Diabetes, including Diabetes Centres

Assessment and management of complex diabetic patients

Availability

North South North West Statewide

Scope

THS Southern Region

Diabetes Services are aimed at Type 1 diabetes and those people with high risk Type 2 diabetes with complications, including those with ketonuria, foot ulceration, neuropathy, nephropathy, retinopathy and failed adequate control of diabetes despite conventional medical management.

For gestational diabetes, or pregnant women with pre-existing diabetes please refer to the High Risk Antenatal Clinic.

For pre-conceptual planning and counselling of a diabetic woman please refer to the Gynae-Endocrine Clinic.

For patients <14 years old, please refer to Paediatric Diabetes Clinic.

Triage to the Young Adult Diabetes Clinic, Endocrine Nurse Clinic, High Risk Foot Clinic, Diabetes Emergency Clinic, Continuous Blood Glucose Monitoring, Cystic Fibrosis Diabetes Multidisciplinary Clinic, Gestational Diabetes Group, Insulin Pump Clinic and Diabetes Educator Clinic is done by clinic specialty staff.  Please refer to the Diabetes Adult Service or Paediatric Service or Antenatal Clinic and the patient will be allocated from there.

Not for service: Newly diagnosed Type 2 diabetics who require initial dietary management, education and monitoring training only. Please refer to Diabetes Australia or a private Diabetes Educator in the community utilising a Team Care Plan.


THS Northern Region - John Morris Diabetes Centre

The Diabetes Services are aimed at Type 1 diabetes and those people with high risk Type 2 diabetes with complications, including those with ketonuria, foot ulceration, neuropathy, nephropathy, and failed adequate control of diabetes despite conventional medical management, gestational diabetes.

Pregnant women with pre-existing diabetes please refer to the High Risk Antenatal Clinic.

For pre-conceptual planning and counselling of a diabetic woman please refer to the Gynae-Endocrine Clinic.

Not for service: Newly diagnosed Type 2 diabetics who require initial dietary management, education and monitoring training only. Please refer to Diabetes Australia or a private Diabetes Educator in the community utilising a Team Care Plan.


THS North West Region

information unavailable at this time.

Emergency conditions

Emergency conditions/symptoms include (not an exhaustive list):

  • Diabetes with ketoacidosis
  • Unstable hypoglycaemia

Referral process

A referral (preferably faxed) is required for all new appointments and must conform to the Referral Standards as outlined on For Clinicians.

Specific requirements are detailed in the individual clinic and condition referral guidelines.

Referrals are accepted from Specialists, GPs and Allied Health Professionals but may be redirected to other services if other services are thought to be more appropriate.

Please indicate if a GP management plan and a GP Team care arrangement is in place and include the documents in the referral.

Clinic Appointments – Appointments are based on clinical priority and patients are allocated to the most appropriate clinic.

Please note if the referrer is not the regular GP that the nominated regular GP will be included in all correspondence to ensure continuity of care.

Emergency

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6426 5115
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6430 6691
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6222 8919

Urgent / category 1

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent / category 2

We will endeavour to see these patients within 12 weeks

Routine / category 3

Next available appointment

Referral template

For use by health professionals only

Additional information

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).