CRITERIA FOR REFERRAL TO DIABETES TEAM
Always refer
- Diabetic ketoacidosis/ hyperosmolar hyperglycaemic state
- Severe hypoglycaemia
- Newly diagnosed type 1 diabetes
- Started on insulin as inpatient
- IV insulin infusion for >24 hr
- Parenteral or enteral nutrition
- Foot ulceration
- Persistent hyperglycaemia (>12 mmol/L)
- Recurrent hypoglycaemic episodes
- Unstable/erratic blood glucose
- Patients on GLP analogues (exenatide, liraglutide)
Referral may be required
- Acute coronary syndrome
- Admission for urgent or major elective surgery
- Significant educational need [poor self-management skills (e.g. injection technique, hypoglycaemia management)]
- Newly diagnosed type 2 diabetes
- Poor wound healing
- Corticosteroid therapy
- Patient prescribed insulin or oral hypoglycaemic medication but nil-by-mouth >24 hr
- Patient request
Referral not normally required
- Minor episodes of hypoglycaemia self-treated by patient
- Simple educational need
- Routine dietetic advice
- Well-controlled diabetes
- Good self-management skills
- Routine diabetes care – dietary advice and life-style modification
© 2022 The Bedside Clinical Guidelines Partnership.
Created by University Hospital North Midlands and Keele University School of Computing and Mathematics.
Research and development team: James Mitchell, Ed de Quincey, Charles Pantin, Naveed Mustfa