Type 2 diabetes in the absence of complications should be managed in primary care.
When there is difficulty with glycaemic control people with type 2 diabetes should be referred to a community diabetes nurse specialist.
Referral to secondary care is appropriate if adequate glycaemic control is still not achieved.
Specific indications for referral to Hospital Based Diabetes Services include:
The hospital based services is run by the SMO and a team of diabetes specialist nurses. Patient's referrals are triaged to see the most appropriate member of the team.
Mark referrals Renal Referral and send to the BOPDHB referral centre
Urgent referrals should be made following discussion with the on-call Ophthalmologist.
Routine referrals including for retinal screening should be marked Ophthalmology Referral and send to the BOPDHB referral centre
Referral criteria for vascular review
Criteria for referral to a vascular surgeon for a patient with a diabetic foot complication includes the following:
Mark referrals Vascular Referral and send to the BOPDHB referral centre
Diabetes in Pregnancy
Referral all women who have diabetes and are pregnant, whether this developed pre or post conception
Mark referrals Diabetes in Pregnancy Team and send to the BOPDHB referral centre
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