useful links (DH) Dept of Health American Diabetes Assoc. Balanced Eating BBC Health Diabetes Celebrities with Diabetes Children with Diabetes DAFNE DESMOND Diabetes and Work Diabetes Developments Diabetes Guidelines Diabetes Research Diabetes Research Network Diabetes UK East Midlands Renal Network Endocrine Problems Food Proportions Hypos and Sick Days Insulins Intl Diabetes Federation Kaurageous Uniting Sikh women inLeicester Library Services National Diabetes Support Team National electronic Library for Health NSF: Diabetes Patient Leaflets Patient.co.uk Recipe Of the Month Referrals Silver Star Appeal Leicester Stop Smoking Support groups Think Glucose Training Opportunities Travel Advice UHL NHS Internet World Diabetes Foundation World Health Organisation Your Medicines Number of Visitors: 759037

Search Keywords:         About Our Website     University Hospitals (UHL)     Integrated Diabetes Care     Primary Care Trusts (PCT)     Diabetes Programme Board     SEM Diab Research Network     Latest News & Events 2010         Pre-Diabetes     About Diabetes     Managing your Diabetes     Living with Diabetes     Healthy Eating and Drinking     Preventing Complications     Children with Diabetes     Young Adults (Type 1)     Diabetes Education     Support Groups & Links     Diabetes Research     Patient Leaflets     Glossary         Endocrine Disorders         HCP News and Events     Leicestershire Guidelines     National Guides & Policies     Referring to UHL Services     Diabetes Research UHL     Diabetes Evidence Base     National Diabetes Audit     Training and Development     Diabetes Referral Forms     Professional Links                                                                      Diabetic Foot Clinics      Diabetes Dietitians      Diabetes Midwifery      Insulin Management      Insulin Infusion Pump      Community Services   Referring to UHL Services This section is aimed at staff at UHL, healthcare professionals and GPs across Leicestershire. It hopes to inform you of the criteria required for making referrals to the University of Hospitals Department of Diabetes and Endocrinology, Diabetes Clinic Services, Specialist Service and Patient Support Groups where stated downloadable applications forms and criteria are available. WHO SHOULD BE REFERRED? Below you will find the referral criteria for diabetes explaining when and who should be referred to specialist services at UHL as outlined in the Leicestershire Diabetes Guidelines 2009 THOSE REQUIRING URGENT ADMISSION TO A&E DEPARTMENT Unconscious, hypoglycaemia. Suspected ketoacidosis/non-ketotic hyperosmolar coma. Newly diagnosed Type 1 with ketones when diabetes specialist services unavailable. SAME DAY REFERRAL Newly diagnosed Children with Diabetes – refer to Paediatric Service: Tel: 0116 258 6222 secretary or 0116 258 6923 Admissions Newly diagnosed Type 1 Diabetes especially urgent in those who present with ketonuria and/or vomiting. 0116 258 5545 Patients with infected, necrotic or gangrenous foot ulceration or suspected Charcot Foot. Sudden loss of vision contact Eye Casualty 0116 258 6273 Outside normal working hours contact the on-call team via switch board 0300 303 1573 REFERRAL WITHIN 48/72 HOURS All women with pre-existing Type 1 or Type 2 Diabetes who become pregnant. Women who develop Gestational Diabetes. Contact the diabetes specialist midwives PRIORITY/EARLY REFERRAL Women with Type 1 or Type 2 Diabetes contemplating pregnancy Retinopathy/reduced visual acuity, those with sight threatening retinopathy - refer to Ophthalmology Department Eye Casualty 0116 258 6273 Patients presenting with persistent proteinuria. Patients with severely at risk feet – refer to Diabetic Foot Clinic. OTHERS WHERE SPECIALIST ADVICE MAY BE CONSIDERED People with:- Recurrent hypoglycaemia (Consider direct referral to DSN) Poor glycaemic control despite intensive management (Consider direct referral to DSN) Persistent hypertension and/or hyperlipidaemia despite intensive management as per guidelines. Painful neuropathy not responding to treatment. Erectile dysfunction requiring additional intervention - refer to Andrology/ ED Clinic. People with Type 1 Diabetes with previous failure to attend but now receptive to specialist referral (consider direct referral to DSN) Those requiring psychosocial / counselling support to overcome barriers to self-care (consider direct referral to DSN) Patients CKD 3 for optimisation of glucose, BP and lipids if control suboptimal. Patients for DAFNE programme Patient in whom insulin Pump Therapy is being considered.(Consider referral to DSN) Community – Diabetes DSN's contact details available from Leicester General Hospital: 0116 258 8249 Leicester Royal Infirmary: 0116 258 5545 Glenfield Hospital: 0116 250 2390 You can also send a letter of referral to the relevant hospital click here for the addresses or by faxing to the General Hospital on: 0116 273 7672 (9am-5pm) For advice call the Diabetes Helpline on 0116 258 4919 (9am- 5pm) Updated 24th September 2009 ref – new guidelines

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