Diabetes (Program)Community
Useful Management Information
- This service is for adults, 18 years and older with diabetes who require a time-limited intensive multidisciplinary team approach that promotes self-management of their condition
- Consider firstly, those Individuals that would be more appropriately managed in Primary Care; with use of GPMP/Team Care Arrangements; rather that referring to CD+PAP Program Diabetes Service – aimed at providing more complex diabetes care and multidisciplinary team input
- Alternate services are available for:
- Paediatric diabetes
- All individuals using insulin pump therapy
- Pregnancy in patients with existing diabetes and newly diagnosed Gestational Diabetes (GDM)
Are you referring to the right service?
- Adults over 18years of age with Type 1 or Type 2 diabetes
- Pre-diabetes -impaired glucose tolerance, impaired fasting glucose
- Diabetes in pregnancy and gestational diabetes (Robina Health Precinct (Robina Health Precinct only)
- Continuous Glucose Monitoring
- Insulin Pumps (Robina Health Precinct only)
Minimum Referral Criteria
Category 1
(Appointment within 1-2 working days)
- Symptomatic hyperglycemia: with blood glucose levels (BGLs) consistently >15mmol and /or blood ketones >1.0mmol
- Foot complications e.g. current ulcer, painful neuropathy
- QAS referrals who required but declined, transportation to hospital
Category 2
(Appointment within 3-5 working days)
- Following hospital presentation/admission relating to diabetes, e.g. DKA, severe hypoglycaemia, HHS
- Recent or recurrent hypoglycaemia
- Hyperglycaemia BGLs consistently elevated >15mmol
- HbA1c>10%
- Commencing or changing insulin or other injectables
- QAS referrals who did not decline hospital transportation
- Gestational diabetes, diabetes in pregnancy (Robina Health Precinct only)
Category 3
(Appointment within 6-14 working days)
- HbA1c>8% (and if not newly diagnosed with Type 2 diabetes)
- Type 1 or Type 2 diabetes with one or more chronic conditions e.g. hypertension, CKD, dyslipidemia
- Comorbidity of anxiety, depression
- Polypharmacy
- Elderly, socially isolated, CALD
Category 4
(Appointment within 15-28 working days)
- New diagnosis of type 2 diabetes
- Pre-diabetes/Impaired glucose tolerance
- Type 1 or type 2 diabetes for re-stabilisation / further education
- HbA1c <8%
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
Out of Scope Services
The following conditions are out of scope for this service:
- Presentations that would be more appropriately managed in Primary Care; with use of GPMP/Team Care Arrangements; and/or accessing Diabetes Queensland services (via online resources and community group education) e.g. newly diagnosed type 2 diabetes that are not acutely unwell.
- Presentations that would be more appropriately assessed and managed by the acute sector specialist Diabetes and Endocrinology Service (GCHHS) e.g. insulin pump therapy, diabetes in pregnancy, paediatric diabetes.
Essential Referral Information
- Patient consent to referral
- Reason for referral
- Type of diabetes and duration of disease
- Height, weight, BMI, BP
- Medical history
- Presence of any complications e.g. CKD, retinopathy, gastroparesis, neuropathy
- Foot complications (if applicable) e.g. current ulcer, painful neuropathy-refer to high risk foot criteria
- Current Medications
- Allergies and adverse reactions
Pathology:
- HbA1c & serial HbA1c if available
- Fasting blood glucose or OGTT (if relevant)
- Full lipid profile
- Random urine albumin: creatinine ratio (ACR)
- FBC
- ELFT
Additional Referral Information
- Recent eye examination report- if available
- Social background
- Smoking status
- Alcohol intake
- Driving License status
- Copy of GMP/TCA if applicable
Out of Scope Services
- Patients who have not exhausted their Team Care Arrangement (TCA)
- Patients aged < 18 years
- Patients residing in a residential aged care facility (RACF)
- Patients currently accessing a NDIS Package
- Patients accessing a Level 3 or 4 Home Care Package through My Aged Care
- WorkCover patients
- DVA Gold Card holders
Out of Catchment
Gold Coast Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary services or for services that are not provided by their local hospital and health service district. If your patient lives outside the Gold Coast Health catchment area and you wish to refer them to one of our services, please indicate relevant medical or social information that will assist with the processing of your referral.
Notes
Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
- A change in patient circumstance (such as condition deteriorating or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
- Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- If your patient consents to telehealth, please indicate in the body of the referral.
Patient Must Bring
- Medicare Card
- Current medication list
- Relevant X-rays, scans and reports
- Reading glasses
Send Referrals To
Smart Referrals
Preferred Method
About Smart Referrals
Secure Web Transfer
Send to: Gold Coast Health Service District
Internal Referrals
Not Available
Fax
Post
Booking and Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215
Enquiries
Service Availability
Facilities
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.