Adult Type 1 Diabetes

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:

• 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

NB: Pregnant patients need early referral to Antenatal Endocrine Clinic

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 risk factor or for driver's licence assessment
• 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.

Ensure good hydration.

See the RACGP guidelines for diabetes management in General Practice.

Direct link to Health Pathways Type 1 Diabetes page

For more information please see the HealthPathways Tasmania website.

Driver's licence medical examinations for commercial licence for patients with type 1 diabetes will be accepted but will be categorised as Category 3.

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

? Diabetes with ketoacidosis

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)

? New onset

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)

Difficult to manage symptoms or treatment

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)