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