved in the patients care. Please include a copy of the plan
See below for information on driver's licence assessment
Tests
- HbA1c
- Fasting lipid profile
- Urea, electrolytes & creatinine, eGFR
- Liver function tests
- Urine ACR
- ECG, if over 50 years old and at least one other vascular
- Thyroid function tests, if indicated
Interim/GP management
To refer a patient with this condition, please see the Diabetes clinic page for the full referral process and templates.
See the RACGP guidelines for diabetes management in General Practice.
Direct link to Health Pathways Diabetes in Pregnancy page
For more information please see the HealthPathways Tasmania website.
Referrals for patients with Type 2 Diabetes needing Commercial Driver's Licence assessment will be accepted. These referrals will be Category 3 and will only be accepted if all elements of the Annual Cycle of Care are completed and noted in the referral, in particular details of diabetic education and cardiovascular assessment (including cardiology opinion if necessary).
Clinic appointments
? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Emergency
? Ketoacidosis
? Unstable hypoglycaemia
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Urgent (Category 1)
? Poor control with hypoglycaemia
? At risk of hyperosmolar hyperglycaemia
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
For urgent referrals to the JMDC, please call phone number 67774100, or see HealthPathways for direct contact phone number.
Semi-urgent (Category 2)
Suspected LADA
Routine (Category 3)
Commercial driver's licence
Next available appointment
Availability
North
John Morris Diabetes Centre
Northern Integrated Care Centre
Phone: 6777 4145
Fax: 6777 5162 (correspondence)
Fax: 6777 5247 (referral)
North West
Diabetes Centre
Phone: 6493 6100
Fax: 6431 8061
Devonport Community Health Centre
Phone: 6430 6591
Fax: 6441 5946
Diabetic Antenatal Clinic
Mersey Community Hospital
Phone: 6426 5586
Fax: 6441 5922
Diabetic Antenatal Clinic
North West Regional Hospital
Phone: 6478 5180
Fax: 6441 5944
South
Adult Diabetes Service:
Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982
Adult Services:
Telstra Building
Phone: 03 6166 2600
Fax: 03 6173 0457
Paediatric Services:
Royal Hobart Hospital
Level 3, D Block (North) - Paediatric Clinics
Phone: 03 6166 8175 (please use the answering machine if line busy or after hours)
