For referrers
Useful list of tests to consider
Type 1 diabetes
Anti GAD/ IA2 antibodies (if new diagnosis) Urine or capillary ketones (if new diagnosis)
HbA1c, FBC, eLFT, fasting lipids with HDL/LDL, Urine for microalbuminuria, TSH, B12.
Anti transglutaminase Ab, IgA, Renin/Aldosterone, 8am cortisol,
Please ask your patient to ensure they bring their glucose meter or record book
If you suspect your patient has a new diagnosis of type 1 diabetes, contact 07 3309 3077
Type 2 diabetes
HbA1c, FBC, eLFT, fasting lipids with HDL/LDL, Urine for microalbuminuria, TSH, B12.
Please ask your patient to ensure they bring their glucose meter or record book
Hypothyroidism
TSH, TPO Ab, thyroglobulin Ab, fasting lipids with HDL/LDL, B12 Anti TTG Ab IgA, FBC eLFT
Hyperthyroidism
T4, T3, TSH, ESR, TSH receptor Ab, FBC, eLFT, B12, anti transglutaminase Ab, IgA
Technetium scan (if done. Please ask you patient to bring the scans)
Osteoporosis
Last BMD and films, fracture history, Vit D PTH, FBC, eLFT, TSH, anti-transglutaminase Ab, IgA, ESR serum protein electrophoresis, serum free light chains
Thyroid nodules
Thyroid ultrasound(s), TSH, FBC, eLFT
CT Neck if symptoms of neck pressure, barium swallow if concerns of swallowing problems, Flow-Loop ventilation tests if symptoms of shortness of breath
Irregular periods/PCOS
LNMP date, FSH, LH, Oestradiol, hCG, 17OHP, Androstenedione, DHEA-s, testosterone, SHBG, TSH, Prolactin, fasting lipids with HDL and LDL, fasting glucose
Hypercalcaemia
eLFT, ionised calcium, PTH, Vit D, spot urine Ca:Cr (paired with eLFT) BMD (if done) ESR sEPP, serum ACE, FBC
Male hypogonadism
Two 8-9am fasting testosterone levels, FSH LH, Prolactin, TSH, sleep study (if done), FBC eLFT, fasting lipids with HDL LDL