Hypoglycaemia in non-diabetic patient
North South North West Statewide
All referrals should comply to referral standards and also include:
- Pattern of symptoms – post prandial or fasting, relieved by carbohydrates
- Previous abdominal surgery
- Access to hypoglycaemic medications
- Capillary, plasma glucose at time of symptoms
- Paired plasma glucose and insulin
- 2 hour GTT to exclude diabetes or IGT
- LFTs, U&E
- Plasma cortisol
- 24-hour calcium
To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.
Condition can be divided into reactive (post prandial) – with usual causes being young fit lean adult, IGT, early NIDDM or dumping syndrome, or fasting – causes insulin excess especially insulinoma, liver failure, hypoadrenalism, growth hormone deficiency, sulphonylureas, insulin.
Do not fast outpatient with suspected insulinoma.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
All patients with fasting hypoglycaemia
Semi-urgent / category 2
Routine / category 3
Reactive hypoglycaemia not responding to diet
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment