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Northumberland diabetes referral
guidelines
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Guidelines for referral of people with Diabetes to the North Northumberland
Diabetes Team
This guideline assumes that all routine care
(annual screening) for people with Type 1 and Type 2 diabetes is being carried
out in primary care. It also assumes that all new Type 2’s are managed within
the community by practices.
Urgent referral (within 24 hours)
- Newly diagnosed type one patients (check
for ketones)
-
Acute foot problems
-
Unplanned pregnancy (Sonia Clark)
Routine referrals
- Advice on diabetes complications and their
management
- Type one patients for first year of care
or DAFNE follow up or Problems with raised HbA1c or /and hypoglycaemia
(including hypo unawareness)
- Type two diabetes with raised
HbA1c,especially those on insulin (to offer a second opinion)
- Steroids causing problems with control
- Pre conceptual care (Sonia Clark)
Type
2 patients requiring insulin transfer
- Routinely to
be assessed in practice and referred by dietitian to group insulin start
- Most routine
transfers to happen via group sessions
- Excludes :
housebound, slow onset type one, those with distressing symptoms where insulin
can not be delayed (liaise with DSN)
Other information
People with diabetes problems will be seen
for a first appointment (and then possibly on 2 or 3 more occasions before being
discharged back to the practice (with a plan) for routine ongoing care.
The patient will be seen by any member of the
team unless you specify a named person from the team. When referring the
patient we feel we will be able to deal with the problem more efficiently if
you:
- Clearly state the nature of the problem.
- Include any recent relevant results.
- Include a photocopy of your documentation
relating to the persons diabetes care (i.e. Red Card).
- If urgent referral/needs to be seen the
same day, please telephone the Specialist Team to arrange this.
Source: Northumbria NHS Health Care Trust diabetes protocol