This LES is for patients with Type 2 diabetes only
MODY is a rare (<5% all type IIs) form that generally occurs before 25, characterised by slow onset of symptoms, absence of obesity, no ketosis and no evidence of B cell autoimmunity. MODY displays an autosomal dominant pattern of inheritance. Diagnosis will be made by consultant.
WHEN TO REFER
Referral to hospital diabetes clinic recommended for newly diagnosed Type 1 patients, any new diagnosis < 40 years, patients pregnant or considering pregnancy, patients with > 1 episode of hypoglycaemia (requiring third party assistance), BP > 160 mmHg systolic or 100 mmHg diastolic on 3 or more hypotensive agents.
Type 2 patients who require/possibly require insulin should be referred in the first instance to the CHCP diabetic specialist nurse.