DIP Team Nurse Referral Pathway

Non-Urgent Referral Criteria - Instruct client to follow-up with their physician

  • Blood pressure: 130/80 Hg
  • Blood glucose: Screening value > 7.0 mmol/L
  • Microalbuminuria: ACR > 2.0 Males mg/mmol and ACR > 2.8 Females mg/mmol
  • Foot Assessment: Evidence of neuropathy

Urgent Referral Criteria - Immediate referral to physician / specialist

  • Blood Glucose > 20.0 and experiencing any of the following: Dehydration, abdominal pain, vomiting, fruity smelling breath, weakness, decreased level of consciousness
  • Blood Pressure: 160/100 Hg
  • Experiencing headache, vision changes or dizziness
  • Foot Assessment: Evidence of infection (redness, warmth, swelling, pain, ulceration, or gangrene)

Direct referrals have been established for the following:

  • Dr. John Embil, Infectious Disease Specialist, HSC 957-3218
  • Brian Scharfstein, Canadian Foot Wear, 944-7460/ fax 947-0801
  • Dr. Randy Guzman, 237-2620/fax 237-8141
  • Robin Miller, DIP Team Dietitian, 956-7174 ex 226