Direct to an emergency department for:

  • Diabetic ketoacidosis or suspected diabetic ketoacidosis (e.g. abdominal pain, dehydration, confusion, nausea and vomiting, raised ketones)
  • Hyperosmolar hyperglycemic state
  • Diabetes and severe vomiting
  • Acute, severe hyperglycaemia
  • Acute, severe hypoglycaemia. 
  • Suspected Charcot’s neuroarthropathy (e.g. unilateral, red, hot, swollen, possibly aching foot)
  • Foot ulceration with absent pulses.

Immediately contact the endocrinology registrar to arrange an urgent endocrinology assessment for:

  • New diagnosis of type 1 diabetes
  • Pregnancy in known diabetic woman
  • Recent, resolved hypoglycaemia episode resulting in unconsciousness.

Criteria for referral to public hospital specialist clinic services

  • Diagnosed with type 1 diabetes.

Information to be included in the referral

Information that must be provided

  • Reason for referral
  • Details of previous medical management including the course of treatment and outcome of treatment
  • Current and previous HbA1c results
  • Current and complete medication history (including non-prescription medicines, herbs and supplements)
  • Known complications or comorbidities (e.g. cardiovascular disease, kidney disease, retinopathy, cerebral vascular disease, neuropathy, anxiety, depression)
  • Urea and electrolyte results
  • Creatinine blood results
  • Albumin to creatinine ratio (ACR) urine results
  • Liver function results
  • Lipid profile results
  • If the person identifies as an Aboriginal and Torres Strait Islander
  • Functional impact of symptoms on daily activities including impact on work, study or carer role.

Provide if available

Not applicable.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

If the woman has not already been referred, or does not have an appointment scheduled, referrals for planning for pregnancy are encouraged.

Referrals may be directed to a range of endocrinology services including: young adult diabetes, diabetes in pregnancy services, diabetic education, high-risk foot service.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.