Practical recommendations without losing sight of the person
Diabetes management often intersects with kidney health, cardiovascular risk, obesity, medication burden, access, treatment preferences and quality of life. The consultation brings these considerations together rather than treating a laboratory value in isolation.
Recommendations may address monitoring, treatment options, medication safety, complication-risk reduction, additional investigations and follow-up. Longitudinal specialist follow-up may be offered when it is clinically appropriate and remains connected with the referring clinician.
When virtual care may not be the right setting
Acute metabolic instability, suspected diabetic ketoacidosis, severe or recurrent hypoglycemia requiring urgent assessment, pregnancy-related diabetes needs, or another concern requiring immediate examination or hospital services should use the appropriate local urgent, emergency or specialized pathway.