Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
You should consider referring a patient with Type 2 Diabetes to a specialist for further management in specific clinical situations:
- Suspected Gastroparesis: Consider referring adults with type 2 diabetes to specialist services if gastroparesis is suspected and the differential diagnosis is in doubt, or if the person has persistent or severe vomiting NICE NG28.
- Children and Young People: For children and young people with suspected Type 2 Diabetes, referral to a multidisciplinary paediatric diabetes team is recommended for specialist review to confirm diagnosis and provide immediate and continuing care NICE NG18.
- Structured Education Programmes: Patients should be offered referral to a structured group education programme, such as the DESMOND (Diabetes Education for Self-Management for Ongoing and Newly Diagnosed) programme, at or around the time of diagnosis, with annual reinforcement and review NICE CKS,NICE CKS.
- General Contact: Ensure that the person and their family/carers know how to contact the specialist diabetes team, if appropriate NICE CKS,NICE CKS.
Key References
- CKS - Type 2 diabetes
- CKS - Diabetes - type 2
- NG28 - Type 2 diabetes in adults: management
- NG18 - Diabetes (type 1 and type 2) in children and young people: diagnosis and management
- PH35 - Type 2 diabetes prevention: population and community-level interventions
- NG17 - Type 1 diabetes in adults: diagnosis and management