Useful Management Information

  • All newly diagnosed/ suspected type 1 diabetes must be seen as an emergency as soon as the diagnosis is suspected.
    • Do not wait for blood results to become available.
  • To avoid delay in diagnosis, physicians need to take due care in their detection of diabetes in a patient and in defining its clinical sub‐type, since delayed diagnosis of type 1 diabetes in a child or adolescent is associated with an increased risk of DKA and subsequent morbidity and mortality.
  • In rural and remote areas, it is preferable that local health professionals, who have access to the specialist paediatric diabetes team, provide ongoing support and education.
    • If the child/adolescent/family is unable to access these health professionals, support with education should be provided by the experienced health professional at the provincial or tertiary diabetes centre, via videoconference or phone.
  • Explain to children and young people with type 1 diabetes and their family members or carers (as appropriate) that an HbA1c target level of 48 mmol/mol (6.5%) or lower is ideal to minimise the risk of long-term complications.
  • Refer to local/regional diabetes education/dietetic services. Registration with NDSS (National diabetes services scheme).
  • Develop an individualised management plan, which includes planned interaction with local diabetes educators, dietetic inputs, caregivers, local health team and visiting specialists where necessary.
  • Provide ongoing clinical advice and support to local health team and family
  • Refer/explain to children and young people with type 1 diabetes and their family members or carers (as appropriate) how to find information about government and benefits available.
  • Offer children and young people with type 1 and type 2 diabetes and their family members or carers (as appropriate) timely and ongoing access to mental health professionals with an understanding of diabetes because they may experience psychological problems (such as anxiety, depression, behavioural and conduct disorders and family conflict) or psychosocial difficulties that can impact on the management of diabetes and wellbeing.
  • Encourage children and young people with type 1 diabetes to wear or carry something that identifies them as having type 1 diabetes (for example, a bracelet).
  • If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Suspected type 2 diabetes where
    • child/adolescent assessed to be well and without ketosis. Health care provider confident of type 2 diagnosis
  • Unstable known type I diabetes transferring care
Category 2 (appointment within 90 calendar days)
  • Stable known type I diabetic transferring care
Category 3 (appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • History of the presentation including reasons why this is thought to be type 2 diabetes rather than type 1 (e.g. strong family history of type 2, obesity, evidence of insulin resistance [e.g. acanthosis nigricans])
  • Report presence or absence of concerning features:
    • polyuria or polydipsia
    • recent weight loss
    • recent onset enuresis
    • ketosis on urine or blood testing

Investigations for suspected type 2 diabetes

  • HbA1c
  • FBC
  • ELFT
  • TFT
  • Plasma glucose (fasting or random) +/- Oral glucose tolerance test
  • Ketones (blood or urine) – if elevated, send direct to emergency

NB follow up/review patients will have pathology attended to in the clinic, the patient is not required to get blood tests prior to attending on an ongoing referral

If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.

Additional Referral Information

Highly desirable information – may change triage category

  • Mode of presentation, whether insidious or acute
  • Other past medical history
  • Family history, especially of diabetes, PCOS and other endocrine conditions
  • Height/weight/head circumference and growth charts with prior measurements if available

Desirable Information - will assist at consultation

  • Birth history
  • Immunisation history
  • Developmental history
  • Medication history
  • Allergies
  • Significant psychosocial risk factors (especially parents’ mental health, family violence, housing and financial stress, department of child safety involvement)
  • Other physical examination findings inclusive of CNS, birthmarks or dysmorphology
  • Any other relevant laboratory tests or medical imaging
Last updated 20 October 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Paediatric Medicine (E-Blueslips)


(07) 5687 4497


Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215


1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney
Medical Director Paediatric Medicine (General Paediatrics)


Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Child Safety

If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.

Gold Coast Health - For Clinicians
© The State of Queensland 1995-2021 | Queensland Government
Queensland Government acknowledges the Traditional Owners of the land and pays respect to Elders past, present and future.