When should I consider referring a patient with Type 2 Diabetes to a specialist for further management?

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 ³.
• 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 ⁴.
• 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 ¹,².
• General Contact: Ensure that the person and their family/carers know how to contact the specialist diabetes team, if appropriate ¹,².