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Referring to Community Diabetes Specialist Nurses in the County 

(March 2015)

The latest community diabetes Specialist Nurses Referral forms for Leicestershire County.

Referral form

Who may be referred

Use this form to help suport your patients diabetes managment:

  • Patient suitable for managment in primary care.
  • DSN input required for  a non super 7 patient.
  • GLP1 start
  • Insulin initiation/ titration
  • Telephone advice for patients
  • Admission prevention
  • Recurrent Hypoglycaemia
  • Insuliun device problem
  • Poor glycaemic control on insulin
  • Complex type 2 specific

Updated at 2015-03-24 13:45:47 by Shehnaz Jamal


Community DSN Form Leicestershire County - (PDF 196KB) (2015)

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