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<pre>
 
 

Version Date from Date to Amendment 
1.0 Sept 2014 Sept 2016 Original 
2.0 Aug 2021 Aug 2023 Revised 
3.0 April 2022 Aug 2023 Edited document 

 

OUTPATIENT GP REFERRAL GUIDELINES 
SOUTHERN ADELAIDE DIABETES and ENDOCRINE SERVICES (SADES)  

Southern Adelaide Local Health Network (SALHN) 
 

Diabetes (Medical) 
  Type 1 Diabetes 
  Type 2 Diabetes (complicated or uncontrolled) 
  Secondary Diabetes 
  Monogenic Diabetes 

 

Information Required  
  Presence of Red Flags 
  Duration of symptoms 
  Associated symptoms 
  Treatment to date including previous side effects 
  Current medications prescribed, OTC and 

recreational drug use 
  Medical, psychiatric and relevant psychosocial 

history 
  Specific educational requirements e.g. insulin 

use 
  Level of care LMO can provide 
  Is patient on a Care Plan 

Investigations Required  
  HbA1c 
  Lipids 
  Microalbumin 
  Serum biochemistry including renal function  
If hypoglycaemia is problematic also consider 
  Coeliac screen 
  Morning serum cortisol 
  TFT 
If unsure of diabetes type 
  Serum anti GAD and islet cell antibodies 
  Ferritin, iron studies 

Fax Referrals to 
GP Plus Marion               7425 8687            GP Plus Noarlunga 8164  9199   
 
 

Red Flags 
 Newly diagnosed Type 1 diabetes  
 Established or impending ketoacidosis  
 Hyperosmolar non-ketotic state   usually 

extreme dehydration and hyperglycaemia in type 
2 diabetes  

 

 Decreased conscious state  
 Diabetic foot   see Diabetes Foot Care Pathway 
 Incomplete recovery after hypoglycaemia  

 Recurrent severe hypoglycaemia 
 

Suggested GP Management 
  Red flags   speak to on call Endocrine Registrar  

Ph (08) 8204 5511 
  For infected foot ulcer   contact Vascular 

Department 
  RACGP guidelines otherwise   on call registrar is 

available for advice 

Clinical Resources 
  RACGP general practice management of type 2 

diabetes http://www.racgp.org.au/your-
practice/guidelines/diabetes/   

  Therapeutic Guidelines Endocrinology (2019)  
  Type 1 Diabetes through the Life Span   A Position 

Statement of the ADA 

 
Identifier: CC1.2711 





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