Diabetes, new presentations and suspected diagnoses

From www.ggc-youngdiabetes.org
Diabetes, new diagnosis - 'walking wounded' presentation
Where diagnosis of diabetes is likely, and the patient is not in DKA, venous bloods should be taken to confirm the diagnosis. Only then should insulin be commenced as per the Walking Wounded Protocol. (Updated 2010)
Please note that due to the age of this protocol, which pre-dated the use of TrakCare in NHS GGC, the following order set should now be used to request the required bloods: Paeds ED New Diab - Set.
The New Diagnosis - DKA Presentation:
Please obtain confirmatory bloods as above and treat as described in the section on Diabetic Ketoacidosis
The Diabetes "Hot Nurse" - 84646
Referrals for patients to be seen by the diabetes team as an in-patient should be made by phoning the "Hot Phone". One of the diabetes nurses - the "Hot Nurse" - carries this phone and is available to see in-patients Monday to Friday from 8am, excluding Public Holidays. However, the Hot Nurse can be called at any time and a message left on their voicemail if outwith normal working hours.
Please phone the Hot Nurse as soon as you are able to do so. If a patient attends in the evening or overnight, for example, but the Hot Nurse does not hear about this until 8am the next day, it may delay them seeing the patient, carrying out education, and ultimately the patient's discharge from hospital.
New Presentations and Suspected Diagnoses
A Note for GP's:
If a child presents with symptoms suggestive of diabetes, please refer them immediately to the Emergency Department at the Royal Hospital for Children.
Children living on the Western Isles can be referred to their nearest Emergency Department on Lewis, Benbecula or Barra, where they can liaise with the team in Glasgow about whether they can be managed locally or need to be transferred to Glasgow.